1. MDS 3.0 Things to Assess Carefully Christa M. Hojlo, PhD, RN, NHA 810 Vermont Ave, NW (114) Washington, DC 20420 202-461-6779

2. Objectives  Learner will: Articulate history of MDS 3.0 Identify differences between 2.0 and 3.0 Address important aspects in the following Sections:C Cognitive Patterns D Mood E Behavior M Pressure ulcers Q Participation in Assessment and Goal Setting (discharge planning) Describe Care Area Assessment (CAA) Summary

3. History of MDS 3.0  VA involvement  Testing  5 new sections

4. Identify Differences Between 2.0 and 3.0  Shorter  Questions stated more clearly  Evidence based

5. Special Sections C Cognitive Patterns D Mood E Behavior M Skin Conditions Q Participation in Assessment and Goal Setting (discharge planning)

6. Section C-Cognitive Patterns  Brief Interview for Mental Status (BIMS) Interview Staff assessment if resident not interviewable Correlation with MMSE Summary score

7. Section D-Mood  Interview  Staff assessment if resident not interviewable  Correlation with GDS  Score

8. Section E Behavior  Direct observation required  Impact on resident  Impact on staff  Section on wandering

9. Section M-Skin Conditions  New definition of pressure ulcers  Where acquired  Risk assessment required (facility can select)  Current number of unhealed and what stage  Unstageable  Measure length, width, depth

10. Section M-Skin Conditions (cont’d)  Etiology important!  Other ulcers, wounds, skin conditions  Skin and ulcer treatments  No reverse staging

11. Q Participation in Discharge Planning  Assessment and Goal Setting  Interview – resident’s expectations  Recommend social worker/discharge planner assess  Ties into Olmsted Act  Discharge into community assessed and addressed

12. Care Area Assessment (CAA) Summary  What is CAA?  CAAs vs. RAPs  Who participates  Why is this important

13. Summary  MDS 3.0 designed to improve the assessment of residents using improved questions that have been tested.  New Sections and implications  Good training is very important

14. Thank You!