Preparing for the 2015 QIS Changes in abaqis

Transcription

1 Preparing for the 2015 QIS Changes in abaqis

2 Resident Interview 2

3 Changed Question for QP210 Participation in Care Plan Before After RESIDENT INTERVIEW 3

4 CMS Removed Food Quality from Stage 1 Moved from section K to the end of the Resident Interview Removed QP number Still triggers Food Quality in abaqis Stage 2 RESIDENT INTERVIEW 4

5 Two New ADL QCLIs Activities of Daily Living RESIDENT INTERVIEW 5

6 Oral Health Replaced by Dental Dental Status and Services Removed QP254 and QP256 Added QP284 RESIDENT INTERVIEW 6

7 Family Interview 7

8 Removed QP238, Added Two New ADL QCLIs Activities of Daily Living Removed QP238 Added QP283, QP300 FAMILY INTERVIEW 8

9 Oral Health Replaced by Dental Dental Status and Services Removed QP245 Added QP286 FAMILY INTERVIEW 9

10 Removed QP183 Admission Process Admission Transfer and Discharge Review FAMILY INTERVIEW 10

11 Added QP285 Pain Pain Recognition & Management FAMILY INTERVIEW 11

12 Changed QP242 Question Participation in Care Plan Before After FAMILY INTERVIEW 12

13 Resident Observation 13

14 QP216 Oral Moved to Bottom of Assessment Dental Status & Services Section A Before Section A After: QP216 removed and moved to bottom of assessment RESIDENT OBSERVATION 14

15 Added QP289 to Incontinence Urinary Incontinence Before After: Added QP289 soiled for long periods without incontinence care RESIDENT OBSERVATION 15

16 Before Added QP282 to Dressing Accidents: Added QP282 (foot coverings) ADL: Changed calculation for QP074 (dressing) After: Added QP282 RESIDENT OBSERVATION 16

17 Added QP280 to Positioning Assigned Resident observed in same position to QP280 Added Any other to QP233 Before After: Added QP280 QP280 will map to the Pressure Ulcer Care Area RESIDENT OBSERVATION 17

18 Split QP218 Bed Rails into Two Questions Accidents Before After RESIDENT OBSERVATION 18

19 New Section: QP297 Smoking Accidents RESIDENT OBSERVATION 19

20 Moved QP216 to New Dental Status Section Dental Status & Services RESIDENT OBSERVATION 20

21 Staff Interview 21

22 Removed QP082 Nutrition (new QP296 in Census) Nutrition STAFF INTERVIEW 22

23 Changed Heading for Pressure Ulcers Before After STAFF INTERVIEW 23

24 Removed QP265 Falls and Fractures Accidents: Replaced with four QCLIs for falls and fractures Before After STAFF INTERVIEW 24

25 Census Review 25

26 Guidance Added to UMed Make your selection according to the medication's pharmacological classification, not how it is used. The exception is for mood stabilizers. To code a mood stabilizer, the resident should be prescribed an anticonvulsant or Lithium (an antimanic drug) for a mood disorder. CENSUS REVIEW 26

27 QP296 Added to Weight Loss Nutrition Before After: Added QP296 CENSUS REVIEW 27

28 Admission Review 28

29 Changed Screening Section Added guidance and removed cognitive question Before After ADMISSION REVIEW 29

30 Removed QP071 Community Discharge Rehabilitation: care area removed from abaqis ADMISSION REVIEW 30

31 Added exclusion to QP105 Weight Loss Nutrition Excluded if admission weight shows BMI is 44+ ADMISSION REVIEW 31

32 MDS 32

33 MDS QCLI Changes Removed by CMS, Displayed as Discontinued in abaqis 1. ADL: QP017 INCIDENCE OF DECLINE IN LATE LOSS ADLs ADL: QP028B DRESSING SEVERE DECLINE 2. ADL: QP039B LOCOMOTION SEVERE DECLINE off unit, dressing, eating or toileting. MDS 33

34 MDS QCLI Changes Removed by CMS, REMOVED in abaqis Rehabilitation: QP119 LACK OF TRANSFERRING REHAB PROGRESS Bed mobility, transfer, locomotion on unit, locomotion off unit, dressing, eating or toileting. MDS 34

35 MDS QCLI Changes Added by CMS, Added in abaqis 1. Accidents: QP298 ACCIDENT HAZARD Wandering to a Dangerous PlaceBed mobility, transfer, locomotion on unit, locomotion off unit, dressing, eating or toileting. MDS 35

36 MDS QCLI Changes Added by CMS, Added in abaqis 1. ADL: QP290 INCIDENCE OF DECLINE IN ADLs. Bed mobility, transfer, locomotion on unit, locomotion off unit, dressing, eating or toileting. MDS 36

37 Stage 1 Reports 37

38 Discontinued QCLIs Displayed as **DISCONTINUED** in Stage 1 Reports Assessment Reports Bed mobility, transfer, locomotion on unit, locomotion off unit, dressing, eating or toileting. STAGE 1 REPORTS 38

39 Discontinued QCLIs Summary Report Details STAGE 1 REPORTS 39

40 Removed Obsolete Subgroups Resident Interview Abuse QP253 o rough treatment o yelling o fear of maltreatment Activities QP208 o weekend activities o evening activities Environment QP201 o comfortable Family Interview Abuse QP236 o staff action Environment QP248 o comfortable STAGE 1 REPORTS 40

41 Care Areas 41

42 How abaqis Consolidates Care Areas abaqis: ADL, ROM, Positioning Contains these CMS care areas; o o o Activities of Daily Living Positioning Range of Motion abaqis: Hearing and Vision Contains these CMS care areas Hearing Vision Urinary Catheter, Incontinence and Infection Contains these CMS care areas Urinary Catheter Use Urinary Incontinence Urinary Tract Infection CARE AREAS 42

43 Stage 2 43

44 Reorganized Consolidated Care Areas Before: ADL, ROM... After: ADL, ROM... STAGE 2 44

45 Related Requirements is Now Optional Stage 2 Facility Progress Report Tooltip: Related Requirements Ftags are optional and do not count towards care area completeness. STAGE 2 45

46 What to Expect on January 1st 46

47 On January 1, 2016 o o Completed Stage 1 assessments will still be complete abaqisgo will push incomplete assessments until GO is updated o Editing a Stage 1 assessment that was completed prior to January 1, 2016 will require answering the new questions o Continuing an unfinished assessment will require answering the new questions o o Old QCLIs will show Discontinued in reports Stage 2 changes will appear when a new Snapshot is created WHAT TO EXPECT 47

48 Don t forget! o Complete any Stage 1 Samples before the end of the year o Create your Stage 2 Snapshot by December 31, 2015 WHAT TO EXPECT 48

49 Questions? 49