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1. ID 1096613 DOB 01 01 1899 BED 202B Legacy ID Last Admit 11 22 2006 MRN Cycle Date 12 20 2009 Unassigned Days Remaining Bed Days Acct Hold EM ES ES a ES ES Assessment selector O New Click on the first letter of the last name of the resident For example if you want to select John Doe click on the letter D as shown below and then click on Set alongside the proper name e ea e spe tps pole op eis pty oy vj wi x 2028 213A Set 1096613 Doe Jane 01 01 1899 1139895 Doe John 04 15 1921 082 986 1212 Notice on the screen below that John Doe is now the active resident press i estes em DEI Milka ID 1139895 DOB 04 15 1921 BED 213A Legacy ID Last Admit 08 04 2008 MRN Cycle Date 08 30 2010 Medicaid Days Remaining Hold Days Acct EM ES ES a ES gt Assessment selector O New Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 5 oo Visual Software MDS 3 0 his User Manual Creating a New MDS Record To create a new MDS record click on Selector and then click on New as shown below es E DEDE 20 Bed ID 1139895 DOB 04 15 1921 BED 213A Legacy ID Last Admit 08 04 2008 MRN Cycle Date 08 30 2010 Medicaid Days Remaining Hold Days Acct cada ES EE IES ES ESA DES ES RA B Assessment selector gt O New The following screen appears Ee DEE aa
2. A0Bed JP census C Bed UMDSDate lt Date of MDS record O IMDS Date amp MDSType lt S MDS type A0310A B C C Mds Type EI O E pn JE x Notice the following 1 The report generator assumes that you want at least 5 fields on the report the Resident s name their unit and bed number the date of the MDS and the MDS type Each column heading is preset for you Print the header either horizontally default or vertically Tally the columns Shows the totals for each response for that item Put a check in Sort Priority to sort by that column The default is by resident name Specify whether the column should be sorted ascending default or descending oF WP O Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 45 Visual Software MDS 3 0 Report Generator User Manual r bis Choose Select as shown circled above To add for example the Hearing Aid field click on Select as circled above The following screen appears REPORT TITLE Residents With Hearing Aids _Hide C Separate by unit 50 Lines perPage Show Borders APPEARANCE CI Tally Only ORGANIZATION None O Alphabetically OBy bed unit Shade alternate lines New page unit O Oldest MDS date ONewestMDS date Limit to Qunitoo Qunit01 Qunito2 lunitos Qunit04 lunitos Qunit24 Qun
3. Entry discharge reporting Not entry discharge record J1700C Fall history fracture from fall 6 month pre admit 410 Submission requirement Federal required submission A Resident first name JOHN J1900A Falls since admit prior asmt no injury B Resident middle initial J1900B Falls since admit prior asmt injury not major Resident last name DOE J1900C Falls since admit prior asmt major injury Barta ret Ale Section K Swallowing Nutritional Status Social Security Number 052561212 K0100A Swallow disorder loss liquids solids from mouth Resident Medicare railroad insurance number KDLOCE Swallow disorder bald fond im month cheeies 700 Resident Medicaid number SIN Swallow deere coagh choke wih marcado med ZA 0100D Swallow disorder difficulty or pain swallowing Birthdate MM DD YYYY 04 15 1521 KO1002 Swallow disorder none of the above en 10008 Ethnicity Asian 1000C Ethnicity Black or African American 1000E Ethnicity Native Hawaiian Pacific Islander paren eee Click on the print icon as shown above to print the MDS in compact form Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 20 oo Visual Software MDS 3 0 his User Manual Header Information To view and edit the MDS header information do the following all cl al lil
4. OoOo OoOo o Assessment Data 1230 aes Header information EF 3 3 E MDS 3 0 DRUG CLASS INDEX Click on the tool icon and then on the MDS 3 0 Drug Class Index icon The following screen appears CLOSE WINDOW 08 05 2010 09 03 2010 08 05 2010 09 03 2010 MDS 3 0 DRUG CLASS INDEX This index is desidned to help quickly determine a particular medication s drug class when filling out Section N NX Antianxiety DEP Antidepressant PSY Antipsychotic acetazolamide qu acetophenazine acetylcarbromal YP Aadan Adapin pe Aldactone om Note that the medications appear only if you are using the VISUAL Electronic Medical Records EMR modules Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 22 o Visual Software MDS 3 0 his User Manual Import Therapy Minutes for Section O To import therapy minutes from the Therapy module into section O of the MDS click on the tool icon and then on the Therapy icon as shown below EE ARSOLI ITTICA Resident Information Sign current section sW Show interview items only E AN S Show all sections O Therapies The following screen appears showing therapy services performed and the current values in Section O of the MDS Therapy Minutes Detail Therapy Totals Da Service Individual Concurrent Group From Therapy Current MDS Values 25 Occupational Therapy 15 Individual Concurrent
5. Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 34 oo Visual Software MDS 3 0 his User Manual Step 4 Importing MDS Records When you are done click on Merge Assessments as shown below e Gare ready for merging with the facility s MDS data MERGE ASSESSMENTS e 1 of these records occur more than once in the import data 2 total Delete Imported Duplicates Resident ID target date A0310A B C and X0100 match Unless it is a modification X0100 2 only one will be merged into the MDS data e 1 of these are duplicates of records already in the facility s MDS data o Except for modifications X0100 2 they will overlay update the existing Delete Duplicates of MDS records upon merging 18 cannot be identified as facility residents One of the following must match resident information 1 Social Security Number Show Delete Unidentified Records 2 Medicare Number 3 Medicaid Number 4 Last name initial of first name birthdate The MDSs are now imported Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 35 Visual Software MDS 3 0 User Manual Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 36 Visual Software MDS 3 0 Report Generator User Manual Visual Software MDS 3 0 Report Generator User Manual Copyright O
