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What MDS Data Logic Checking Finds

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:

  • No pressure relieving devices for chair (M5a)

  • No pressure relieving devices for bed (M5b)

  • No turning/repositioning program (M5c)

  • No nutrition or hydration intervention (M5d) 

Changing the above MDS responses can result in the following: 

  • 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...

  • No Indicators of Depression, Anxiety, or Sad Mood (E1a-p)

  • No antidepressants  (O4c)

  • 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.   

  • At least 3 Indicators of Depression, Anxiety or Sad Mood, can increase the RUG rate within the Clinically Complex categories. 

  • 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:   

  • Uses cane, walker, or crutch (G5a) and no transfer aid (G6e)

  • Bedfast all or most of the time (G6a) and walk in corridor, or locomotion on or off unit occurred (G1A d,e,f < 8) 

  • Unsteady gait (J1n) and balance while standing--maintained position (G3a). 

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