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CMS finalizes improvements in care, safety, and consumer protections for long-term care facility residents. Revisions mark first major rewrite of the conditions of participation (CoP) for long-term care facilities since 1991.
The Five Star Preview Reports will be available on September 20th. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the 'Folders' button and access the Five Star Report in your 'st LTC facid' folder, where st is the 2-character postal code of the state in which your facility is located and facid is the state-assigned Facility ID of your facility. Nursing Home Compare will update with August's Five Star data on September 28, 2016.
Effective Oct. 1, a Part A PPS Discharge assessment—and of course discharge Section GG (Functional Abilities and Goals)—must be completed “when a resident’s Medicare Part A stay ends, but the resident remains in the facility,” according to page 2-44 of the finalized v1.14 RAI User’s Manual for the MDS 3.0. If that resident is instead discharged from the facility, the existing OBRA rules kick in. Providers must complete either an OBRA Discharge-return anticipated or an OBRA Discharge-return not anticipated for the resident, and the OBRA Discharge must be coded either planned (A0310G = 1) or unplanned (A0310G = 2).
Oct. 1 can be a difficult day for new nurse assessment coordinators (NACs) and veterans alike. Preparing to implement the updated MDS 3.0 item sets using the assessment and coding instructions in the finalized v1.14 Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual can be a difficult task. Here’s a refresher course on steps NACs can take for long-term success:
CMS has added some clarifying language for SNFs in the Medicare General Information, Eligibility, and Entitlement Manual, the Medicare Claims Processing Manual, and the Medicare Benefit Policy Manual.
CMS assistance related to quality assurance and performance improvement (QAPI): Tools, Resources, Adverse Events, Consumer Engagement, and Description and Background.
CMS has released version 1.4 of the free jRAVEN MDS software.
Provider Training Questions and Feedback on MDS 3.0
CMS has posted a document that provides responses to some MDS-specific questions that were received during the Skilled Nursing Facility Quality Reporting Program (SNF QRP) training events.
Residents are generally comfortable with questions about their pain because they are asked about it frequently—in the hospital, in home health settings, and elsewhere, according to Maureen McCarthy, RN, BS, RAC-MT. However, asking the right questions to get to the bottom of a resident’s pain can be tough. The MDS Pain Assessment required for section J is a tool that asks probing questions. Here are some things to look out for and tips for interviewing with section J most effectively.
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