100 Days Out: What's Changing with the MDS 3.0 Item Set on October 1, 2018

Transcription

1 100 Days Out: What's Changing with the MDS 3.0 Item Set on October 1, 2018 June 22, 2018

2 Learning Objectives/Outcomes Locate the current DRAFT MDS 3.0 Item Sets as well as the Item Set Change History document Describe the major changes to the MDS 3.0 Item Set effective October 1, 2018 Begin preparations for successful implementation of version 1.16

3 Purpose Each October 1 st, CMS makes changes to the MDS 3.0 Item Set. Some of the changes are for: Clarification IMPACT ACT of 2014 SNF Quality Reporting Program Requirements of Participation (RoPs)

4 Release of Item Sets and Technical Specs Item Sets released early December 2017 MDS Item Set Change History for October 2018, Version posted at that time Revised Item Sets posted May 30, 2018 MDS Item Set Change History for October 2018, Version R posted May 30, 2018

5 Section Changes All Changes Effective 10/1/2018 Section C Section GG Section I Section M Section N Section O Section J

6 Section A Add MBI to A0600B as soon as Medicare beneficiary receives new number/new card SSN being removed from Medicare cards April 2018 through April 2019 Effective January 1, 2020 all Medicare claims and the MDS must show MBI

7 Section C C1310

8 Why Changes to Section GG? IMPACT Act of 2014 New items SNF QRP requirements/new measures Risk adjustments Additional options needed for activity not attempted

9 Section GG GG0100

10

11 New and Updated GG Codes

12 GG0130 Admission: Self-Care

13 GG0130 Admission: Self-Care

14 GG0170 Admission: Mobility

15 GG0170 Admission: Mobility

16 And

17 New GG0170 Admission: Mobility

18 GG0130 Discharge Self-Care

19 GG0170 Discharge Mobility

20 GG0170 Discharge Mobility

21 Section I

22 Section J

23 Section M

24 Section M - Continued

25 Also in Section M

26 Removed from v1.16 Item Set

27 Also Removed from v1.16

28 Section N

29 Section O - Updated

30 Watch for It! Version V1.16 October 2018

31 What Can You Do Now to Prepare? 1. Share this presentation handout with your IDT. Review all of the new and changed items with your IDT. 2. Download the NC (Comprehensive) Item Set. Review the MDS Change History document. 3. Review the new and changed items in Section GG. Make a plan for how to manage these items before October 1, Who/which department will manage data collection for each element in the time frame specified? How will you collect the data? What s your plan for collecting the data if therapy is not involved/not ordered?

32 And 4. Review your process for monthly drug regimen review. How is the physician notified of potentially clinically significant medication issues at present? Does he/she respond by midnight of the next calendar day? If not, how can you effect the needed change to be compliant? (Hint: include your Medical Director in this step.) 5. Watch for then download/purchase the RAI User s Manual for Version 1.16 that s your guidance for coding any/all of the MDS items. You won t be able to use your current RAI Manual on/after October 1, Does every member of the IDT that works with the MDS have access to the current copy of the RAI Manual? How will you ensure they have access to the v1.16 manual? Review the new and updated sections with your IDT to ensure they know the guidelines for coding.

33 Last But Not Least 6. Has your facility been educating residents and families about the new Medicare card initiative? Do they know to bring in the resident s new Medicare card when it arrives so the Business Office can make a copy of it for billing? What s the plan to communicate the MBI to the MDS Coordinator to ensure it s included in A0600B? 7. Have a pre-admission Coordinator or process? Be sure those folks (Tip: always have a back-up) are aware of the changes in Section GG for prior functioning & devices. Also Section J for prior surgery. They can assist the process for those MDS items by gathering the information on perspective residents.

34 Resources Location of MDS Item Sets and Change Report Assessment- Instruments/NursingHomeQualityInits/NHQIMDS30TechnicalInformat ion.html

35 Resources Contents of.zip File

36 Resources Instruments/NursingHomeQualityInits/Skilled-Nursing-Facility-Quality-Reporting-Program/SNF- Quality-Reporting-Program-Spotlights-and-Announcements.html Instruments/NursingHomeQualityInits/Downloads/SNF-QRP-Table-for-Reporting-Assessment- Based-Measures-for-the-FY-2020-SNF-QRP-APU.pdf Instruments/NursingHomeQualityInits/Downloads/Final-MDS-30-Data-Set-Version Change-Table-Effective-October pdf Instruments/NursingHomeQualityInits/Downloads/Final-Specifications-for-SNF-QRP-Quality- Measures-and-Standardized-Resident-Assessment-Data-Elements-Effective-October pdf

37 Questions

38 Upcoming Webinar PDPM demystified: What you need to know Say goodbye to RUGs-IV and say hello to PDPM. The much-anticipated RCS-1 system is no longer on the horizon. Instead, the Centers for Medicare and Medicaid Services (CMS) published the Patient-Driven Payment Model (PDPM) in the FY 2019 SNF PPS Proposed Rule. The PDPM payment model for PPS SNF patients is proposed to be implemented in October With barely a year to prepare, providers are hungry for information about PDPM. Understanding this model now will help your facility prepare for the coming changes. As we move away from a payment model driven by therapy minutes to one based on patient characteristics, how will your facility continue to provide therapy in a fiscally responsible manner? How will you pay your therapy contractor when therapy minutes do not drive payment? We ll address these and many more questions in this informative training session. We expect to run out of space for this webinar, so register now! Speaker: Mark McDavid, OTR, RAC-CT, Owner, Seagrove Rehab Partners Thurs, July 12, 2:00 3:15pm CT (3:00 4:15pm ET) Thurs, July 19, 10:00-11:15am CT (11:00-12:15pm ET) Register at:

39 Upcoming Webinar F838 - Facility Assessment: What You Need to Know The regulation for a Facility Assessment was implemented on November 28, 2017 in Phase 2 of the Requirements of Participation. If you have questions about this requirement, you'll want to attend this webinar! We ll cover: Federal regulations pertaining to the Facility Assessment requirement. How to get started (if you haven't already). Involving your team in putting the Facility Assessment together. This webinar is intended for Administrators, Directors of Nursing and key members of your facility's Interdisciplinary Team. As a result of this presentation, participants will be able to: Locate the regulation that addresses the Facility Assessment. Describe the regulatory requirements of this Assessment. Lead/participate in the development of your facility's Assessment. Thursday, July 26, 2018 at 1:00 PM CT Register at:

40 Speaker Mary Madison is a registered nurse with 45 years of experience in the healthcare field; 40 years in the long-term care industry. Mary has held positions of Director of Nursing in a 330-bed SNF, DON in two 60-bed SNFs, Reviewer with Telligen (Iowa QIO), Director of Continuing Education, Manager of Clinical Software Support, Clinical Software Implementer and Clinical Educator. Mary is a Certified Resident Assessment Coordinator (AANAC) and a Certified Dementia Practitioner (NCCDP). Mary has conducted numerous MDS training and other LTC educational sessions across the country in the past 2+ decades. She joined Briggs Healthcare as their LTC/Senior Care Clinical Consultant in July Mary s contact information is: Madison.Mary@BriggsCorp.com Briggs Healthcare website: