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Q: Because so many of the items on the MDS affect the quality indicators (QIs) and the quality measures (QMs), what is the best way to audit these responses for accuracy? As the MDS coordinator, I want to be sure that our QIs and QMs are correct.

Julia's PPS Chat, July 6, 2005

Welcome again to our PPS chat!

You know that the MDS affects so many areas of long-term care and reimbursement. How can you be sure that your responses are correct, especially the ones that affect your quality indicators and quality measures?

Read on to find out the answer-

Q: Because so many of the items on the MDS affect the quality indicators (QIs) and the quality measures (QMs), what is the best way to audit these responses for accuracy?

As the MDS coordinator, I want to be sure that our QIs and QMs are correct.

A:You are right, the coding of many MDS items has a direct effect on both your QIs used during the survey process and the QMs available for the public to see.

Begin by compiling a list of the specific MDS items that affect the indicators and measures. Make sure your staff have been trained in the required documentation to support these MDS responses. Review the guidelines for coding these items in the revised Resident Assessment Instrument User's Manual and the updates and clarifications published by CMS.

After completing an MDS, review the responses for those items that affect the QIs and QMs-glance through your completed form to be sure it accurately reflects the resident whom you assessed. Many facilities have another person review the MDS prior to transmission. This second person might pick up on discrepancies that you could otherwise miss.

If you find any mistakes, correct these prior to transmission. Review your QI and QM results carefully. Check for any numbers that appear incorrect to you, and refer back to your MDS assessments to determine how you obtained the numbers.

So, review your MDS carefully, make any corrections that are needed, and you will be well on your way to having an accurate MDS, and therefore accurate QIs and QMs. That's a great goal to have!

Until we chat again about Resource Utilization Group categories on the MDS-