Other assessment forms in use in facilities should be examined for overlap with the MDS and duplicative forms eliminated. Accurately portraying the resident is the goal. If reviews by other clinicians identify inaccuracies in an MDS, changing the MDS to reflect the resident accurately is expected. Changes made to secure a higher payment, which are not supported by the registered nurse's assessment, may lead to sanctions. There are 44 groups used in the Medicare PPS program.
Resources are what the system pays for.
Dietary Laundry Activities Capital Buildings Equipment Utilization is how much resource is used to care for residents. Time was collected using Staff Time Measurement studies to actually associate the direct time staff spent with residents, time spent on behalf of residents, and other time associated with the operation of the nursing facility. Time was collected from good facilities in 12 states. Cost reports provided costs of labor and services. Claims provided non-rehab ancillary costs, Groups are the grouping determined through analysis to identify residents with similar characteristics using similar resources An MDS 2.0 was completed on each resident during the study period.