MDS 3.0 Resources for Activity and Recreation Professionals
By Kimberly Grandal, CTRS, ACC/EDU
NJAPA Legislative Chairperson
August 31, 2010
Are you ready for the MDS 3.0? If you haven’t received any formal training on the MDS 3.0, I highly recommend that you do. There are a variety of on-line resources that you can check out that will help you in your preparations and implementation process. Below is a list of resources for Activity Professionals that will be completing section F of the MDS 3.0. Each facility is different and I’ve heard stories of Activity Professionals completing several sections such as mood, preferences, and cognition. In some cases, Activity Professionals are not completing any section. It will vary according to facility since CMS does not specify which department or individual should complete the various sections of the MDS 3.0.
I also wanted to address one of the most popular questions that I get asked about the upcoming MDS 3.0 which is, “What type of initial Activity Assessment do you recommend or how do I change my current assessment to accommodate the MDS 3.0”? I respond back with a question: “Why do you have to change your initial Activity Assessment?” The Activity Assessment does not have to reflect the MDS. In fact, why collect the data twice? Now, if your Activity Assessment has outdated terminology such as RAPs, Section N, Triggers for Little or No Activity, etc., then yes, you’ll want to either remove the old terminology and replace with the new lingo (e.g. CAT’s, CAA’s, section F, Resident Interview, Family/Significant other Interview, Staff Assessment, etc.)
I hope that you find these resources and links helpful in your preparations for the up and coming MDS 3.0.
RAI Manual and Training Materials
Download all of the RAI Manual and training materials from the CMS website at https://www.cms.gov/NursingHomeQualityIn its/45_NHQIMDS30TrainingMaterials.asp#To pOfPage There are also some materials, such as section F, section O, the CAA’s Resources related to activities and more available at http://www.recreativeresources.com/MDS3.0.htm . Please note however, that CMS is the official site and you should always check to ensure you have the most current information.
VIVE’:Interviewing Frail Elders (Video)
The Video on Interviewing Vulnerable Elders (VIVE) demonstrates best-practice approaches for implementing the new MDS interviews for cognition, mood, preferences and pain. The goal of VIVE, funded by Picker Institute and developed by the UCLA/Jewish Home Borun Center, is to help staff members build the confidence and skills they need to interview their residents both for MDS 3.0 and for other clinical evaluations. View this video at http://pickerinstitute.org/vive
Free Course: Interviewing for MDS 3.0 Resident Assessment by Care to Learn Enterprise
This great course-geared toward nursing, but as an Activity Professional, I found it helpful. Plus it's free and we just love FREE! Learn the interview skills that lead to better nursing home resident care while ensuring MDS 3.0 compliance. Visit http://redvector.web101.hubspot.com/mds3-mcknights
Operational Strategies to Implement the New MDS 3.0 Process Sponsored by MDI Achieve. Download at http://www.mdiachieve.com/mds30/webcast/OperationalStrategies_MDS30_ADVANCE.pdf
MDS 3.0 Basic Comprehensive Test Question and Answer Sheet by National Resident Assessment Institute.
Great test to review staff knowledge of the MDS 3.0 Visit http://www.nrai.net/mds3basictestanswers.php
Preparing for MDS 3.0 by Health MedX
A 24-page manual to help you prepare for the MDS 3.0. Great checklists and a fantastic overview of the MDS 3.0. Download at http://www.healthmedx.com/Libraries/Documents/MDS_3_0_White_Paper.sflb.ashx
Preparing for MDS 3.0 by Keane Care.
Download this 5 page MDS 3.0 overview at http://www.keanecare.com/products/pdf/mds30-flyer.pdf
HCPro Healthcare Marketplace
Free Newsletter about the MDS 3.0 at http://www.hcmarketplace.com/prod-6935-E MDSCB/MDS-30-Update.html . HCPro also did a nice review of the MDS 3,0 Train the Trainer Conference in Las Vegas. Visit http://www.hcpro.com/LTC-255375-6935/Updates-from-the-Las-Vegas-MDS-30-TraintheTrainer-conference.html. In addition, HCPro has a great MDS 3.0 blog at http://blogs.hcpro.com/mdscentral/
Article-A Closer Look at the MDS 3.0: News and Overview for Activity and Recreation Professionals.
