RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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E. Healthy RAI-MDS 2.0 Working EnvironmentCriteria to Review Yes No Partial1. The dietitian and/or nutrition manager have participated in the RAI-MDS 2.0 planning for changesthat affect the food service department.2. The dietitian and nutrition manager are able to provide feedback on RAI-MDS 2.0 to the RAICoordinator and/or management team and issues are addressed timely as required.3. The nutrition care team is kept informed on the RAI-MDS 2.0 implementation and the team knowswhere and how to access the information about RAI-MDS 2.0.4. There is a plan in place to address current nutritional care areas for improvement or concernsidentified by the dietitian and or nutrition manager.Please provide example:Comments:F. Data Completeness: Timelines and IntegrityCriteria to Review Yes No Partial1. RAI-MDS 2.0 assessment completion corresponds to the assessment scheduler. A plan is in place toaddress this issue if applicable.2. RAPs and non-triggered clinical problems review and documentation are complete according to theassessment scheduler. A plan is in place to address this issue if applicable.3. Care plan is developed according to the assessment scheduler. A plan is in place to address thisissue if applicable.4. There is evidence of annual data quality auditing for the following areas: nutrition RAI-MDS 2.0 items for coding accuracy RAPs and non-triggered clinical problems assessment summaries for documentationcompleteness care plan interventions for reflecting resident’s strengths, preferences and needs5. Results of the audits are communicated to the dietitian and nutrition manager and an action plan isdeveloped for improvement.Comments:Overall Comments:Reviewed completed by:Position:Reviewed Date:For Information: 416.327.7625 7ltchrai@ontario.ca7
Literature: Recommended Articles1. Bell J., Burger S., Kayer-Jones J. Malnutrition and Dehydration in Nursing Homes: Key Issues in Preventionand Treatment. National Citizens’ Coalition for Nursing Home Reform. June 2000.2. Blaum C.S., Fries B., Fiatarone M., Factors Associated with Low Body Mass Index and Weight Los inNursing Home Residents. Journal of Gerontology: Medical Sciences. 1995; Vol. 50A, No. J: M162-M168.3. Bowman J., Keller H. Assessing Nutritional Risk of Long-Term Care Residents. Canadian Journal of DieteticPractice and Research. Fall 2005; Vol 66 No 3: 155-161.4. Bowman J., Keller H. Using Minimum Data set to determine the prevalence of Nutritional Problems inOntario Population of Chronic Care Patients. Department of Family Relations and Applied Human Nutrition,University of Guelph, Guelph, ON5. Bowman J., Keller H. Validation of the oral/nutrition status section of the Minimum Data Set 2.0 for long-termcare residents. Department of Family Relations and Applied Human Nutrition, University of Guelph, Guelph,ONFor Information: 416.327.7625 8ltchrai@ontario.ca8
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RAI-MDS 2.0 Nutritional Care Resour
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Table of Contents1. Chapter 1: RAI-
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Glossary of TermsADLAlgorithmAverag
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RAI-MDS 2.0 Target population:Frail
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SECTION F: PSYCHOSOCIAL WELL-BEINGI
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SECTION P: SPECIAL TREATMENTS AND P
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SECTION V - RESIDENT ASSESSMENT PRO
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OUTCOME SCALES OR MEASURES• 10 ou
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Getting Started ChecklistCompletion
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Selected Coding Sections of RAI-MDS
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WEIGHT CHANGE CALCULATION EXAMPLE:C
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EXAMPLE:Step 1: Calculate Total Cal
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Examples include wheat-free diet to
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Overview of Assessment TimelinesOBS
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2. QUARTERLY ASSESSMENT TIMELINEThe
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TIMELINE FOR SIGNIFICANT CHANGE IN
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RAI-MDS 2.0 Nutrition Assessment Pr
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Day 0 First Day of New Admission On
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RAI-MDS 2.0 Nutrition Quarterly, Si
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Preparing to Code ChecklistThe foll
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Recommended Tools (Optional)Admissi
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Sensory Deficit Affecting Nutrition
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Admission Nutrition Assessment Work
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Essential Nutritional Assessment Ar
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Nutrition/Hydration Risk Identifica
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Assessing Nutrition / Hydration Ris
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CHAPTER 3: Resident Assessment Prot
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TRIGGERED RAPS IN THE RAI-MDS 2.0 R
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TRIGGERED RAP OR NON-TRIGGERED CLIN
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What have you read to support evide
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NO EXISTING RAP TRIGGEREDIf existin
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RAP IMPLEMENTATION STRATEGIES Compl
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NEW ADMISSION RAP AND CARE PLAN TIM
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M axim um 7 days M aximum 7 days Ma
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RAPS and Care Planning Software Ori
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The College of Dietitians of Ontari
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8 Documentation by the dietitian in
Page 75 and 76: 17.10 Draws relevant conclusions fr
Page 77 and 78: RAPProcessLeaves25% ormore foodunea
Page 79 and 80: RAP Process Step 1Type of RAPLeaves
Page 81 and 82: Dietitian ReferralDietitian Referra
Page 83 and 84: 13. Dental Care14. Pressure UlcersD
Page 85 and 86: New triggered RAPs affecting nutrit
Page 87 and 88: Criteria to Review4. Evidence of RA
Page 89 and 90: OverviewOVERVIEW• Getting started
Page 91 and 92: MoodWorsened mood - symptoms of dep
Page 93 and 94: 15. Prevalence of depression withou
Page 95 and 96: • E1l - Sad, pained worried facia
Page 97 and 98: AGGRESSIVE BEHAVIOUR SCALE (ABS)•
Page 99 and 100: • Hemiplegia, pneumonia, septicem
Page 101 and 102: Preparing for RAI-MDS 2.0 Outputs a
Page 103 and 104: Application of RAI-MDS 2.0 Reports
Page 105 and 106: Case Study ApplicationThe Quality I
Page 107 and 108: Domain # Quality Indicators - Unit
Page 109 and 110: Domain # Quality Indicators - Unit
Page 111 and 112: 4-35Domain # Quality Indicators - U
Page 113 and 114: InterRAI RAI-MDS 2.0 Quality Indica
Page 115 and 116: For Information: 416.327.7625 28ltc
Page 121 and 122: Strategies for Achieving RAI-MDS 2.
Page 123 and 124: RAI-MDS 2.0 Quality Improvement Too
Page 125: Comments:Part C: Use of Data for De
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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