Our annual update to the PASRR National Report, this time focusing on our analysis of MDS data, and on our (new) analysis of data that states collect for quality monitoring and quality improvement (QM/QI).
PTAC consultant Dustin Dodson has written a timely, accessible review of the issues that must be kept in mind when using MDS for data-analytic purposes. In this paper, Dodson:
The October 2014 PASRR webinar "2014 PASRR National Report: Level I and MDS" occurred on Tuesday, October 14th, at 1 PM EST (10 AM PST). The webinar was presented by Ed Kako of PTAC and the Technical Assistance Collaborative.
The enclosed 2014 report (below) updates the 2013 Review of State Preadmission Screening and Resident Review (PASRR) Policies and Procedures.
MDS 3.0 Comprehensive (Annual) Assessment
The July 2014 PASRR webinar "PASRR and the Minimum Data Set (MDS): A Closer Look at PASRR-Identified Nursing Home Residents in Your State" occurred on Tuesday, July 8, at 1 PM EST (10 AM PST). The webinar was led by Ed Kako of the PASRR Technical Assistance Center.
The December PASRR occured on Tuesday, December 10th, at 1 PM EST (10 AM PST).
A resident review (RR) and determination must be conducted promptly (within an average of 7-9 days) after a nursing facility has notified the state mental health authority or state intellectual disability authority that there has been a significant change in the resident’s physical or mental...
No. It is illegal for NFs to perform a PAS or RR. The PAS must be performed before an individual is admitted to the NF, and must be conducted by parties unaffiliated with the NF.
42 CFR 483.100-138 is largely mute about the timing of Resident Reviews. Recall that the CFR still described an annual Resident Review; it has not been updated to reflect subsequent legislative changes.
No. Some significant changes in status may have a dramatic impact on a resident's MI/ID status, while others may have little or no impact.
Recall that PASRR stands for "Preadmission Screening and Resident Review." By definition, PAS ("Preadmission Screening") must be performed before an individual is admitted to a Medicaid-certified nursing facility.
Synopsis of the Topic Dan Timmel of CMS talks about the links between PASRR and version 3.0 of MDS.
No federal requirement specifically addresses this issue. A Level II evaluation is required when there is a change in a resident’s condition. When a resident is returning from a hospital stay, there may be a clear change in condition.
No. The Balanced Budget act of 1996 eliminated the requirement for annual resident review, specifying that reviews are required instead upon changes in condition.