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

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CHAPTER 4: RAI-MDS 2.0 Outputs and ReportsCHAPTER 4: RAI-MDS 2.0 Outputs and Reports .................................. 1Overview .............................................................................................. 2Strategies for Implementation of RAI Outputs and Reports ............. 13Preparing for RAI-MDS 2.0 Outputs and Reports Checklist .............. 14RAI-MDS 2.0 Outputs Software Orientation Checklist ...................... 15Application of RAI-MDS 2.0 Reports to Quality Improvement Plan .. 16Case Study Application...................................................................... 18References ......................................................................................... 25InterRAI RAI-MDS 2.0 Quality Indicator Definitions............................................................................................26
OverviewOVERVIEW• Getting started with RAI-MDS 2.0 outputs implementation• Benefits of RAI-MDS 2.0 outputs and reports• Quality indicators: definition, type, risk adjustment, interpretation• Quality Scales/Measures: measurement and interpretation• Resource utilization groups: definition and case mix index• Strategies for Implementation of RAI-MDS 2.0 Outputs and ReportsINTRODUCTIONIndividual home policy will determine what RAI-MDS 2.0 output reports that the dietician and nutrition manager willaccess as read only. Calculation of the RAI-MDS 2.0 outputs will not be presented. You may contact your home’sRAI Coordinator for a more detailed RAI-MDS 2.0 output calculation information.GETTING STARTED WITH RAI-MDS 2.0 OUTPUTS IMPLEMENTATION• Review the RAI-MDS 2.0 outputs and reports chapter in the RAI-MDS 2.0 Nutrition Care Resource Guide• Implement the “RAI-MDS 2.0 Outputs and Reports Implementation To Do Checklist” in the resource guideRAI-MDS 2.0 OUTPUT REPORTS - FROM HOME SOFTWAREFollowing the completion of RAI-MDS 2.0 assessment, several RAI-MDS 2.0 output reports can be generatedautomatically from the computer:• Quality Indicators (QIs)• Outcome Measures/Scales• Resource Utilization Groups (RUGs)RAI-MDS 2.0 OUTPUT REPORTS - FROM CIHI• Home Administrator, Director of Care and the RAI Coordinator have access to CIHI quarterly provincialcomparative report.• These reports are generally available around Sep. 25, Dec. 20, Mar. 25 and Jun. 25.BENEFITS OF RAI-MDS 2.0 REPORTS - QUALITY INDICATORS AND OUTCOME SCALESAt the resident level, RAI-MDS 2.0 reports help to improve clinical practice by:• Identifying resident care needs• Supporting the RAPs documentation• Enabling the development of a focused care plan• Tracking resident-specific outcomes• Monitoring resident change over time• Prioritizing quality improvement activities• Targeting for specific clinical trainingFor Information: 416.327.7625 2ltchrai@ontario.ca2
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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
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 and 56: TRIGGERED RAPS IN THE RAI-MDS 2.0 R
Page 57 and 58: TRIGGERED RAP OR NON-TRIGGERED CLIN
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: Criteria to Review4. Evidence of RA
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 and 126: Comments:Part C: Use of Data for De
Page 127: Literature: Recommended Articles1.
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RAI-MDS 2.0 Nutritional Care Resource Guide April 2011 - CCIM

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