MDS 3.0 Overview

Presented to:

The National Consumer Voice for Quality Long Term CareNCCNHRAnnual Meeting and Conference: Quality CareOctober 23, 2009Washington DC

Mary Pratt, RN, MSNDirector, Division of Chronic and Post Acute Care

• Review the MDS 3.0 Timeline

• Features of MDS 3.0

• Overview of the plans for MDS 3.0 Training

• New Quality Measure Development

• January / February 2010 –

-- Publish final MDS 3.0 Data Specifications (including RUGs and CAA triggers. (QM/QI specifications to be released at a later date)

-- Publish MDS 3.0 Item Sets (includes Admission, Quarterly, Swing Bed, PPS, Discharge MDS and tracking records)

-- Publish MDS 3.0 Long-Term Care Facility Resident Assessment Instrument User’s Manual (Revision to be Published May 2010)

• March 2010 – NQF Call for Quality Measures (MDS 3.0)

• April 12-15, 2010 – MDS 3.0 National Train the Trainer Conference

• October 1, 2010 – MDS 3.0 Implementation

• December 2010 – NQF Endorsement of Quality Measures (3.0)

• Uses Standardized Assessments Tools • Gives Resident Voice• Increases Clinical Relevance• Increases Accuracy• Increases Clarity• Provides Care Area Assessments

• December 2009 – MDS 3.0 Overview• Summer 2010 –

• Impact on surveyors •Coding and assessment requirements

Anticipate hosting three MDS 3.0 satellite broadcasts or webcasts:

MDS 3.0 Train-the-Trainer

Baltimore, MD

March 15 - 19, 2010

CMS CO, RO, and State RAI Coordinators

MDS National Conferences (2)

Baltimore, MD

During the week of April 12, 2010

Provider groups, stakeholders & professional associations

MDS Conferences

SNF/LTC ODF (www.cms.hhs.gov/OpenDoorForums/25_ODF_SNFLTC.asp)

Medicare Learning Network (www.cms.hhs.gov/MLNGenInfo/)

MDS 3.0 Website (www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp)

• To be available online 24/7, 365 days/year• Structured by section supported by key

topics•Overview•Key terms relevant to the section•Conducting the assessment•Coding instructions•Coding practice (for selected sections)

• Available through the Medicare Learning Network (MLN)

Conduct via telephone and web conference

To include opportunity to ask questions of MDS subject

matter experts

• Based on questions documented at the MDS conferences and web conferences

• Available through the MLN

Nursing Home Quality Measures

Will include Post Acute and Chronic Care Measures

New measures will replace existing measures (or at a minimum modify the existing measures based on the MDS 3.0 Instrument)

18 Candidate measures submitted to NQF

Ultimately the measures will be published on Nursing Home Compare

Disposition of Existing MeasuresMDS 2.0 Quality Measures Transitioning to MDS 3.0

PAC Chronic

Percent of Residents Who Were Assessed and Given Influenza Vaccination

X X

Percent of Residents with Pain X XPercent of Residents Who Were Assessed and Given Pneumococcal Vaccination

X X

Percent of Short-Stay Residents with Pressure Ulcers That Are New or Have Not Improved

X

Disposition of Existing MeasuresMDS 2.0 Quality Measures Transitioning to MDS 3.0

PAC Chronic

Percent of Long-Stay Residents Who Have Become More Depressed or Anxious

X

Percent of Long-Stay, Low-Risk Residents Who Lose Control of their Bowels or Bladder

X

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

X

Percent of Long-Stay Residents Who Were Physically Restrained

X

Percent of Long-Stay, High-Risk Residents with Pressure Ulcers

X

Percent of Long-Stay Residents with a Urinary Tract Infection

X

Percent of Long-Stay Residents Who Lose Too Much Weight

X

Measures for Possible Retirement

MDS 2.0 Quality Measures Recommended for Retirement/Replacement

PAC Chronic Potential Replacement

DeliriumX

Delirium (new PAC measure)

Mobility declineX

‘Ambulation’ (PAC and Chronic)

Pressure ulcers (low risk) X

BedfastX

Summary Table of 18 Measures Submitted to NQF for Endorsement

PAC ChronicFive-Star

Item

Percent of Residents with Pain X X X

Delirium (replacement measure) X X

Percent of Short-Stay Residents with Pressure Ulcers That Are New or Have Not Improved

X X

Percent of Residents Who Were Assessed and Given Pneumococcal Vaccination

X X

Summary Table of 18 Measures Submitted to NQF for Endorsement

PAC ChronicFive-Star

Item

Percent of Residents Who Were Assessed and Given Influenza Vaccination

X X

ADL decline (replacement measure) X X

Mobility decline (replacement w/ focus on ambulation)

X X

Percent of Long-Stay, High-Risk Residents with Pressure Ulcers

X X

Summary Table of 18 Measures Submitted to NQF for Endorsement

PAC ChronicFive-Star

Item

Percent of Long-Stay Residents Who Were Physically Restrained

X X

Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder

X X

Percent of Long-Stay Residents with a Urinary Tract Infection

X X

Summary Table of 18 Measures Submitted to NQF for Endorsement

PAC ChronicFive-Star

Item

Percent of Long-Stay, Low-Risk Residents Who Lose Control of their Bowels or Bladder

X

Percent of Long-Stay Residents Who Lose Too Much Weight

X

Percent of Long-Stay Residents Who Have Become More Depressed or Anxious

X

Comments can be submitted to:

MDS30Comments@cms.hhs.gov