MDS 3.0Things to Assess Carefully

Christa M. Hojlo, PhD, RN, NHA810 Vermont Ave, NW (114)Washington, DC 20420202-461-6779

Objectives

Learner will: Articulate history of MDS 3.0 Identify differences between 2.0 and 3.0 Address important aspects in the following

Sections: C Cognitive Patterns D Mood E Behavior M Pressure ulcers Q Participation in

Assessment and Goal Setting (discharge planning) Describe Care Area Assessment (CAA) Summary

History of MDS 3.0

VA involvement Testing 5 new sections

Identify Differences Between 2.0 and 3.0

Shorter Questions stated more clearly Evidence based

Special Sections

C Cognitive Patterns D Mood E Behavior M Skin Conditions Q Participation in

Assessment and Goal Setting (discharge planning)

Section C-Cognitive Patterns

Brief Interview for Mental Status (BIMS) Interview Staff assessment if resident not

interviewable Correlation with MMSE Summary score

Section D-Mood

Interview Staff assessment if resident not

interviewable Correlation with GDS Score

Section E Behavior

Direct observation required Impact on resident Impact on staff Section on wandering

Section M-Skin Conditions

New definition of pressure ulcers Where acquired Risk assessment required (facility can

select) Current number of unhealed and what

stage Unstageable Measure length, width, depth

Section M-Skin Conditions (cont’d)

Etiology important! Other ulcers, wounds, skin conditions Skin and ulcer treatments No reverse staging

Q Participation in Discharge Planning

Assessment and Goal Setting Interview – resident’s expectations Recommend social worker/discharge

planner assess Ties into Olmsted Act Discharge into community assessed and

addressed

Care Area Assessment (CAA) Summary

What is CAA? CAAs vs. RAPs Who participates Why is this important

Summary

MDS 3.0 designed to improve the assessment of residents using improved questions that have been tested.

New Sections and implications Good training is very important

Thank You!