MDS. 3.0 IMPLEMENTATION

PLANNING

The Next “Generation of Quality Services”

IMPLEMENTATION SCHEDULE

Topic/ Task Action Plan

Responsible

By

3/1/09 5/30/09 6/30/09 8/30 – 10/1/09

IMPLEMENTATION PLAN DETAILS Determine at your facility those tasks that

will lead you to a smooth implementation. Not all of the tasks have been included,

but the provided Attachment will give you some “clues” as to assist with planning ahead, along the way and on implementation day. You should have smooth sailing.

MDS 3.0 PLAN

Identify all the topics that you know will need to be included

Identify who is responsible Set the time frames and who is

responsible for each All may not be sequential, several

tasks can go on at one time Identify your budget $$$

PRE-MDS 3.0

Orient Staff who will be responsible for knowing/understanding the MDS requirements. Do that task NOW!!

Identify early who will orient, train, assist with preparation, review of current processes, implementation, quality assurance, etc. i.e. Licensed Nursing Staff, CNS, Dietary, Social Service, Activities.

PRE-MDS 3.0 -2

“Note - each of these should be separate steps……”

OBTAIN THE MDS 3.0

Place the MDS 3.0 in electronic folder MDS 3.0 – actual document*** MDS Development & Validation of a

revised Nursing Home Assessment tool –”Rand report” Separate out from MDS

MDS Crosswalk***

***=key items for staff focus

DESIGNATE STAFF/CONSULTANTS Develop experts for each section of

the MDS List the person/expert…

Note: This is a good way to evaluate the assessments/manuals or electronic

RE-EVALUATE …RE-EVALUATE Re-evaluate work flow of

Assessments, including the MDS change process of interviews

MDS 3.0 and other data collection vs. MDS completion

Flow CHART – FLOW CHART the different processes, who does what by when, how, down to data entry time lines. Include scheduling, involvement of the resident>>family/responsible party.

ASSESSMENT EVALUATION

Review the manual and electronic assessment tools Cross-walk items and intent against the

MDS 3.0 (use the MDS crosswalk). Identify items on the MDS 3.0 vs.

local clinical assessments (manual and automated)

IDENTIFY OTHER DOCUMENTATION Start the evaluation of the

assessments, ADL documentation, nutritional, social, activities, therapy, physician’s H & P and progress notes, Therapy, et’l

Identify other assessments

CRITICAL EVALUATION

MANUAL Electronic..

UPDATE DOCUMENTATION When final MDS 3.0 March 1, 2009… Modify assessments, ADL, etc.

either manual or automated TEST TEST TEST the MDS 3.0 with

each assessor Test MDS 3.0 with

resident/family in advance

PROJECT PREPARATION

MDS 2.0 vs. 3.0 Assess current MDS 2.0 accuracy Evaluate how resident input are

obtained, especially cognitive & mood Evaluate current assessment methods,

i.e., falls, restraint, pain, pressure ulcers, behaviors related to medication usage

RESOURCE ASSISTANCE

Part of Implementation Plan – Who Does What by When Work with consultants:

Utilize for the planning, training plan, policy & procedural developments, etc.

Assist the re-enforcing the MDS 3.0 changes – train staff in advance – practice the actual instrument re: understanding of content

RESOURCE ASSISTANCE -2

Part of Implementation Plan (cont.) Work with software vendor:

preparation, review of templates, administrative, etc.

Identify all the items and time frame and include in the project plan, under responsible and date

MDS 3.0 TRAINING MANUAL WITH PLAN Identify training coordinator at various

levels, corporate (if applicable), each facility, consultant’s role

Work with consultant to assist the re-enforcing the MDS 3.0 changes – train staff in advance – practice the actual instrument re: understanding of content

MDS 3.0 TRAINING MANUAL WITH PLAN -2

Identify (cont.): Key training and resource experts The training process

How you will train, by module and who Develop the detailed plan

Training Matrix – who will take which module

MDS 3.0 TRAINING MANUAL WITH PLAN -3

Identify the training profile for each person to receive training to track training initially and follow up

Prepare Instructor Guides, exercises, cue cards, handouts

Other guidance, in addition to the above, and include schedule, who gets trained in what

MDS 3.0 TRAINING MANUAL WITH PLAN -4

Work with software vendors to facilitate transition Set schedules for developing & testing Review manual/auto assessments Accept or modify Review reports, query processes, alerts,

etc. Test…Test…Test

MDS 3.0 TRAINING PLAN -2

Identify who needs to be trained in MDS 3.0 philosophy and specific sections

Name Task Task Follow Up

INDICATOR / QUALITY ASSURANCE Develop QA Tools

Use current tool for MDS 2.0 for review and documentation

Assure MDS 2.0 accuracy Test MDS 3.0 Develop MDS 3.0 Tool by using vendor

software or software and manual audits combined

INDICATOR / QUALITY ASSURANCE -2

Health Information / Record Monitor Tools Review current monitoring tools Modify as needed Train all applicable staffs

THANK YOU!