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A whole new MDS assessment is on the way - some items remain the same, many are there but different, and several new areas have been added. The draft MDS 3.0 is now being tested in SNFs. Steps along the way to a final form
include town hall meetings for public comment, pilot and national validation tests, and release of a final draft.
Major changes in MDS 3.0 include:
- Combining Sections AA, AB, and A into on new Section A with 14 items
- Adding a self-report that uses the 5-item GDS in E1b: Indicators of Possible Depression, Sad Mood
- Adding a new F1: Self-Report Quality of Life that is to be coded only for residents with OK memory. The current F1 and F3 were moved to Section N
- Adding drop-down menus to include specific ICD-9 codes in Section I. The contents of the menu are shown on pages 13-20 of the draft
- Changing Section J to Health Conditions - the only unchanged item is J5. These items are new: J2 - Pain Assessment, J3 - Pain Management, and J4 - Number and Classification of Falls
- Changing K1 - Oral Problems to Swallowing and Nutritional Status with ASHA as the source
- Replacing current M1 - Ulcers with Staging Pressure Ulcers, recommended by NPUAP
- Adding P7 - Expected Length of Stay, for residents in a Medicare stay and only for 5-day and readmission assessments
- Changing RAPs: the draft calls for 21 RAPs instead of the current 18. Some current RAPs have been combined, and six have been added: Pressure Ulcer Prevention,
Quality of Life, Restorative Care, Discharge Planning, Pain, and Infection Control/Prevention
Click here read and download the 33-page draft version of the MDS 3.0.
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 Quickly following the deadline of April 14, 2003 for the HIPAA Privacy Standards is the next HIPAA Transaction Standards compliance date. Beginning April 15, 2003, providers are to begin testing electronic transactions, such as
claims, in the HIPAA format.
Note to VistaKEANE Clients
VistaKEANE Resident Account Management and VistaCARE Accounts Receivable software were certified by Claredi for Outbound ANSI 837 Institutional Health Care Claims, Version 004010x096 in October 2002.
This certification means that the software is capable of generating HIPAA compliant outbound claims for your trading partners who are Claredi certified. CMS requires that all its Medicare contractors (intermediaries) test with Claredi.
The VistaKEANE RAM 2.2 update with 837 capability was released in 2002. The VistaCARE Accounts Receivable 2.x update for 837 will be released in April 2003.
Keane Care continues to test with intermediaries and strongly recommends clients test the software with their trading partners to verify their data in the new format.
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The Final Rule for the HIPAA Security Standards was published in the Federal Register of February 20, 2003. The compliance date for providers is April 20, 2005.
The HIPAA Security Rule defines safeguards to protect the confidentiality, integrity, and availability of electronic protected health information. Providers are required to protect electronic protected health information from unauthorized access, alteration, deletion, and transmission.
Entities covered by the HIPAA Security Rule are health plans, clearinghouses, and healthcare providers that maintain or transmit health information electronically. The Rule makes no distinction between internal corporate communication and communication external to the corporation.
The proposed Security Rule published in 1998 included electronic signatures. The 2003 Rule states that the standard for electronic signature will be published later.
Click here to view a 2-page document prepared by Keane Care of the 18 Security Standards, the 36 associated Implementation Specifications, and their definitions.
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Read the answers to 189 questions about the HIPAA Privacy Rule on the Office of Civil Rights' Website where you can now search by keywords or topic. The latest additions include this one, addressed to nursing homes:
Does the HIPAA Privacy Rule permit nursing homes to disclose information concerning admissions of supplemental security income (SSI) recipients to the Social Security Administration (SSA)?
Yes. SSA requires nursing homes, extended care facilities, and intermediate care facilities to report to SSA, within 2 weeks, admissions information about anyone receiving SSI who is admitted to the institution. The purpose is to prevent SSI overpayments caused by a SSI recipient's failure to timely report changes in eligibility.
Click here to go to the Office of Civil Rights FAQ web page.
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Effective January 1, 2003, surveyors must note whether Long Term Care facilities have posted the number of licensed and unlicensed nursing staff directly responsible for care that day, on each shift.
That information is instantly available from the Daily Staffing report generated from Intellicost Enterprise Staff Scheduling - software designed specifically for Long Term and Post-Acute Care.
Enterprise Staff Scheduling improves facility efficiency overall while it dramatically decreases time spent on scheduling and reduces staff costs. It helps you balance employee satisfaction, quality of care, and expenses by putting complete information at your fingertips.
Tools to Manage Staffing
Per Patient Day (PPD) analysis facilitates staffing at appropriate levels. Overtime and agency use are continually monitored. This one software product gives you both PPD data and the tools to manage staffing. It also provides instant access to actual and projected budget information.
Intellicost Enterprise Staff Scheduling is a web-enabled program that runs on the Internet and can be hosted locally or remotely. Because multi-facility organizations share a database, schedules and management information for all sites are instantly available to all staff who have access.
Key Features
- Reduces the amount of time spent on scheduling
- Calculates daily PPD hours and dollars
- Identifies opportunities to reduce overtime and agency use
- Provides a wide range of valuable reports for staffing management
- Maintains employee information
- Provides staff with their schedule: bi-weekly or monthly
- Tracks use of agency staff
- Provides a secure web-based solution that's available to authorized staff anywhere via the Internet
Intellicost Enterprise Staff Scheduling is a product of Broader Healthcare Solutions, LLC. For more information, contact your local sales representative or Kim Barth at 800.426.2675 or via e-mail at info.ltc@keane.com.
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2003 Client Conference
April 27-30, 2003
J.W. Marriott Las Vegas Resort
Las Vegas, Nevada
Technology is helping to shape the future of healthcare - by providing better patient care, improved access to data, and a healthy return on investment. But technology alone is not the answer. It takes teamwork to get the job done right.
All Keane Care clients are invited to join us at the 2003 Keane Client Conference and discover how technology and teamwork can help you meet your business and care delivery goals. Team up with colleagues, industry experts, Keane business partners, and Keane staff members and learn how to get the most out of information.
The conference provides the perfect forum to meet with your peers, brush up on industry issues, and gain some valuable insights on how to achieve top performance from your system. The agenda will include general sessions for all Keane clients - plus plenty of time dedicated to individual product lines and applications.
Registration is $395 per person. If you register four or more people, it is $350. Pre-conference training is $175 for a single class and $300 for two classes.
Additional details and registration information can be found on The Insider.
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The Keane LTC Users' Group invites staff from all facilities using the VistaKEANE system to participate in their organization.
The mission of the Keane LTC Users' Group is to provide input to ensure all the products used by Keane Long-Term Care clients meet the ongoing requirements of the post-acute care community. The Users' Group is a self-governing body, independent of Keane.
Membership in the Users' Group is free and individuals determine their level of involvement.
Sign Up Now
Keane Care customers can visit the VistaKEANE Insider for more information and to sign up for the Keane LTC Users' Group.
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