This is an article written by Kim Grandal, back in February 2010. It gives a great introduction to the MDS 3.0 for Activity and recreation Professional. You can download this article at: http://www.recreativeresources.com/documents/MDS3.0UpdatefEB2010.pdf
MDH MDS 3.0 Web Ex MDS 3.0 Handouts
Twenty three sets of handouts regarding all aspects of the MDS 3.0. Download at
http://www.health.state.mn.us/divs/fpc/MDS30_webex.pdf
Getting Ready for MDS 3.0 Implementation-Montana Healthcare Association
A PowerPoint handout that gives an overview of the MDS 3.0. Download at http://www.mtha.org/spring/documents/A3%20MDS%203.0%20Clinical%20Essentials.pdf
MDS 3.0 Resident Interview and Cue Cards by Kansas Foundation for Medical Care
Download interview cue cards for the MDS 3.0. Visit http://www.kfmc.org/providers/nh/Resident_Interviews_and_Cue_Cards.pdf
Change is Coming MDS 3.0 by Lori Costa
A PowerPoint overview of the MDS 3.0. Download at http://www.aging.org/files/public/Change.is.Coming.ppt
Free Cue Cards for Section F-Daily and Activity Preferences
The RAI Manual and the Video on Interviewing Vulnerable Elders discuss the use of Cue Cards during the interview process. Here are two cue cards you can download. http://www.recreativeresources.com/MDS3.0.htm
With anything, change can be challenging. Mistakes will be made, new questions present themselves, turf wars may arise, and so on. Take a deep breath and just remember one thing, “It’s about the residents”. Whether you like or dislike the MDS 3.0, doesn’t really matter anymore because it’s going to happen on October 1, 2010. Focus on what you need to do and before you know it, it will become part of the norm and we’ll all be saying, “Remember when we had to do that section N?”.
Article "Activities Angst"-A Must Read and Must Comment On Article
By Kimberly Grandal, CTRS, ACC/EDU
NJAPA Legislative Chairperson
June 15, 2010
Check out the article Activities Angst. This is a must read article regarding the Universal worker and the quality of activities provided. I also urge you to comment on the article on the Long Term Care Living webpage. Please-this is our chance to voice our concern regarding the role of the Universal Worker!
There is also another blog related to this subject that I recently learned of entitled, The Vanishing Need for Activity Professionals. You can find this blog at http://tinyurl.com/vanishingneedforactivitypros. PLEASE read these articles and comment.
Read the Article:
A Closer Look at the MDS 3.0: News and Overview for Activity and Recreation Professionals
By Kimberly Grandal, CTRS, ACC/EDU
February 8, 2010
MDS 3.0 Update and CMS Training Information
January 20, 2010
By Kimberly Grandal, CTRS, ACC/EDU
NJAPA Legislative Chairperson
The MDS 3.0 RAI user manual is now available for download at http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp
Follow the link, scroll down the page and click on MDS 3.0 RAI Manual Jan 2010 to download the entire manual. The section for Customary Routine and Activities is called section F and is located in the Chapter 3 file folder. The section which refers to Recreation Therapy can be found in section 0, Special Treatments and Procedures. You can also download sections F and O at www.recreativeresources.com/MDS3.0.htm
CMS provided a webcast, entitled, MDS 3.0: Part 1- An Introduction, on December 17, 2009. You can view this archived webcast for free at http://surveyortraining.cms.hhs.gov/pubs/VideoInformation.aspx?cid=1074
This webcast was the first of a three part series focused on providing information about the MDS 3.0.
The other webcasts in the series include:
2nd Part: Coding the MDS 3.0 (late spring/early summer, 2010)
3rd Part: CMS Programs impacted by the MDS 3.0 (summer, 2010)
MDS 3.0 is Postponed!
On Thursday, March 5, 2009 CMS officials announced that they have postponed the implementation of the MDS 3.0. The new start date is October, 2010 which is one year later than originally planned. To review MDS drafts, timelines, crosswalks and more visit http://www.cms.hhs.gov/NursingHomeQualityInits/25_NHQIMDS30.asp. Activity Professionals really should review the MDS 3.0 draft and send your comments to CMS!
