Long-Term Care

CMS will expand MDS focused surveys

MDS 3.0 Insider, January 16, 2015

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Last year, CMS piloted MDS focused surveys to evaluate the effectiveness of practices associated with MDS coding accuracy, accurate MDS-based reimbursement levels, and dementia care. Due to the results of the MDS focused surveys revealing inaccurate staging and documentation of pressure ulcers, lack of knowledge regarding the classification of antipsychotic drugs, and poor coding of restraint usage among surveyed SNFs, CMS has decided to expand the MDS pilot to a national level.
 
Like the first pilot program, state survey agencies will be expected to select two surveyors to carry out each survey. CMS will provide targeted training to these agency staff members, as well as one manager or trainer from each affected agency. During the surveys, surveyors will be expected to conduct record reviews, as well as interview residents and/or staff to validate MDS 3.0 coding and staffing levels. At the conclusion of each survey, surveyors will be expected to submit a questionnaire about the process and findings to CMS or the appropriate contractor.
 
CMS’ expansion of the original pilot program—first announced in an October 6, 2014, press release from the White House—is billed as one of six changes the agency will begin to execute throughout the year to overhaul the five-star quality rating system for nursing homes.
 



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