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

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Remember:• The nutrition care team is responsible for addressing all nutrition care needs and strengths ofresidents that are not included in RAPs• Depending on individual home’s policy, non-triggered clinical problems can be documented in theprogress notesTRIGGERED RAP AND NON-TRIGGERED CLINICAL PROBLEMS REVIEW PROCESSTRIGGERED RAP REVIEW AN INTERDISCIPLINARY APPROACHTRIGGERED RAP REVIEW PREPARATIONFind out from the RAI Coordinator:1. Who will generate the RAPs and Section V (Resident Assessment Protocol Summary)?2. When will RAPs and Section V be generated?3. What RAPs will the dietary team be responsible for or contribute to?4. When will the care team get together to review the RAPs and develop care plan interventions?TRIGGERED RAP REVIEW PREPARATIONFind out from the RAI Coordinator:1. Who will generate the RAPs and Section V (Resident Assessment Protocol Summary)?2. When will RAPs and Section V be generated?3. What RAPs will the dietary team be responsible for or contribute to?4. When will the care team get together to review the RAPs and develop care plan interventions?TRIGGERED RAP REVIEW PROCESS1. Do you agree with the RAP condition triggered?2. Do you agree with the RAI-MDS 2.0 items associated with the triggered RAP?3. If the RAP is not accurate, notify the RAI Coordinator to correct coding and reprint the RAP.4. If you agree with the RAP and the triggered items, follow the 5-step RAP documentation process.For Information: 416.327.7625 4ltchrai@ontario.ca4
TRIGGERED RAP OR NON-TRIGGERED CLINICAL PROBLEM ASSESSMENT SUMMARY DOCUMENTATIONPROCESSRAP SUMMARY AND SOAP DOCUMENTATIONTFor Information: 416.327.7625 5ltchrai@ontario.ca5
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RAI-MDS 2.0 Nutritional Care Resour
Page 3 and 4:
Table of Contents1. Chapter 1: RAI-
Page 5 and 6: Glossary of TermsADLAlgorithmAverag
Page 7 and 8: RAI-MDS 2.0 Target population:Frail
Page 9 and 10: SECTION F: PSYCHOSOCIAL WELL-BEINGI
Page 11 and 12: SECTION P: SPECIAL TREATMENTS AND P
Page 13 and 14: SECTION V - RESIDENT ASSESSMENT PRO
Page 15 and 16: OUTCOME SCALES OR MEASURES• 10 ou
Page 17 and 18: Getting Started ChecklistCompletion
Page 19 and 20: Selected Coding Sections of RAI-MDS
Page 21 and 22: WEIGHT CHANGE CALCULATION EXAMPLE:C
Page 23 and 24: EXAMPLE:Step 1: Calculate Total Cal
Page 25 and 26: Examples include wheat-free diet to
Page 27 and 28: Overview of Assessment TimelinesOBS
Page 29 and 30: 2. QUARTERLY ASSESSMENT TIMELINEThe
Page 31 and 32: TIMELINE FOR SIGNIFICANT CHANGE IN
Page 33 and 34: RAI-MDS 2.0 Nutrition Assessment Pr
Page 35 and 36: Day 0 First Day of New Admission On
Page 37 and 38: RAI-MDS 2.0 Nutrition Quarterly, Si
Page 39 and 40: Preparing to Code ChecklistThe foll
Page 41 and 42: Recommended Tools (Optional)Admissi
Page 43 and 44: Sensory Deficit Affecting Nutrition
Page 45 and 46: Admission Nutrition Assessment Work
Page 47 and 48: Essential Nutritional Assessment Ar
Page 49 and 50: Nutrition/Hydration Risk Identifica
Page 51 and 52: Assessing Nutrition / Hydration Ris
Page 53 and 54: CHAPTER 3: Resident Assessment Prot
Page 55: TRIGGERED RAPS IN THE RAI-MDS 2.0 R
Page 59 and 60: What have you read to support evide
Page 61 and 62: NO EXISTING RAP TRIGGEREDIf existin
Page 63 and 64: RAP IMPLEMENTATION STRATEGIES Compl
Page 65 and 66: NEW ADMISSION RAP AND CARE PLAN TIM
Page 67 and 68: M axim um 7 days M aximum 7 days Ma
Page 69 and 70: RAPS and Care Planning Software Ori
Page 71 and 72: The College of Dietitians of Ontari
Page 73 and 74: 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
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Domain # Quality Indicators - Unit
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4-35Domain # Quality Indicators - U
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InterRAI RAI-MDS 2.0 Quality Indica
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For Information: 416.327.7625 28ltc
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Strategies for Achieving RAI-MDS 2.
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RAI-MDS 2.0 Quality Improvement Too
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Comments:Part C: Use of Data for De
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Literature: Recommended Articles1.
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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