Elect to Promote and Vote
Voting and Election Day Activities in Healthcare Facilities
By Kimberly Grandal BA, CTRS, ACC
NJAPA Legislative Chairperson
Minimum Data Set (MDS) 3.0
Submitted by Kimberly Grandal, CTRS,ACC
NJAPA Legislative Chairman
The Centers for Medicare & Medicaid Services (CMS) held an Open Door Forum (ODF) regarding the Minimum Data Set, Version 3.0 (MDS 3.0) in Baltimore, Maryland on January 24, 2008 from 1:00 pm to 3:00 pm EST and reported on the findings of a 5-year CMS Nursing Home MDS 3.0 Validation Study.
There are many advantages to the MDS 3.0 such as:
- Increased resident’s voice
- Increased clinical relevance for assessment
- Increased accuracy, both validity and reliability
- Increased clarity and efficiency
- 45% reduction in the average time for completion
A section with significant revisions is the Customary Routine and Activity Section. The customary routine staff assessment is replaced by the MDS 3.0 Preference Assessment Tool. Residents are to be interviewed for their activity interests and routine preferences. For residents who cannot answer the questions, a staff assessment of activities and daily preferences is available. Staff is also instructed to observe the resident’s response during activity programs. In a sample of individuals that completed the revised Customary Routine and Activity Section, findings indicated that:
- 81% rated the interview items as more useful for care planning
- 80% found that the interview changed their impression of resident’s wants
- 1% felt that some residents who responded didn’t really understand the items
- More likely to report that post-acute residents appreciated being asked
CMS plans to implement MDS 3.0 changes nationally on October 1, 2009. To download the transcript, audio files, power point presentation, word presentation and the timeline, visit
http://www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp
This session is accessible for downloading beginning January 30, 2008 (for 30 days) until the end of February.
The Centers for Medicare & Medicaid Services (CMS) announced that there will be an Open Door Forum (ODF) regarding the Minimum Data Set, Version 3.0 (MDS 3.0). This ODF is scheduled for the CMS auditorium in Baltimore, Maryland on January 24, 2008 from 1:00 pm to 3:00 pm EST and will report on the findings of a 5-year CMS Nursing Home MDS 3.0 Validation Study. CMS plans to implement MDS 3.0 changes nationally on October 1, 2009.
This session is currently full and closed to new registrants, however an audio recording of this Special Forum will be posted to the Special ODF website at www.cms.hhs.gov/OpenDoorForums/05_ODF_SpecialODF.asp and will be accessible for downloading beginning January 30, 2008 and available for 30 days.
To download the MDS 3.0 Timeline, visit
www.cms.hhs.gov/NursingHomeQualityInits/Downloads/MDS30Timeline.pdf
As your newly appointed Legislative Chair, I have conducted a lot of legislative and advocacy research, joined various organizations and committees, and created a Legislative Committee. It is the goal of the Legislative Committee to not only keep NJAPA members informed of pertinent issues and regulations, but also to promote opportunities for NJAPA to become a proactive force in today’s changing healthcare.
For those of you who are wondering what ever happened to the Video Bill, you can set your mind at rest. According to NAAP and The American Healthcare Association (AHCA), it appears the Video Bill or more formerly, Senate Bill 1557 and House Bill 3158, is currently a non-issue. In retrospect, a bill was developed in the 1990’s to exempt nursing homes from federal copyright laws. Senate Bill 1557 and House Bill 3158 were developed in response to several newspaper stories stating that the motion picture industry wanted to enforce copyright laws against showing movies to residents. The Motion Picture Licensing Corporation (MPLC) opposed this bill. To keep the bill out of congress, an agreement was made between the AHCA and AAHSA and the MPLC for a 10 year waiver on fees for showing movies to nursing home residents. This waiver expired on January 1, 2001 and the AHCA, along with outside counsel, agreed it was best to not “push forward” another agreement. In the May/June 2007 issue of the NAAP News it was reported by Brenda Scott, ADC, Vice-President of NAAP, that it is alright to show the videos and DVD’s at this time. However, if anyone is contacted regarding licensing, please notify Brenda Scott at vicepres@thenaap.com.
The revised CMS surveyor guidance for surveying Accidents and Supervision (Tag F323) requirements in long-term care facilities became effective August 6, 2007. This revised guidance makes reference to: assessment, care planning, environmental considerations, assistive devices, smoking, resident to resident altercations, falls, adequate supervision, interdisciplinary involvement, elopement and more. All LTC Recreation Directors are encouraged to read this revised guidance, for activities play an important role in safety maintenance. The final version is located in the State Operations Manual, under Appendix PP, however if you’d like a copy I can email it to you. Stay tuned for more legislative news!
