Monday, December 20, 2010

Guest Post: What's in Store for QIS and MDS 3.0?

December 20, 2010
By: Dr. Andy Kramer, University of Colorado

In case you were wondering, the new minimum data set (MDS) 3.0 will not impact the performance of the Quality Improvement Survey (QIS). However, there are some aspects of the QIS treatment of MDS data that will remain the same going forward and some that will change temporarily.

New QIS software, implemented in November, will still generate random resident census samples and admission samples for the QIS process based on MDS data. Surveyors will continue to require from the nursing facility an alphabetical resident census list of all residents who are in the facility, including those who may be in the hospital or out on a home visit. They will also require the list of recent admissions.

Surveyors will also continue to reconcile the software-generated random sample of residents with the alphabetical resident census and new admission list to finalize their samples for survey.
What will change, temporarily, is that the QIS software will not calculate or utilize the 44 Quality of Care and Life Indicators (QCLI) that are derived from MDS data. However, almost every Care Area has QCLIs mapped to it that originate from one or more of the onsite assessments that are conducted during Stage 1.

For example, the Pressure Ulcer Care Area currently has seven QCLIs that are calculated from Staff Interviews, Census Sample Record Reviews, Admission Sample Record Reviews, and MDS. Only two of these are calculated from the MDS items, so the remaining five pressure ulcer QCLIs will be utilized during QIS surveys.

The calculation and use of QCLIs based solely on MDS will be on hold until sufficient numbers of MDS 3.0 assessments have been submitted by nursing facilities. Thus, although MDS QCLIs will temporarily not be used to determine triggered Care Areas for a Stage 2 in-depth investigation, these care areas will be included in QIS because of the QCLIs from other sources. Some of the MDS QCLIs that can be calculated from MDS 3.0 data are expected to be used in QIS beginning in early 2011.

No comments:

Post a Comment