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MDS 3.0 item of the week: Using MDS 3.0 interview items to support MDS 2.0 coding activities


Some limited MDS 3.0 interview items can actually be used to help assessors code the MDS 2.0, says Patricia Boyer, MSM, RN, NHA, president of the long-term care consulting firm Boyer and Associates, LLC, in Brookfield, WI. For example, the brief interview for mental status (BIMS) in Section C of the 3.0 is a structured cognition assessment that can be used to support MDS 2.0 item B2a, short-term memory.

The instructions for item B2a on p. 3-44 of the RAI User’s Manual offer the following example of how to assess the resident using a structured short-term memory test:

Ask the resident to remember three items (e.g., book, watch, table) for a few minutes. After you have stated all three items, ask the resident to repeat them (to verify that you were heard and understood). Then proceed to talk about something else—do not be silent, do not leave the room. In five minutes, ask the resident to repeat the name of each item.

The BIMS in the 3.0 essentially expands upon that same process using the words sock, blue, and bed instead of book, watch, and table. “So those questions for cognition in the MDS 3.0 will help to code short-term memory in the MDS 2.0 as well,” says Boyer.





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