6. Run SELECT ONLY THOSE ASSESSMENTS WHERE Ga Click on Add as shown above The following screen appears showing the available sections and items that can be added to the report Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 48 Visual Software MDS 3 0 Report Generator User Manual SELECT ONLY THOSE ASSESSMENTS WHERE BOB Rar K tim nfo e Qs ev x z Click Display to show your previously selected fields SELECT ONLY THOSE ASSESSMENTS WHERE Selected Display Items As shown above click on B0300 Hearing Aid and then click on Close Condition Items The condition field in now added as shown below You can add any item to your report in the same way Just find the section then item you want to add Residents With Hearing Aids T Report Options save Run sack SELECT ONLY THOSE ASSESSMENTS WHERE o B0300 equals oo 0 10 O li gnore Ma M 7 Blank Hearing aid CODE As shown below the little red x deletes the condition The little arrow to the right inserts a new condition above this one in the report Next choose the the available options for setting the conditions for the item Here the option for BO300 is either equals or does not equals Click in front of the 1 to specify that only those residents with a hearing aid will appear on the report Different items will have different opt
7. 20100921141807 a dude SL 2010 o2_ 18_ pw The following assessments will be submitted UNIT BED NAME ISC A2300 A1600 A2000 A0310A A0310B A0310C A0310D A0310F ZOIO0OA ZOISOA RUGHIER ADL 31 1068 Bobson Bob NQ 08 20 2010 01 01 2009 Ta 06 99 0 PA160 PA160 PAI 0 65 113C Zelcer Harry NC 04 26 2010 01 01 2010 Ta 01 01 0 HB210 HB210 RMA 3 Notice above that the date and time are inserted Click Update as shown above to mark these records as submitted and to create the file You will be asked to confirm that you are marking the batch MDS 3 0 SUBMISSION Update the batch Date 09 21 2010 TIME 02 18PM Batch Number 20100921133601 File Name 20100921133601 ZIP From A To zz lia Date Transmitted 09 28 2010 Size 7741KB From 01 01 2009 To 12 31 2010 Display Submit Time Transmitted 08 11PM Creation date 09 21 2010 1 36 01 PM Content y A Batch Number 20100921141807 File Name 20100921141807 ZIP From A To ZZ Charts Date Transmitted 09 28 2010 Size 5371KB From 1 1 2010 To 12 31 2010 Display Submit 5 Time Transmitted 08 15PM Creation date 09 21 2010 2 18 08 PM Content A Balch NUMDET 9 Fil FOA TO Z Charts Date Transmitted 09 2 2 KB From 1 1 2010 To 12 31 2010 Display Submit A Time Transmitted 02 18AM Creation date 09 29 2010 9 09 50 AM Content Created by Zelcer Harry Notice above that the File Name and Creation Date both correspond to the submission date specified above To disp
8. CATs Click on CAT s CAA s as shown below and the computer displays the CAT triggers CARE AREA ASSESSMENT Name e Doe John D Date 08 27 2010 Type of Record X0100 New Status _ Editing St Status Incomplete _ e RUGS info Medicare Part A HIPPS code 20100A PA160 Medicare Part A non therapy HIPPS code Z0150A PAi60 ADL 0 Rugifier PAI PAi _RugitiesitT PAL E O1 DELIRIUM E 02 COGNITIVE LOSS DEMENTIA a 12 NUTRITIONAL STATUS U 03 VISUAL FUNCTION E 13 FEETING TUBE U 04 COMMUNICATION 14 DEHDRATION FLUID MAINTENANCE E O5 ADL FUNCTIONAL REHABILITATION POTENTIAL E 15 DENTAL CARE E O6 URINARY INCONTINENCE AND INDWELLING CATHERER Di 16 PRESSURE ULCER x 07 PSYCHOSOCIAL WELL BEING a 17 PSYCHOTROPIC DRUG USE E 08 MODD STATE x 1S PHYSICAL RESTRAINTS E OS BEHAVIORAL SYMPTOMS Bi 19 PAIN E 10 ACTIVITIES E 20 RETURN TO COMMUNITY REFERAL Click on any triggered CAT as shown above e g Communication and the computer displays the questions and answers that caused the triggers as shown below Name Doe John Date e 08 27 2010 Type of Record X0100 New Status Editing Status Incomplete Minimal difficulty difficulty in some environments E Ability to hear with hearing aid or hearing appliances normally used e g when person speaks softly or setting is noisy i 700
9. A non therapy HIPPS code Z0150A 5350 ADL 2 RugHier ES3 RugHierNT E53 2 Name Zelcer Harry Date 04 26 2010 Type of Record X0100 Status Editing Status Incomplete E e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record e RUGS info Medicare Part A HIPPS code Z0100A H8210 Medicare Part A non therapy HIPPS code Z0150A H8210 ADL 4 RugHier HB2 RugHierNT HB2 As shown above click on Forms and then click on the View icon alongside the MDS you wish to print The form appears as shown below BBA Coco Agr qe E Resident Identifier U DATE E n ee MINIMUM DATA SET MDS Version 3 0 RESIDENT ASSESSMENT AND CARE SCREENING Nursing Home Comprehensive NC Item Set Section A identification Information A0100 Facility Provider Numbers A National Provider Identifier NPI B CMS Certification Number CCN 4576523 C State Provider Number 432456789043 A0200 Type of Provider EnterCode Type of provider i 1 Nursing home SNF NF 2 Swing Bed A0310 Type of Assessment A Federal OBRA Reason for Assessment ma mu o o Cs oca Ge___t_rai ah Enter Code Click on the print icon as shown above to print the form Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 25 oo Visual Software MDS 3 0 his User Manual Care Area Triggers
10. CALC ARD 01 14 2010 01 08 2010 01 01 2010 01 28 2010 ACTUAL ARD 04 26 2010 04 20 2010 04 13 2010 01 14 2010 01 14 2010 01 21 2010 01 28 2010 Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 24 oo Visual Software MDS 3 0 his User Manual Printing the MDS Record To print an MDS do the following Es Eis Pacers JP OSs SE ES EA EE cores rome 40 MDS 3 0 FORMS AII F Name Zelcer Harry Date 04 26 2011 Type of Record X0100 Status e Type of assessment ISC NC A0310 A Annual assessment A0310 B 90 day scheduled assessment A0310 C No A0310 F Not entry discharge record ia e RUGS info Medicare Part A HIPPS code Z0100A PA150 Medicare Part A non therapy HIPPS code Z0150A PA150 ADL O RugHier PAi RugHierNT PAi l Name Zelcer Harry Date 10 26 2010 Type of Record X0100 Status ES e Type of assessment ISC NQ A0310 A Quarterly review assessment A0310 B 90 day scheduled assessment A0310 C No A0310 F Not entry discharge record e RUGS info Medicare Part A HIPPS code Z0100A Medicare Part A non therapy HIPPS code Z0150A ADL RugHier RugHierNT Name Zelcer Harry Date 07 26 2010 Type of Record X0100 Status Editing Status Incomplete E e Type of assessment ISC NQ A0310 A Quarterly review assessment A0310 B 90 day scheduled assessment A0310 C No A0310 F Not entry discharge record e RUGS info Medicare Part A HIPPS code Z0100A 5350 Medicare Part
