The proposed MDS 3.0 assesses signs and symptoms of delirium in item C11 and acute onset mental status change in C12 based on the confusion assessment method (CAM), which "is a validated delirium assessment that replaces the MDS 2.0 delirium items [B5, indicators of delirium-periodic disordered thinking/awareness and B6, change in cognitive status]," explained Debra Saliba, MD, MPH, during a CMS special open door forum to review the proposed clinical content changes for the revised draft MDS 3.0.
