Overview

1. Overview RAI / MDS Presented by Leatrice Coffin BSN, RN MDS Education Coordinator

2. RAI • Consist of: MDS, Resident Assessment Protocols (RAPs) & Utilization Guidelines Comprehensive assessment process

3. RAI • The Minimum Data Set (MDS) Clinical / functional assessment Over 600 items

4. RAI • Facilities are required to use a Resident Assessment Instrument (RAI) This instrument gives attention to quality- of-care & quality-of life issues.

5. 9 Federal MDS Tags • F272 Resident assessment using the RAI The facility must conduct initially & periodically a comprehensive, accurate, standardized reproducible assessment of each resident’s functional capacity.

6. 9 Federal MDS Tags F273 Admission Assessment When required, a facility must conduct a comprehensive assessment of a resident 14 calendar days after admission Excluding readmission in which there is no SCSA

7. 9 Federal MDS Tags • F274 Significant Change in Status Assessment No later than 14 days after determining a SCSA has occurred Major change , impacts more than 1 area of health, care plan changes

8. 9 Federal MDS Tags • F275 Annual assessment Must be completed not less than once every 12 months (VB2 date) No more than 92 days from prior quarterly (R2b date)

9. 9 Federal MDS Tags F276 Quarterly Assessment 92 days from one R2b to the next R2b date Tracks resident’s status between comprehensive assessments Monitors gradual onset of a resident change

10. 9 Federal MDS Tags F278 Accuracy of assessments The assessment must accurately reflect the resident’s status Assessment must be done by the appropriate, qualified health professional Ongoing assessment of resident progress

11. 9 Federal MDS Tags • F279 Comprehensive Care Plans Facilities must use the results of the assessment to develop, review, and revise the resident’s comprehensive plan of care Completed 21 days after admission

12. 9 Federal MDS Tags F286 Maintain 15 months of MDS data A facility must maintain all resident assessments completed within the previous 15 months in the resident’s active record This applies regardless to form of storage

13. 9 Federal MDS Tags • F287 Encoding & transmitting the MDS A facility must electronically transmit, at least monthly, encoded, accurate, complete MDS data to the State for all assessments conducted during the previous month

14. Contact Information • Leatrice Coffin • MDS Education Coordinator • leatrice.coffin@state.tn.us • 615 741-8002 • Patti Gregg • MDS Automation Coordinator • patti.gregg@state.tn.us • 615 741-8275

15. Questions ???