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Specialized Information for:
Nursing HomesAssisted Living/Board & Care Home and Community Based Services
Menu
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Specialized Information for:
Nursing HomesAssisted Living/Board & Care Home and Community Based Services
The MDS (Minimum Data Set) is a tool for implementing standardized assessment and for facilitating care management in nursing homes (NHs) and non-critical access hospital swing beds (SBs). Its content has implications for residents, families, providers, researchers and policymakers. MDS 3.0 has been designed to improve the reliability, accuracy and usefulness of the MDS, to include the resident in the assessment process and to use standard protocols used in other settings.
Fact Sheet for Long-Term Care Ombudsmen: MDS 3.0 Section Q (November 2010)
MDS 3.0 Overview Conference Call (October 2010)
Call Materials
Information Brief: Changes in the MDS 3.0 for Long-Term Care Ombudsman (September 2010)
This document, by Sara Hunt, MSSW, NORC Consultant, provides Ombudsman programs with information about the primary changes in the updated version (3.0) of the Minimum Data Set (MDS).
Money Follows the Person: Impediments to Implementation: A Fact Sheet on Program Start up, Capacity and Access
Developed by NASUAD. The Money Follows the Person Rebalancing Demonstration Program (MFP) was designed to assist states in rebalancing their long-term care systems, and to help Medicaid beneficiaries' transition from institutions to the community. Since its inception, MFP has faced many barriers to implementation, most of which have resulted in the program transitioning fewer individuals than originally anticipated. In efforts to clarify the origin and impact of these early problems and ongoing capacity and access challenges, NASUAD prepared a fact sheet, outlining some of the most commonly-reported programmatic complications, such as the unanticipated consequences of statutory compliance and a lack of accessible, affordable housing for MFP participants.
MDS 3.0 Section Q Implementation: Questions and Answers from Informing LTC Choice Conference and E-mails (September 2010)
State Point of Contact List for MDS 3.0 Section Q Referrals
Your Right to Get Information About Returning to the Community Brochure
CMS has released a new brochure for residents about returning to the community. It is related to Section Q in that it explains to the resident why they are being asked by facility staff whether they want more information about the possibility of returning to the community. There is a place in the back of the brochure for contact information for the long-term care ombudsman program. Copies of the brochure can be obtained from the CMS website. It is CMS Product No. 11477. Users will be asked to create a username and password. Residents and families can ask for a copy by calling 1-800-MEDICARE. The brochure can also be downloaded and printed.
Your Discharge Planning Checklist: For patients and their caregivers preparing to leave a hospital, nursing home, or other health care setting
This discharge planning checklist from the Centers for Medicare and Medicaid Services provides consumers and their families with information about transitioning between care settings.
Videos from CMS
Interviewing Vulnerable Elderly (VIVE)
CMS uses this video in its training related to the MDS 3.0. CMS has now made the video available for instant viewing on YouTube. DVDs are available from CMS and can be ordered by going through the CMS website. It is CMS Product No. 11479-CD.
Gladys & Linda Return to the Community
A 10-minute video of two recently transitioned nursing home residents provide perspectives on returning to home after being admitted to a nursing home. Other transition and MFP YouTube videos are available at this CMSHHSgov YouTube channel.
CMS Training Materials
IncludeMDS 3.0 coding training slides, instructor guides, training aides, MDS 3.0 RAI Manual updates and link to CMS internal and external websites.
CMS Online Resources
Community Living Initiative
Includes the most up-to-date point of contact list and Section Q&A document, best practice tools and links to CMS Section Q training, brochure and videos resources. This site also includes a May 20, 2010, CMS letter to State Medicaid Directors, which provides information on new tools for community integration as well as to remind states of existing tools that remain strong resources in state efforts to support community living.
MDS 3.0 for Nursing Homes and Swing Bed Providers Webpage
Contains information about the MDS 3.0
MDS 3.0 Training Materials
Provides MDS 3.0 coding training slides, instructor guides, training aides, MDS 3.0 RAI Manual updates and links to CMS internal and external website
View Ombudsman program examples on MDS 3.0
Your Right to Get Information About Returning to the Community Brochure
The Impact of MDS 3.0/Section Q Implementation
Since the implementation of MDS 3.0 in October 2010, the Ombudsman Resource Center and the Administration on Aging (AOA) has been seeking information regarding the impact of MDS 3.0, specifically Section Q, on residents and the Ombudsman program. The Center solicited information through quarterly questionnaires and shared information with the Ombudsman network, AOA, and the Centers for Medicare and Medicaid Services (CMS). The information gathered from these questionnaires will be used by NORC, AOA, and CMS to provide support and training to ombudsman programs and entities designated as local contact agencies as they assist residents in transitioning out of nursing homes.
Questionnaire Results: