Long-Term Care Survey Alert
Industry Notes
Consider New Pressure Ulcer Guidance On ‘Bottoming Out’
Are you using the “hand check method” to monitor bottoming out? If so, the National Pressure Ulcer Advisory Panel (NPUAP) says this isn’t a good idea.
In a new Position Statement entitled, “Hand Check Method: Is it an Effective Method to Monitor for Bottoming Out?” NPUAP recommends limiting the use of the hand check to static air overlay mattresses. “This method of determining bottoming out is inappropriate for replacement mattresses and integrated bed systems (bed frame and support surface),” NPUAP says.
To read the Position Statement, go to www.npuap.org/wp-content/uploads/2012/01/Hand-Check-Position-Statement-June-2015.pdf.
Check Out 3 New Draft MDS 3.0 Documents
Changes are afoot for several MDS assessments, but don’t get too excited yet — only drafts are available at the moment.
On April 16, the Centers for Medicare & Medicaid Services (CMS) posted three drafts of the MDS 3.0:
1. MDS 3.0 Nursing Home Comprehensive (NC) Version 1.14.0 — www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/Draft-of-the-MDS-30-Nursing-Home-Comprehensive-NC-Version-1140.pdf;
2. Sections A and GG of the MDS 3.0 — www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/MDS-30-SECTIONS-A-AND-GG-DOCUMENT.pdf; and
3. The New MDS 3.0 Prospective Payment System (PPS) Part A Discharge (End of Stay) Version 1.14.0 — www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/Draft-of-the-new-MDS-30-PPS-Part-A-Discharge-End-of-Stay-NPE-SPE-Version-1140.pdf.
You can also access these draft documents by visiting www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/SNF-Quality-Reporting-Program-Measures-and-Technical-Information.html and scrolling down to the bottom of the page for the Downloads section. Note that CMS has not yet determined a proposed effective date for these drafts.
Long-Term Care Survey Alert
- Prospective Payment System:
Are You Ready To Protect Your Pay?
Aligning quality measures in the post-acute care settings to become real. If you are not [...] - Research Alert:
Depression Remains Major Risk in Long-Term Care
Turn to targeted quality improvement to enhance resident care — and survey results. Two important [...] - Tool:
Tips for Motivating Residents to Self-Perform ADLs
When symptoms of depression are present, use this tool to involve all caregivers in supporting [...] - Section M:
Keep Your Pressure Ulcer Management Top Notch
Tip: Be specific about intervention and frequency. Skin integrity is one of the major quality [...] - ICD-10:
Keep Updated with Revised Educational Tools
CMS recently released revised versions of several ICD-10 educational materials, including: “FAQs — ICD-10 End-to-End [...] - ICD-10 Transition:
Stay On Top Of ICD-10 Transition With New Training Materials
Pay attention to the myriad of common coding practices. To ensure that you’re fully prepared [...] - Industry Notes
Consider New Pressure Ulcer Guidance On ‘Bottoming Out’ Are you using the “hand check method” [...]