11. MAKES SELF UNDERSTOOD Ability to express ideas and wants consider both verbal and non verbal expression ror faria dl dear ABILITY TO UNDERSTAND OTHERS Rarely never understands Understanding verbal content however able with hearing aid or device used Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 26 o Visual Software MDS 3 0 his User Manual Submitting Your MDS Records On the tool bar click on Data Submission as shown below DATA SUBMISSION RG 12 31 2010 its ss ts iii said iii ti nin sini ii und tini snes ini i sc RR rEREEEBESE i i Submission Files zip format Assessment Files XML format St ASSESSMENTS READY TO BE SUBMITTED nce e Select the assessments you want to submit mp e Create a Zip file format containing all the assessments listed ready to be submitted E H e Submit the file UNIT BED NAME ISC DATE A2300 A1600 A2000 A0310A A0310B A0310C A0310D A0310F X0100 Z0100A Z0150A RUGHIER ADL Status Se 1 31 106B Bobson Bob NQ 08 20 2010 08 20 2010 01 01 2009 New PA160 PA160 PAL 0 2 65 113C Zelcer Harry NC 04 26 2010 04 26 2010 01 01 2010 New HB210 HB210 RMA 3 There are 4 steps to the submission process Specify the MDSs you wish to submit Zip the selected MDSs and mark the records as Submitted Copy the Zip file to your local drive Log on to CMS and send the submission file A CON
12. MDS REVISED eci ele lie aa 13 Error Checking One Secom Bar sa aquediasbraposi ot a rsa rider 14 EQ SLAVS anseia SE E Sp dd ei eas 15 Viewing and Printing the Official MDS Form for the Section 16 Using Tools to Simplify Your Work Show and Edit All Interview QUESTIONS 0 ccc ccc ence iii 17 Activities of Daily Living Populate ADL s Section G from CNA 18 View Signatures of Persons Completing the Assessment 19 Assessment Data A Compact View for Printing eee eeeeeeeees 20 Show Header Information 0000 21 Drug Classifications for Medications in Section N 00 22 Import Therapy into Section O iure dirai 23 Assessment Tools FRUGS CaCO icase a E a 24 Change StatUS spaces OR ata A a E e a e 24 Correction Request Lee 24 Deleting MDS Records Created for Practicing ccccceee eee e eee eeeeeeeeeeeeees 24 OBRA Assessment Schedule cere 24 Printing an MDS Booklet Form iii 25 Care Area Tioga CATS iii rar 26 Submitting MDS Records REVISED L 0 27 Reporting MDS CENSUS ROSSIO creusa nran rara 30 Medicare Schedule ccccceiii iii iii 30 OBRA SONS CUS asas ad DURE SCROLLS DNS SP ED E EE alia 30 Quality Indicator M
13. Step 1 Specify the MDSs you wish to submit On the screen shown above specify which MDSs you wish to submit as follows Specify a resident alphabetical range Specify whether or not to include Medicare Assessments Specify the Assessment Reference Date Range Specify a single nursing unit or all Specify a single Assessment Type or all ok WON By clicking on any Ready button to the right of the MDS you can toggle the submission status of any MDS record between Ready and Hold Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 27 o Visual Software MDS 3 0 his User Manual Step 2 ZIP the selected records and mark them as Submitted Click the Create icon as shown below to ZIP compress the MDS records ASSESSMENTS READY TO BE SUBMITTED e Select the assessments you want to submit e Create a Zip file format containing all the assessments listed ready to be submitted e Submit the file UNIT BED NAME ISC DATE A2300 A1600 A2000 A0310A A0310B A0310C A0310D A0310F X0100 Z0100A Z0150A RUGHIER ADL Status Si 1 31 106B Bobson Bob NQ 08 20 2010 08 20 2010 01 01 2009 06 99 0 99 New PA160 PA160 PAI o EE 2 65 113C Zelcer Harry NC 04 26 2010 04 26 2010 01 01 2010 01 01 0 99 New HB210 HB210 RMA 3 Re The following screen appears showing the new ZIP file created Ready to submit Submitted Ee Submission Files zip format Batch
14. _ _ 5 V0200B 1 Signature of RN Coordinator for CAA Process and Date Signed V0200C 1 Signature of Person Completing Care Plan and Date Signed 20500 A Signature of RN Assessment Coordinator Verifying Assessment Completion Signatures on file By Date hz RN Section B Hearing Speech and Vision 09 02 2010 hz RN Section E Behavior 09 02 2010 hz RN Section G Functional Status 08 18 2010 1 As shown above click on each section you wish to sign A vV appears 2 Type your password as indicated above 3 Click on Sign Notice that you can also sign questions V0200B V0200C and Z0500 If a section was signed in error click on Edit as circled above You can then change the section signed or delete the signature See page 19 for more details Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 13 o Visual Software MDS 3 0 his User Manual Error Checking On the Section Bar Error checking is done dynamically on both the section level and the field level as you enter the information into the MDS For example in the screen below question B0200 is not completed Name Zelcer Harry Date 04 26 2010 Type of Record X0100 New Status Ready to submit Editing Status Incomplete e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310
15. e RM SE Individual Concurrent Group Speech Therapy 15 Speech 75 0 0 5 0075 0000 0000 Physical Therapy 15 OT 180 45 0 6 0180 0045 0000 PT 276 45 89 Fi 0276 0045 0089 Update Assessment Occupational Therapy 15 Speech Therapy 15 Physical Therapy 45 Occupational Therapy 45 Speech Therapy 15 Physical Therapy 60 Occupational Therapy 45 Speech Therapy 15 Physical Therapy 60 Occupational Therapy 45 Speech Therapy 15 Physical Therapy 30 Occupational Therapy Physical Therapy o o 0 000 000 000 000 000 Physical Therapy Click on Update Assessment as shown above to place the therapy values into Section O of the MDS Click on Section O to go back to that section Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 23 o Visual Software MDS 3 0 his User Manual Assessment Tools rer Queries J Forms EM 1 E Assessment selector e Select the assessment to update a Name Doe John Date 03 04 2010 Type of Record X0100 New Status Ready to submit Editing Status Incomplete ye Ty pe of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record ASSESSMENT TOOLS Bl Rugs Calculation Change Status Correction Request OBRA Assessment Schedule 4 e RUGS info Medicare Part A HIPPS code Z0100
16. ll ll a ll ll il Show interview items only Show all sections Activities of Daily Living ADL ADL scoring 7 days look back Click on the tool icon and then on the Header Information icon The following screen appears no O Item subset code suino home quarter mr Nursing wring home quartet assessment quarterly assessment i SET_VRSN_CD Item set version code memos Current MDS 3 0 version ASMT_SYS_CD Assessment system code fossero OOOO MDS MDS assessment system 10d e VRSN CD Specifications version code Initial version of data specifications effective 10 1 2010 PRODN_TEST_CD Production test indicator E _m ID Assigned facility provider submission ID o OE EMAIL_ADR Software vendor email address o nes PROD_NAME Software product name Do SFTWR PROD VRSN CD Software product version code Note There should be no need for you to edit the Header Information all information in the Header Section is being filled in by the software If you get an error on the Header Information section contact your RHS client service representative Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 21 oo Visual Software MDS 3 0 his User Manual MDS 3 0 Drug Class Index To view the resident s medications and the Medication classifications needed for section N do the following EE RENON ll ll lll lnm lt lt free
