Transitions and Long-Term Care: The Minimum Data Set 3.0 Section ...

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12Changes to Section Q (continued)Current Version (on admission)Q0300. Resident’s Overall ExpectationA. Select one for resident’s overall goal established duringassessment process1. Expects to be discharged to the community2. Expects to remain in this facility3. Expects to be discharged to another facility/institution9. Unknown or uncertainApril 2012 VersionSameQ0300B. Indicate information source for Q0300A1. Resident2. If not resident, then family or significant other3. If not resident, family or significant other, then guardianor legally authorized representative9. None of the aboveSameSameSame9. Unknown or uncertain
13Changes to Section Q (continued)Q0400 Discharge PlanCurrent VersionA. Is there an active discharge plan in place for theresident to return to the community?0. No1. Yes -> Skip to Q0600, ReferralB. What determination was made by the residentand the care planning team that discharge tocommunity is feasible?0. Determination not made1. Discharge to community is feasible – Skip toQ06002. Discharge to community is not feasible – Skip tonext active sectionApril 2012 VersionA. Is active discharge planning alreadyoccurring for the resident to return to thecommunity?SameSameItem eliminated
Page 5 and 6: 5Minimum Data Set (MDS) 3.0• Nurs
Page 7 and 8: 7Results of the Dialogue• Many pr
Page 9 and 10: 9Intent of Changes• Adopt a more
Page 11: 11Current VersionChanges to Section
Page 15 and 16: 15Changes to Section Q (continued)Q
Page 17 and 18: 17Changes to Section Q (continued)Q
Page 19 and 20: 19Expected Impacts (continued)• B
Page 21 and 22: 21New Opportunities• AoA, CMS, an
Page 23 and 24: Money Follows the PersonRebalancing
Page 25 and 26: 25Current CMS RebalancingOptions•
Page 27 and 28: MFP States27
Page 29 and 30: 29MFP Quality ManagementSystem• I
Page 31 and 32: 31MFP Transitions by PopulationDist
Page 33 and 34: MDS 3.0 Section Q, MFP and theAging
Page 35 and 36: 35The Aging Network• Established
Page 37 and 38: 37Providing Information about Homea
Page 39 and 40: 39Role of ADRCs (cont’d)• CMS a
Page 41 and 42: 41State and Local Level PolicyDevel
Page 43 and 44: 43Ombudsman Resident Advocacy(conti
Page 45 and 46: 45Integrating Functions Across Core
Page 47 and 48: 47Section Q Successes• Residents
Page 49 and 50: NC’s “No Frills” Presentation
Page 51 and 52: 51Brief Overview of ADRC Set-Up inN
Page 53 and 54: 53LCA Current Structure• DMA/MFP
Page 55 and 56: 55Lessons Learned:What Works• Wha
Page 57 and 58: 57Emerging Opportunities• Partner
Page 59 and 60: 59Resources: MDS 3.0 Section Q• h
Page 61 and 62: 61Resources: Affordable Care Act•
Page 63:
63Questions/Comments/Stories/Sugges
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