MDS 3.0 update

[Squeaky02 0]

Greetings,

 

Well it has been 11 days and counting and I still have a lot of questions.

1.Like how do I print a blank new activity Assessment- not the mds

2. Knowing when a CAA is needed when SS has not completed their portion of the assessment.

3. the RAP = CAA questions are very much different than the RAPS done in 2.0 .

 

Any input at this point would be helpful.

Brain fried on MDS3.0

[aRBeRec 0]

Greetings,

 

Well it has been 11 days and counting and I still have a lot of questions.

1.Like how do I print a blank new activity Assessment- not the mds

2. Knowing when a CAA is needed when SS has not completed their portion of the assessment.

3. the RAP = CAA questions are very much different than the RAPS done in 2.0 .

 

Any input at this point would be helpful.

Brain fried on MDS3.0

 

1. Not sure what you mean, did you print your assessment from the MDS 2.0 software??

 

2. If you are inputing on the computer your software should let you know a CAA is needed, but sometimes it wont trigger for F0500 alone and the input from F0400 will trigger the section, you have to wait til SS inputs. The MDS manual explains how many 4,5,& 9 trigger the section.

 

3. For the questions... they are there to help find the reason the problem is a problem so as long as you find the what is causing the problem and document you're good, for example if resident is withdrawn from activities, and you see he/she has a dx of depression you doccument on that, you dont need to go through all the CAA everytime someone triggers its a guide to help you solve the problem

 

hope i helped a bit... read the mds 3.0 manual and you state's surveyor guidance

[actnet 8]

Very helpful video showcasing an Interview and the strategies behind the assessement questions.

 

 

 

This video shows "Section F" from the new MDS 3.0

[Pennie 26]

[dlancaster 0]

Greetings,

 

Well it has been 11 days and counting and I still have a lot of questions.

1.Like how do I print a blank new activity Assessment- not the mds

2. Knowing when a CAA is needed when SS has not completed their portion of the assessment.

3. the RAP = CAA questions are very much different than the RAPS done in 2.0 .

 

Any input at this point would be helpful.

Brain fried on MDS3.0

[dlancaster 0]

Greetings,

 

Well it has been 11 days and counting and I still have a lot of questions.

1.Like how do I print a blank new activity Assessment- not the mds

2. Knowing when a CAA is needed when SS has not completed their portion of the assessment.

3. the RAP = CAA questions are very much different than the RAPS done in 2.0 .

 

Any input at this point would be helpful.

Brain fried on MDS3.0

 

Dear Brian,

I have the same concerns about 3.0. My company's software assists me by highlighting the triggers in red after all of section F has been saved. In your case you may want to take a blank section F worksheet and mark it up as a key after you examine the 3.0 manual to find out which resonses are triggers. You can then mark to the left of each response [3, 4, 5, 6] for example. It is only the second half of section F that contains triggers, if I am not mistaken.

I too am frusterated by the the use such ambiguous language on the psychosocial section D question "resident no longer finds pleasure in doing 'things.' I am finding this to continuously RAPping. If the social workers are not defining what 'things' are, we may find that this trigger comes up time and time again. It would help if SW could set the stage a bit by defining exactly what "things" means. For example, What I like to do on the section F question which asks how important it is for the res. to do their 'favorite activities:' is to preface the question "what are your favorite current activities?" Then ask the res. "are those important to you? This usually produces a reponse like 1 or 2 that is not a CAA trigger since they better understand the question. This way "favorite activities" is better defined and we don't have to do triple the quantity of frivolous CAA's which really are not problems necessarily. So get with the social workers and explain the situation by offering suggestions for them to preface those thorny questions. I am not suggesting that we should avoid doing CAA's altogether, but rather eliminate the built-in tendency of the 3.0 for triggering meaningless CAA's. Resident's with genuine depression symptomology will still continue to trigger even with a clearer definition of "things." Another example on section F is when a resident states that "pets/animals are (#4) not at all important to them." In my opinion, this is not a problem, but a stated preference which should already be accounted for on the initial assessment; and not an activities deficit. My MDS Coordinator told me to just document in the CAA that "res. lack of importance ascribed to being around pets/animals is an expressed preference; and not a request for a substitute activity or deficit. See initial assessent dated _/_/_. " Hope that helped too.

Edited October 31, 2010 by dlancaster