17. slurred or mumbled words Select best description of speech pattern 700 MAKES SELF UNDERSTOOD ES aa a ove down full screen word finishi thoughts but able if prompted 1 Ability to express ideas and wants consider both verbal and non verbal expression ol ral pes sda a B0800 ABILITY TO UNDERSTAND OTHERS d a ic E Sometimes understands responds adequa 2 Understanding verbal content however able with hearing aid or device if used direct communication only G O to botto m of fo rm PAO VISION Highly impaired object identification in question but E 3 Al to see in adequate light with glasses or other visual appliancds eyes appear to follow objects al C l Question Text response Numeric Click for drop down response CAT indicator Green background for RUGs Red text for CATs Resizing the MDS 3 0 Screen To maximize the area on your screen for MDS 3 0 we advise you to use kiosk mode by pressing function key F11 Depending on the physical size of your monitor you will then need to fine tune your screen As shown below click on to increase the screen area available for MDS 3 0 or click on to decrease it Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 9 o Visual Software MDS 3 0 his User Manual Moving from One Section to Another Use the functionality of the buttons on the toolbar as shown below to move from one se
18. the field using No Yes or Only E g If B0200 was a column in the report you could show just the number 3 if No is selected 3 Highly impaired absence of useful hearing if Yes is selected or Highly impaired absence of useful hearing if Only is selected Vertical Sort Descen Heading Heading Tally Priority ding ResidentName a Unit Bed K x x x SES In the two Show columns you can put a check in the checkbox to show the if section is answered Blank skip pattern Check the checkbox to show the for those items answered Not Assessed no information rather than a blank for that record in the report A or is a considered a blank when totaled Residents With Hearing Aids REPORT OPTIONS Conditions REPORT TITLE 150 Lines per Page Show Borders Shade alternate lines New page unit O None Alphabetically O By bed unit Separate by unit APPEARANC NCE OOldestMDS date NewestMDS date 1 Tally Only ORGANIZATION WHICH 1 current residentonty or Limit to WHICH Complete Olncompete OBoth A B C E RESIDENTS No date limits Dunitoo unito ASSESSMENTS Mostrecentassessment resident Moi Moi Mo Moi a dns Llunitoz Unit03 lt Status batch gt Moz Mo2 Mi Mio O In facilityibedhold fast 90 days 0 My nito4 Clunit
19. 0 02 05 0 1 2 3 4 5 6 7 8 2 v 1 4 6 blank 7 blank v v Click the Print button above right to print to whatever printer is attached to your workstation Click Excel to copy the report to an Excel worksheet Click Back to go to the previous screen Use the following icons to increase or decrease text size and report width Click Set to save the format or Reset to original ESSES tien elles Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 42 o Visual Software MDS 3 0 Report Generator his User Manual Copy an RHS Library Report into your Facility Reports Copy Press Copy as shown on a screen above and a copy of the report will appear in your Facility Reports You can then modify this copy to suit the needs of your facility Notice below that a copy of the report now appears in your Facility Reports MDS 3 0 REPORT GENERATOR E 822 ite New D Behavior Psychosis mm KEN core Toileting Program ENE RSA NEN EZRA CATs AI Triggers with Headings and Totals im TT co a no REAR Ai Archive CA Ts AII Triggers for printing ETR SR CATs All Triggers for viewing Run simp run Copy Edit Ar Archive ig i I When reports are copied into your Facility Reports you have two new options Edit This allows you to make changes to the report including adding items modifying or addin
20. 2010 Reliable Health Systems LLC 2610 Nostrand Avenue Brooklyn NY 11210 www ReliableHealth com Tel 718 338 2400 Fax 718 338 2741 Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 37 Visual Software MDS 3 0 Report Generator User Manual Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 38 o Visual Software MDS 3 0 Report Generator User Manual bis VISUAL MDS 3 0 Report Generator INDEX Selecting the MDS 3 0 Report Generator c ci 41 Running a Library Report created by RHS ii 42 Copying an RHS Library Report into your Facility Reports ees 43 Creato NEW Reporter ca 44 Adding conditions to your report iiii sinos eee eee seram ane ea renan 48 Modifying a Previously Created Repotrt Li 51 Color Coding for CATs red and RUGS green 0 cece cece cece eee iii 52 Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 39 Visual Software MDS 3 0 Report Generator User Manual Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 40 oo Visual Software MDS 3 0 Report Generator User Manual bis Selecting the MDS 3 0 Report Generator On the vertical toolbar show
21. A Medicare Part A non therapy HIPPS code Z0150A ADL RugHier RugHierNT When you click on the tool icon to the right of the assessment you obtain access to the following functionality A RUGs Calculation To view a complete analysis of your RUGs score 2 Change Status The ability to change the submission status of the MDS record to Ready to Submit Hold and Submitted 3 Correction Request Allows you to either modify the existing record or inactivate the existing record 4 Delete To delete the current record This functionality is to allow you to delete your practice records This functionality will be made more difficult after October 1 5 OBRA Assessment Schedule A detailed listing of all the relevant dates that are calculated based on the Assessment Reference Date as follows Assessment Reference Date Observation ARD Item Period Look A2300 No Later Back Consists o do Later 020082 No V0200C2 No Than of of Later Than Later Than 14th calendar day of the resident s MDS Assessment Assessment Code A0310A or AO310F MDS CAA s MDS CAA s j Completion Date ARD 6 previous ARD 13 previous Ega Bat Same as MDS Dat 7 calendar days 14 calendar days calendar days calendar days PERPA pra ce Comple tion Date days 01 14 2010 01 14 2010 01 21 2010 A0310A 01 A0310A 01 Admission Comprehensive A1600 01 01 2010 A1600 01 01 2010
