Below are several educational materials developed by the MU MDS and Quality Research Team, the Statewide Planning Committee for Improving MDS Assessment and Use, and the Quality Improvement Program for Missouri. All of these documents are in Adobe Portable Document Format (PDF), therefore you will need Adobe Acrobat Reader to view and print the documents. You can download the free Adobe Acrobat Reader at http://www.adobe.com/products/acrobat. We hope you put these materials to good use.

Please note: many of the links below are to outside sources - these specific documents and resources are not property of, nor were originated/created by, the QIPMO team.

Accessing Online and Scheduled Reports (September 2012)
CASPER Reporting User's Guide For MDS Providers (September 2012)
CASPER Tips for MDS Users

• Data Retrieval Worksheet - Resident Fall and Injury
• Data Retrieval Worksheet - Resident Fall Risk and Prediction

• Data Retrieval Worksheet I and II - Components of Assessment
• Data Retrieval Worksheet III and IV - General Assessment Guidelines
• Data Retrieval Worksheet V - Evaluation and Communication

• Data Retrieval Worksheet - Groundwork Pathway for Person Centered Care
• Data Retrieval Worksheet - Assessment of Behaviors
• Appendix A - Indicators of Well-Being/Ill-Being
• Appendix B - Positive Person Work (PPW) and Malignant Social Psychology (MSP)

• Evidence-Based Interventions to Improve the Palliative Care of Pain, Dyspnea, and Depression at the End of Life: A Clinical Practice Guideline - American College of Physicians
• Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain - The Journal of Pain
• Pain Management - Evidence-Based Geriatric Nursing Protocols for Best Practice
• CPG Comparison - Prevention of Falls in the Elderly
  • Fall management guideline - Health Care Association of New Jersey (HCANJ)
  • Preventing falls in acute care - Evidence-Based Geriatric Nursing Protocols for Best Practice
  • Prevention of falls and fall injuries in the older adult - Registered Nurses Association of Ontario (RNAO)
• Pressure Ulcer Prevention: Guideline Synthesis
  • Preventing pressure ulcers and skin tears - Evidence-Based Geriatric Nursing Protocols for Best Practice
  • Risk assessment & prevention of pressure ulcers - Registered Nurses Association of Ontario (RNAO)

• Changing Antipsychotic Thinking (CAT) Tip 1
• NEW Use Advancing Excellence Tools to Implement Consistent Assignment

• Module 1: Detecting Change in a Resident's Condition
• Module 2: Communicating Change in a Resident's Condition
• Module 3: Falls Prevention and Management

The MDS Unit at the DHSS now has a generic e-mail address that providers can use in order to request information or ask questions regarding the RAI/MDS process. The e-mail is rai.mds@health.mo.gov. E-mails will be answered by DHSS in a timely manner.

If you are a brand new MDS coordinator or someone who has been working as a coordinator, here are some downloads and links which may be of use in setting your new position:

We hope these links will assist your facility with its day-to-day MDS activities:

Site for Long Term Care Regulations sponsored by state of Missouri

• CSR (Code of State Regulations) – http://www.sos.mo.gov/adrules/csr/csr.asp (click on Title 19) or go directly to http://www.sos.mo.gov/adrules/csr/current/19csr/19csr.asp (scroll to Division 30)
• Facility Survey reports - http://www.dhss.mo.gov/showmelongtermcare/

Links to CMS and related laws/regulations and guidelines

• http://www.cms.hhs.gov/home/regsguidance.asp
• Direct link to Federal Register & CFR (Code of Federal Regulations) – http://www.gpoaccess.gov/index.html (click on "View all" under "Executive Resources" and "Electronic Code of Federal Regulations")
• SOM (State Operations Manual) - http://www.cms.hhs.gov/Manuals/IOM/list.asp (click on Pub. 100-07) or to go straight to the Table of Contents - http://cms.hhs.gov/Manuals/downloads/som107_appendixtoc.pdf
• Survey & Certification letters - http://www.cms.hhs.gov/surveycertificationgeninfo/pmsr/list.asp?
• CMS Program Transmittals - http://www.cms.hhs.gov/Transmittals/
• Medicare/Medicaid Manuals (index) - http://www.cms.hhs.gov/Manuals/IOM/list.asp

QIES_qtso: QI/QM Report explanations/definitions (Technical Specifications)

• QIES User Maintenance Application User’s Guide - https://www.qtso.com/download/mds/QUMA_Users_Guide.pdf
• QIES Technical Support - https://www.qtso.com/
• Frequently Asked Questions - https://www.qtso.com/mdsfaq.html

Medicare Learning Network

• http://www.cms.hhs.gov/MedlearnNetworkGenInfo/
• ICD-9-CM code updates (effective 10/1 each year); also includes training modules - http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/

MedQIC – CMS’s online resources for national quality improvement priority topics

• http://www.qualitynet.org

Clinical Practice Guideline (CPG) – National Clearinghouse

• http://www.guideline.gov
• "The Falls Management Program" (Emory University) – http://www.qualitynet.org (click on "MedQIC" tab, "Nursing Home" (on left), " Tools" (on right), scroll to "The Fallls...")

National Pressure Ulcer Advisory Panel (PUSH Tool)

• http://www.npuap.org/
• http://www.npuap.org/push3-0.htm
• http://www.npuap.org/pushinstr.htm

Online Training for Pressure Ulcer Identification and Treatment

• http://www.globalwoundacademy.com/
• http://www.nursingquality.org/NDNQIPressureUlcerTraining/default.aspx
• http://www.us.coloplast.com/academy

Infection Control Guidelines

• CDC - http://www.cdc.gov/
• State - http://dhss.mo.gov/seniors/nursinghomes/pdf/Infection_Control_Guidelines.pdf

Guidelines for End of Life Manual

• http://dhss.mo.gov/safety/showmelongtermcare/pdf/EndofLifeManual.pdf

Free Quality Measures Clinical Resources

• http://www.primaris.org/
• http://www.geronet.med.ucla.edu/centers/borun/
• Advancing Excellence - http://www.nhqualitycampaign.org

Miscellaneous

• 23 and 1/2 hours: What is the single best thing we can do for our health?

DHSS Phone Numbers


State RAI Coordinator Joan Brundick (573) 751-6308

MDS Automation Coordinator Denise Mueller (573) 522-8421