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MDS Data Logic Checking
reviews more
than 100 MDS response combinations that seem to conflict with each other,
before you submit the assessments.
This provides the opportunity to reconsider MDS
responses, and to improve assessment methods, charting, and
quality of care within your facility.
Example 1: Pressure Ulcers (M2a>0 ) and any of the following:
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No pressure relieving devices
for chair (M5a)
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No pressure relieving devices
for bed (M5b)
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No turning/repositioning program
(M5c)
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No nutrition or hydration
intervention (M5d)
Changing the above MDS responses can result in the following:
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If no Pressure Ulcers are
reported, the resident
will not be included in Skin Care QM/QIs or on the CMS Roster or Census
reports provided to your surveyor.
-
If Skin Treatments are indicated this can increase the MDS RUG rate into the Special Care
category (if pressure ulcers are at stage 3 or 4).
Example 2: Depression (I1ee) and any of the following...
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No Indicators of
Depression, Anxiety, or Sad Mood (E1a-p)
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No antidepressants
(O4c)
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No Psychological Therapy (P1be)
Changing the above MDS responses can result in the following:
-
If no Depression is
reported, this resident will
not be included in the depression areas of the CMS Roster and Census
provided to surveyors.
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At least 3 Indicators of Depression, Anxiety
or Sad Mood, can increase the RUG rate within the Clinically
Complex categories.
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Receiving Antidepressants will trigger
the Falls RAP, which could lead to a change in the resident's care
plan and quality of care.
DAVE Program Consistency Checks:
MDS Data Logic Checking also identifies the same data conflicts that would
have been reviewed during a Data Accuracy and Verification (DAVE) audit,
for example:
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Uses cane, walker, or crutch (G5a) and
no transfer aid (G6e)
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Bedfast all or most of the time
(G6a) and walk in corridor, or locomotion on or off unit
occurred (G1A d,e,f < 8)
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Unsteady gait (J1n) and
balance while standing--maintained position (G3a).
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