22. AN EESES submission Documents Documents f Reports Reports Pata Explorer Queries SN i E Assessment selector e Select the assessment to update Name Doe John Date 08 04 2010 Type of Record X0100 New Status Editing Status Incomplete e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record e RUGS info Medicare Part A HIPPS code Z0100A Medicare Part A non therapy HIPPS code Z0150A ADL RugHier RugHierNT The following appears You can now click on any section to begin entering MDS information For example to enter information for section A click on A as shown below Name Doe John Date 08 04 2010 Type of Record X0100 New Status e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record RUGS info Medicare Part A HIPPS code Z0100A Medicare Part A non therapy HIPPS code Z0150A ADL RugHier RugHierNT Section A appears as shown below SECTION IDENTIFICATION INFORMATION ADO FACILITY PROVIDER NUMBERS A Facility National Provider Identifier NPI B Facility CMS Certification Number CCN C State provider number 200 TYPPE OF PROVIDER 10 TYPE OF ASSESSMENT A Federal OBRA Reason for Assessment E omre 0 01 B PPS Assessment 0 PPS other Medicare Req
23. ASMT_EXTRGT_20100708_264 txt MDS 1 TESTA 19351125 01 15 2010 NT 99 08 03 2010 5 21 48 PM NV_MDS3_ASMT_EXTRGT_20100708_264 txt MDS 1 TESTA 19351125 05 10 2010 NT 99 08 03 2010 5 21 48 PM NV_MDS3_ASMT_EXTRGT_20100708_264 txt MDS 1 TESTA 19351125 01 27 2010 NG 01 08 03 2010 5 25 31 PM NV MDS3 ASMT EXTRCT 20100708 264 txt MDS 1 TESTA 19351125 04 27 2010 NQ 02 08 03 2010 5 25 31 PM NV MDS3 ASMT EXTRCT 20100708 264 txt MDS 1 TESTA 19351125 01 15 2010 NT 99 08 03 2010 5 25 31 PM NV MDS3 ASMT EXTRCT 20100708 264 txt 99 99 01 99 99 01 MDS 1 TESTA 19351125 05 10 2010 NT 08 03 2010 5 25 31 PM NV MDS3 ASMT EXTROT 20100708 264 txt MDS 1 Testi 19351125 06 01 2010 XX MDS 1 Testi 19351125 01 27 2010 NG MDS 1 Testi 19351125 05 10 2010 ND MDS 1 Testi 19351125 06 01 2010 XX MDS 1 Testi 19351125 01 27 2010 NG 8 8 8 8 8 8 8 8 8 8 8 8 8 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 3 2 1 3 1 07 30 2010 9 24 07 AM MDS 30 SampleNG 1 00 1 edited vi xml To match an MDS record to the appropriate resident locate the appropriate resident using for example the magnifying glass icon Cut and paste the resident id alongside the appropriate MDS record as shown above Click on Update Repeat for each MDS record When you are done click on Back Continue with the instructions shown on the following page
24. B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record Previous RUGS info Medicare Part A HIPPS code Z0100A H8210 Medicare Part A non therapy HIPPS code Z0150A HB210 ADL 3 RugHier RMA RugHierNT HB2 answers SECTION B HEARING SPEECH AND VISION 100 COMATOSE Tno gt continue to sono sen No gt Continue to B0200 No gt continue to 80200 earn o JRR vegetative state no discernible consciousness 200 HEARING E to hear with hearing aid or hearing appliances if normally used 300 HEARING AID 1 Hearing aid or other hearing appliance used in completing B0200 Be Notice the following indicators above A A red bar appears alongside B0200 indicating the field is missing 2 The section B square button appears in red indicting the section is not complete 3 Unrelated to B0200 being incomplete notice that an appears in the section Z box This indicates that although section Z is complete there is a warning A Warning may appear for example when the date entered indicates that the assessment is late Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 14 o Visual Software MDS 3 0 his User Manual Error Checking The Editing Status Icon Name Zelcer Harry Date 04 26 2010 Type of Record X0100 New Status Ready to submit Editing Status Incomplete pe of assessment ISC NC A0310 A A
25. ID 1139895 DOB 04 15 1921 BED 213A Legacy ID Last Admit 08 04 2008 MRN Cycle Date 08 30 2010 Medicaid Days Remaining Bed Hold Days Acct A Federal OBRA Reason for Assessment B PPS Assessments Code C PPS Other Medicare Required Assessment OMRA e PPS Scheduled Assessments for a Medicare Part A Stay 5 day scheduled assessment Quarterly review assessment f 1 stare of therapy assessment gt ea scheduled assessment Annual assessment aaa End of therapy assessment er 4 posa scheduled assessment Both Start and End of therapy assessment Significant change in status assessment IBoth Start and End of therapy assessment Significant correction to prior comprehensive soda scheduled assessment __ E Is this assessment the first assessment OBRA PPS or Significant correction to prior quarterly P0 day scheduled assessment Discharge since the most recent admission fassessment Readmission return assessment e PPS Unscheduled Assessments for a Medicare Part A Stay F Entry Discharge reporting Entry record 07 Unscheduled assessment used for PPS OMRA significf e Not PPS Assessment Discharge asssessment return not anticipated 99 Not PPS assessment gt Discharge asssessment return anticipated Death in facility record no entry discharge record You can now date the new MDS record The system assumes the current date and time but you can change this Se
26. SimpleRun Copy Behavior Wandering simple Run Copy Bowel Toileting Program esta CATS All Triggers condensed R ple R in mca CATS All Triggers for printing CATS All Triggers for viewing Run Press Run alongside the name of the report you wish to run For example press Run alongside Behavior Psychosis The report displays those residents on the MDS who were identified as having a Psychosis problem It is set to look at the last complete assessment for each resident and only those residents that are active now The conditions set for Psychosis is that either E0100A or E0100B has a checkmark Simple Run Press Simple Run to run the report without setting any conditions For example press Simple Run alongside Behavior Psychosis The report displays all residents and their responses for psychosis behavior regardless of whether or not the resident has a Psychosis problem A sample report follows Note When Simple Run is grayed out as shown above alongside the CAT reports it signifies that there are no conditions associated with the report ES 00 cao i Demo Nursing Home Behavior Psychosis g Resident Name i Bed MDS Date Mds Type Anopol Harry 08 05 2010 99 02 0 Bobson Bob 07 30 2010 01 01 0 Brand Aron 07 26 2010 01 01 0 Doe John 08 04 2010 01 01 0 Flower Rosa 07 29 2010 01 02 0 Shalom Holla 08 03 2010 01 02 0 Vill Mat 07 26 2010 01 02 0 Zelcer Harry 07 26 201
