MDS. 3.0 IMPLEMENTATION PLANNING

1. MDS. 3.0 IMPLEMENTATION PLANNING The Next “Generation of Quality Services”

2. IMPLEMENTATION SCHEDULE

3. IMPLEMENTATION PLAN DETAILS • Determine at your facility those tasks that will lead you to a smooth implementation. • Not all of the tasks have been included, but the provided Attachment will give you some “clues” as to assist with planning ahead, along the way and on implementation day. You should have smooth sailing.

4. MDS 3.0 PLAN • Identify all the topics that you know will need to be included • Identify who is responsible • Set the time frames and who is responsible for each • All may not be sequential, several tasks can go on at one time • Identify your budget $$$

5. PRE-MDS 3.0 • Orient Staff who will be responsible for knowing/understanding the MDS requirements. • Do that task NOW!! • Identify early who will orient, train, assist with preparation, review of current processes, implementation, quality assurance, etc. i.e. Licensed Nursing Staff, CNS, Dietary, Social Service, Activities.

6. PRE-MDS 3.0 -2 • “Note - each of these should be separate steps……”

7. OBTAIN THE MDS 3.0 • Place the MDS 3.0 in electronic folder • MDS 3.0 – actual document*** • MDS Development & Validation of a revised Nursing Home Assessment tool –”Rand report” Separate out from MDS • MDS Crosswalk*** ***=key items for staff focus

8. DESIGNATE STAFF/CONSULTANTS • Develop experts for each section of the MDS • List the person/expert… • Note: This is a good way to evaluate the assessments/manuals or electronic

9. RE-EVALUATE …RE-EVALUATE • Re-evaluate work flow of • Assessments, including the MDS change process of interviews • MDS 3.0 and other data collection vs. MDS completion • Flow CHART – FLOW CHART the different processes, who does what by when, how, down to data entry time lines. Include scheduling, involvement of the resident>>family/responsible party.

10. ASSESSMENT EVALUATION • Review the manual and electronic assessment tools • Cross-walk items and intent against the MDS 3.0 (use the MDS crosswalk). • Identify items on the MDS 3.0 vs. local clinical assessments (manual and automated)

11. IDENTIFY OTHER DOCUMENTATION • Start the evaluation of the assessments, ADL documentation, nutritional, social, activities, therapy, physician’s H & P and progress notes, Therapy, et’l • Identify other assessments

12. CRITICAL EVALUATION • MANUAL • Electronic..

13. UPDATE DOCUMENTATION • When final MDS 3.0 March 1, 2009… • Modify assessments, ADL, etc. either manual or automated • TEST TEST TEST the MDS 3.0 with each assessor • Test MDS 3.0 with resident/family in advance

14. PROJECT PREPARATION • MDS 2.0 vs. 3.0 • Assess current MDS 2.0 accuracy • Evaluate how resident input are obtained, especially cognitive & mood • Evaluate current assessment methods, i.e., falls, restraint, pain, pressure ulcers, behaviors related to medication usage

15. RESOURCE ASSISTANCE • Part of Implementation Plan – Who Does What by When • Work with consultants: • Utilize for the planning, training plan, policy & procedural developments, etc. • Assist the re-enforcing the MDS 3.0 changes – train staff in advance – practice the actual instrument re: understanding of content

16. RESOURCE ASSISTANCE -2 • Part of Implementation Plan (cont.) • Work with software vendor: preparation, review of templates, administrative, etc. • Identify all the items and time frame and include in the project plan, under responsible and date

17. MDS 3.0 TRAINING MANUAL WITH PLAN • Identify training coordinator at various levels, corporate (if applicable), each facility, consultant’s role • Work with consultant to assist the re-enforcing the MDS 3.0 changes – train staff in advance – practice the actual instrument re: understanding of content

18. MDS 3.0 TRAINING MANUAL WITH PLAN -2 • Identify (cont.): • Key training and resource experts • The training process • How you will train, by module and who • Develop the detailed plan • Training Matrix – who will take which module

19. MDS 3.0 TRAINING MANUAL WITH PLAN -3 • Identify the training profile for each person to receive training to track training initially and follow up • Prepare Instructor Guides, exercises, cue cards, handouts • Other guidance, in addition to the above, and include schedule, who gets trained in what

20. MDS 3.0 TRAINING MANUAL WITH PLAN -4 • Work with software vendors to facilitate transition • Set schedules for developing & testing • Review manual/auto assessments • Accept or modify • Review reports, query processes, alerts, etc. • Test…Test…Test

21. MDS 3.0 TRAINING PLAN -2 • Identify who needs to be trained in MDS 3.0 philosophy and specific sections

22. INDICATOR / QUALITY ASSURANCE • Develop QA Tools • Use current tool for MDS 2.0 for review and documentation • Assure MDS 2.0 accuracy • Test MDS 3.0 • Develop MDS 3.0 Tool by using vendor software or software and manual audits combined

23. INDICATOR / QUALITY ASSURANCE -2 • Health Information / Record Monitor Tools • Review current monitoring tools • Modify as needed • Train all applicable staffs

25. THANK YOU!