MDS 3.0 Boot Camp: Beyond the BasicsSM
Learning Objectives
Module 1: Mastering MDS Assessments
- Detail the scope and authority for the resident assessment instrument and its relationship to the Minimum Data Set (MDS)
- Differentiate between OBRA and PPS assessment requirements under MDS 3.0
- Describe the types and purpose of the MDS 3.0 OMRA assessments
- Discuss methods to balance and distribute the increasing workload across the MDS team
- Analyze the impact of unscheduled and combination assessments
- Identify the completion rules and timing for all OBRA and PPS assessments under MDS 3.0
Module 2: The MDS 3.0: Your Core Business Tool-Improve care, quality outcomes, and payment
- Discuss the term "Health-related Quality of Life" used in the MDS 3.0 User's Manual
- Describe at least two problematic coding areas on the MDS 3.0
- Explain one way that the interview process can be used to improve resident satisfaction
- Identify one method MDS team members can use to ensure accurate coding of clinical items
- Describe the required documentation within the medical record when completing the MDS
Module 3: Meaningful Approach to the CAA and Care Plan Process
- Describe the purpose of the Care Area Assessment (CAA) process
- Recall the documentation elements that must be addressed by the CAA
- List the elements necessary in the plan of care to meet regulation
- Define the care plan term 'measurable goal'
Module 4: Quality Outcomes and Culture Change
- State the authority for quality measurement in the nursing home
- Detail patterns of coding that may result in poor quality outcomes
- Describe the importance of the MDS 3.0 assessment on the long-term care survey process
- Identify the key elements of the Five-Star Quality Rating System that relate to the MDS 3.0
- Discuss person-directed and person-centered care opportunities
Module 5: MDS Team Proficiency and Management
- Explain the difference between an interdisciplinary approach versus a multidisciplinary approach to the MDS assessment process
- Identify two positive outcomes associated with a team-based MDS process
- Distinguish between managing person problems and system problems
- Define the roles of the interdisciplinary team members
- Describe a method for team members to work efficiently to complete an accurate MDS
DAY 3
Module 6: Connecting Medicare Coverage Requirements to the MDS and SNFPPS
- Specify the key source of authority for Medicare skilled coverage and SNF PPS
- Describe the services covered in a skilled stay and the relationship to the payment system
- Identify the criteria necessary for determining skilled coverage and the associated documentation elements
- Define how a RUG-IV reimbursement rate is calculated
- Differentiate between a hierarchical and case mix index maximization case mix system
- Identify four key MDS 3.0 assessment items from Section O. Special Treatments and Procedures that contribute to payment
- Link the impact of the Mood interview to correct reimbursement
- Describe the impact of the ADLs and the ARD on reimbursement
- Describe a method the facility can implement to reduce payment denials
Module 7: Diagnosis Coding and the MDS
- Identify the drivers of compliant coding
- Describe the general diagnosis coding guidelines required for use of ICD-9-CM codes
- Define the steps in accurately assigning ICD-9 codes
- Identify a method to assign ICD-9-CM diagnosis codes for completion of the MDS, monthly billing, and medical record
- Discuss the transition from ICD-9-CM to ICD-10-CM
Module 8: Converting the MDS and Clinical Theory into Practice
- List at least two preventable reasons that residents return to the hospital
- Describe a method to reduce rehospitalizations
- Discuss a method to ensure clarity and consistency in clinical communication
- Identify one method to track a potential significant change
Module 9: Build Your Action Plan for Process Improvement
- Discuss a method to prioritize and implement changes
- Identify a technique to ensure change is adopted by all staff members successfully
Who Should Attend:
- Resident assessment coordinators
- RNs and LPNs/LVNs
- DONs/ADONs
- Administrators
- Staff educators
- Therapists
- Social service professionals
- Activities professionals
- Dietary professionals
- Quality assurance professionals
- Clinical reimbursement specialists
- Case managers
- Medical records professionals
- CFOs
- CEOs
- Executive directors
- Physicians
- Advanced practitioners
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