27. T ITEMS ResicentName lt 3 BResident s Name from Census ResidentName E TO DISPLAY YUnt lt 3 Resident s bed Unit from Census Unit Bed E Residents bed from Census Bed O Y MDSDate lt 3 Date of MDS record MDS Date Y MDSType lt 3 amp MDS type A0310A B C Mds Type S B0300 lt 3 Hearing aid Hearing aid K x x 9 x 5 There are six functions buttons on the screen to help you accomplish the following tasks Select To add additional fields to the report Conditions To add conditions to your report Save To save your changes Run To run your report Clicking Run also saves your changes Back Takes you back to your list of reports Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 51 o Visual Software MDS 3 0 Report Generator User Manual bis Color Coding for CATS red and RUGs green Color coding is used throughout the MDS 3 0 VISUAL Report Generator to signify fields that affect CATs and RUGs as follows CAT fields are always coded red RUG fields are always coded green When a field affects both CATs and RUGs both red and green are used These colors appear when you select a field and also in the report columns Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 52
28. Visual Software MDS 3 0 User Manual Visual Software MDS 3 0 User Manual Copyright O 2010 Reliable Health Systems LLC 2610 Nostrand Avenue Brooklyn NY 11210 www ReliableHealth com Tel 718 338 2400 Fax 718 338 2741 Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 1 Visual Software MDS 3 0 User Manual Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 2 o Visual Software MDS 3 0 his User Manual VISUAL MDS 3 0 INDEX Main MDS 3 0 Tool bar FUNCTIONS 0 0 0 cece cece ee cece iii 4 Selecting a Resident io atoa ia aaa dj iii ele iii 5 Creating a New MDS Record crei 6 Selecting an MDS RECOId ccc cc ccccce cece eee e cece ee ceci 8 CICK GUIS aparar danado cas ection e eat e ae sida nda aa 9 Resizing the MDS 3 0 Screen NEWT 2 2 c cece cece ee een e Eana EERE Es RES ESEE 9 Navigating Within an MDS Moving from One Section to Another 2 cece cece cece cece ceeeeeee ee eeeeeeeeeeeenees 10 Moving Within a SEGHON criari pani erat R aE Esc dase sadia 10 Entering Information into an MDS 02 cece ccc eee eee setores cerne 11 Understanding the Usage of Red and Green Colors 12 Show Answers from the Previous MDG 0 02 c cece eee e eee eee ee eee eee e een eeeeeneeeeeees 12 Signing ihe
29. a XX e Not PPS e Discharge asssessment return not anticipated 99 JNot PPS assessment gt Pscnarge asssessment return anticipated in facility record No entry discharge record NC Nursing home comprehensive asmt A0310A Admission A03108 5 day A0310C No A0310D Blank A0310F Not entry disch A Federal OBRA Reason for Assessment 01 B PPS Assessment 01 C PPS Other Medicare Required Assessment OMRA 0 E Is this Assessment the first assessment since admission 0 F Entry Discharge reporting 99 Notice that the Continue button now appears on the screen above Click on the Continue button and you will be asked whether you wish to create the MDS record Click Yes as shown below Add assessment 01 01 Date 08 04 2010 The new MDS record is created Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 7 oo Visual Software MDS 3 0 his User Manual Selecting an MDS Record To select an MDS record for resident John Doe click on Selector and then click on the Open icon alongside the MDS In the example below there is only one MDS record ID 1139895 DOB 04 15 1921 BED 213A Legacy ID Last Admit 08 04 2008 MRN Cycle Date 08 30 2010 Medicaid Days Remaining Bed Hold Days SSN 082981212 MA Dept Nursing Selector Selector Current Current Assessments eal ks CATS C
30. able Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 1 o Visual Software MDS 3 0 his User Manual Activities of Daily Living To update your ADLs Section G based on the information entered by your CNAs do the following ATBTE DEF STATI K MRO TP TS pyar TS Show interview items only E Show all sections Activities of Daily Living ADL ADL scoring 7 days look back Click on the tool icon and then on the Activities of Daily Living icon The followings screen appears 2 Activities of Daily Living ADL Refresh 1 2 3 4 5 6 7 07 20 2010 07 21 2010 07 22 2010 07 23 2010 07 24 2010 07 25 2010 07 26 2010 n 07 26 2010 BED MOBILTY Q a a BH paga Ba BEBE HEE EE Alongside any ADL click on the Update button to move the CNA scores i e the scores in the Calculated column into the current MDS replacing the MDS values shown in the Current G0110A G0110B column For example to update the ADLs for Locomotion On Unit click on the Update button as shown above Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 18 Visual Software MDS 3 0 User Manual r bis Signatures of Persons Completing the Assessment To view a list of the people who signed the MDS do the following a nan p o ni nn e n eee RD Show interview items onl
31. and CATs Questions are color coded as follow When the words appear red there is a potential for a CAT trigger When the background appears in green in will affect RUG reimbursement When it affects both RUGs and CATS is appear in EEEE Answers are color coded as follows When a red box appears alongside an answer it indicates that it affects a CAT trigger See the illustration below Dental broken or loosely fitting denture i Not checked No Be Checked Yes E Not assessed no information Show Answers from the Previous MDS Next gt Name Doe John Date 08 04 2010 Type of Record X0100 New Status Editing Status e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record Previous answers e RUGS info Medicare Part A HIPPS code Z0100A Medicare Part A non therapy HIPPS code Z0150A ADL RugHier RugHierNT Click on Previous Answers to show the values entered on the previous MDS Click the button once to show the previous answers click it a second time to not show the previous answers Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 12 a Visual Software MDS 3 0 his User Manual Signing the MDS To sign the MDS click on the signature icon as shown below Name Zelcer Harry Date 04 26 2010 Type of Record X0100 New Status Ready to
32. ata 3 MDS records in the imported batch that have matching records in the VISUAL MDS data base Except for modifications X0100 2 they will overlay update the existing records upon merging 4 MDS records that could not be matched up with any resident in the VISUAL data base You will need to match these records manually 6 are ready for merging with the facility s MDS data e 1 of these records occur more than once in the import data 2 total Resident ID target date A0310A B C and X0100 match Unless it is a modification X0100 2 only one will be merged into the MDS data e 1 of these are duplicates of records already in the facility s MDS data Except for modifications X0100 2 they will overlay update the existing records upon merging e 18 cannot be identified as facility residents One of the following must match resident information 1 Social Security Number Show Delete Unidentified Records 2 Medicare Number 3 Medicaid Number 4 Last name initial of first name birthdate Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 33 a Visual Software MDS 3 0 his User Manual Step 3 Identify manually the records that cannot be identified by the program You will need to manually match up any imported MDS Records that could not be matched by the system to a specific VISUAL resident The match them do the foll
33. atrix Form 802 ii 30 Census and Conditions Form 672 iii i 30 ONUR COON cicli i ciale dE AS DO a ga 30 Importing MDS REeCords sr rie pas dd add dada isa dd none a digas d us 31 MDS 3 0 Report Generator Li 37 Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 3 o Visual Software MDS 3 0 his User Manual Main MDS 3 0 Tool bar Functions Select Recently Accessed Resident Select Module Selected Active Resident Select Resident y y y MEE Zeteer Hany DEI el Ela ID 999746 DOB 04 17 1952 BED 113C Legacy ID 0 Last Admit 03 20 2002 MRN Cycle Date 12 20 2009 Unassigned Days Remaining Bed Hold Days Acct Basic Resident Information for the Selected Active Resident View List View Reports and Other Select an MDS of MDSs ADTs Report Generator Functions View CAT Triggers Submit MDSs Documents Data Explorer Print Completed for Current MDS MDS Form Resizing the MDS Screen Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 4 oo Visual Software MDS 3 0 his User Manual Selecting a Resident To select a resident click on the Magnifying Glass icon as shown below Alternately you can clear the existing resident name and type the last few letters of the resident s last name Minimum Dara Ser O Ig DZ DIE ez
34. bout 20 seconds Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 15 o Visual Software MDS 3 0 his User Manual Seeing and Printing the Official MDS Form for the Section on Which You are Working ZE ED iil iil ill al lil lil lil il ill ml Name Zelcer Harry Date 04 26 2010 Type of Record X0100 New Status Ready to submit Editing Status Incomplete ype of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record Previous e RUGS info Medicare Part A HIPPS code Z0100A HB210 Medicare Part A non therapy HIPPS code Z0150A HB210 ADL 3 RugHier RMA RugHierNT HB2 answers IS pes 200 HEARING Ability to hear with hearing aid or hearing appliances if normally used To view and print the official MDS form for the section on which you are working click on the icon as shown above The form appears as follows Name Zelcer Harry Date 04 26 2010 Type of Record X0100 New Status Ready to submit Editing Status Incomplete e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record e RUGS info Medicare Part A HIPPS code Z0100A H8210 Medicare Part A non therapy HIPPS code Z0150A HB210 ADL 3 RugHier RMA RugHierNT HB2 Identifier Pe
35. ction to another in the MDS as follows Name Doe John Date 08 04 2010 Type of Record X0100 New Status Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record e RUGS info Medicare Part A HIPPS code Z0100A Medicare Part A non therapy HIPPS code Z0150A ADL RugHier RugHierNT Click Next to move from your current section to the next Click Previous to move from your current section to the previous You may also click on any section to move directly to that section Moving Within a Section Click on the blue vertical bar and drag it to scroll up and down within the MDS Click on Top to move to the top of the section Click on the Up Arrow to move up an entire screen full Click on the Down Arrow to move down an entire screen full Click on Bottom to move to the bottom of the screen Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 10 o Visual Software MDS 3 0 his User Manual Entering Information into an MDS Section L is shown below Note that the words of certain questions appear in red This indicates that this question may affect one or more CATs See the following section for more details on the use of red and green colors 0200 Dental Checl all that apply A Broken or loosely fitting full or pa
36. dmission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record RUGS info Medicare Part A HIPPS code Z0100A HB210 Medicare Part A non therapy HIPPS code Z0150A HB210 ADL 3 RugHier RMA RugHierNT HB2 To check the completion status of the entire MDS click on Editing Status as shown above The following screen appears MDS 3 0 89 CHECK FOR BLANK ITEMS CHECK FOR SKIP PATTERNS CHECK FOR CONSISTENCIES EDIT os A ITEM Message D B0200 Blank values should be reported with the caret character Z0500B Completion Date 05 27 10 should be within 14 days of A2300 ARD 04 26 10 For an Admission Z0500B Completion Date 05 27 10 should be within 13 days of A1600 Entry Date 01 01 10 e 3749 Z05008 8 3749 205008 Notice that three errors are noted above The first is in section B question B0200 and the next two are warnings for section Z both of which apply to the date entered for question Z0500B Completion Date You can print the list of errors by clicking on the Print icon as shown above You can close the error listing by clicking on CLOSE WINDOW As shown above This error checking is quick and efficient We recommend however that before you finalize the MDS you should also run the official CMS validation by clicking on CMS Validate as shown above This CMS error checking however takes a
37. e the screen above Notice above that there are five 5 ways to classify the MDS Federal OBRA Reason for Assessment PPS Assessment PPS Other Medicare Required Assessment OMRA Is this Assessment the first assessment since admission Entry Discharge reporting 1mMOW gt Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 6 oo Visual Software MDS 3 0 his User Manual It is necessary to select one MDS type from within each of the 5 groups For example a new admission could be selected as shown below MINIMUM DATA SET 3 0 Doe John El 1139895 DOB 04 15 1921 BED zisa Legacy ID Last Admit 08 04 2008 MRN Cycle Date 08 30 2010 Medicaid Days Remaining Bed Hold Days SN 082981212 MA Dept Nursing EE JE Wer Jor JE E A Federal OBRA Reason for Assessment B Code C PPS Other Medicare oa Assessment OMRA 01 Admission assessment required by day 14 le PPS Scheduled Assessments for a Medicare Part A Stay 02 quarteri review assessment gt stare of therapy assessment os Annual assessment i x 2 J Ena of therapy assessment 04 Snificant change in status assessment A Both Start and End of therapy assessment Significant correction to prior comprehensive 5 assessment E Significant Correction to prior quarterly assessment 99 fot OBRA required assessment Unscheduled Assessments for a Medicare Pat A Entry Disch Sapa y
38. ealth com Page 44 o Visual Software MDS 3 0 Report Generator his User Manual Which Assessments Select which assessments should appear Choose to show only complete assessments Check Most recent assessment or uncheck and choose from three date ranges to include all assessments within the range you set Include only the Type of Assessments A0310 under A0310 A A0310 B A0310 C and A0310 F Mesia the above sections to suit your needs Lines per Page Show Borders None Alphabeticall By bed unit Separate by unit APPEARANCE iaia enni Or O Apkabotcaty OBy bod unit C Separate byun M Shade alternate lines C New page unit Oldest MDS date ONewestMDS date Tally Only WHICH gt Current resident only or D dr WHICH Complete O incomplete O Both ia ST ci La RESIDENTS No date limits Fee an ASSESSMENTS V Most recent assessment resident E a EE i E sa Unit02 Unit03 lt Status batch gt v o2 Mo2 Mi On pos m tl EM days O ynitos Cunitos Vos Mos M2 7 O from 07 15 2010 to 07 16 2010 Mynit24 Qunitsi No date limits Mos Mos M3 Only those active right now Clunitss unit 56 Assessments of last 90 Mos Mos Dunit59 unites A Qunit64 Unit65 ni Unit 99 Explanation ShowShow Sort Descen No Yes Only A Heading HeadingTally Priority ding piada o vResidenName Jp oder s Name from og ResidentName O Residents bed Unit from Q vunit ID O O Um Resident s bed from
39. ech and Vision To change the section click on the blue dropdown select the proper section and click SAVE To delete a section click on DELETE Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 19 o Visual Software MDS 3 0 his User Manual Assessment Data A Compact View To print out the MDS in a Compact View i e using fewer sheets do the following A B e P E ASTRI MIN OTP DMI ta Show interview items only Show all sections Activities of Daily Living ADL ADL scoring 7 days look back Signature of Persons Completing the Assessment or Entry Death Reporting Assessment Data Click on the tool icon and then on the Assessment Data icon The following screen appears Webpage Dialog al Minimum Data Set 3 0 Data la Section A Identification Information AOLOOA Facility National Provider Identifier NPI A01008 Facility CMS Certification Number CCN A0100C State provider number 1 0200 Type of provider Nursing home SNF NF AD E OBRA Admission assessment required by ay 14 A0310B Type of assessment PPS 5 day scheduled assessment 40310T Type of assessment OMRA No A0310D Swing bed clinical change assessment Skipped 117004 Fall history fall during month before admission LOE First assessment since most recent entry 317008 Fall history fall 2 6 months before admission A0310F
40. ed and those that are duplicates 3 Match manually i e match the MDS to the proper resident for those records that cannot be matched by the system 4 Import the MDSs Merge Assessments Step 1 Import the MDS records into a temporary work area On the top part of the screen shown above type the following At Folder Path and Name type the complete path of the files to be imported At File Name All type the name of the file to be imported or All to import all files in the directory specified above At Clear Import Data place a check mark to wipe out any records in the temporary work area i e that are still there from your previous import Notice that it shows how many MDS records are in the temporary work area Click on Import Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 32 o Visual Software MDS 3 0 his User Manual Step 2 Review the records to be imported and those that are duplicate For each of the following four types of records click on Show in the screen below to see a listing of the MDSs 1 MDS Records in the import file that were successfully matched with residents in the VISUAL census data base 2 Duplicate MDSs in the import batch i e the imported records contained 2 or more records for the same resident MDS type and date Unless it is a modification X0100 2 only one will be merged into the MDS d
41. g conditions and modifying formatting The conditions of the report are what you set to see the specific results you are looking for For example the conditions for the Facility report Behavior Psychosis is set to return those residents who have a checkmark in E0100A or E100B Archive This allows you to delete the report Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 43 o Visual Software MDS 3 0 Report Generator his User Manual Creating a New Report As shown below click on New to create a new report MDS 3 0 REPORT GENERATOR I been at New Run Behavior Psychosis ETR ENS ESSA NEN ESA Behavior Wanderin EGR COS ESTAREI ESA Bowel Toileting Progra ETR EEN ESSA CATs All Triggers with Headings and Totals ram OT MTN active O17 Simple char ETR EE ESTAREI CATs All Triggers cond ETR Gee ee CATs All Triggers fo Run Copy Edit Archive The following screen appears REPORT TITLE REPORT OPTIONS gag Mit 50 Lines per Page Show Borde icall i APPEARANCE 50 M Show Bor s ORGANIZATION ONone Alphabetically O By bed unit Separate by unit 4 Shade alternate lines New page unit Oldest MDS date ONewestMDS date Tally Only WHICH C Current resident only or q gy WHICH Complete O incomplete O Both Eos ae RESIDENTS No date limits Unit 00 Unit 01 ASSESSMENTS Most recent assessment resident Mo Moi Mo lu
42. ions Next you might ignore a caret or a dash the default because you want only to see those residents where B0300 1 Set the conditions of the item so that the report returns the records you re interested in seeing Residents With Hearing Aids 1 A Report Options From the follwing menu options click Report Options to return to the edit screen Save to save your settings Run to run the report or Back to return to the previous screen When you click Run the report is Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 49 o Visual Software MDS 3 0 Report Generator bis shown below In this case only one resident satisfied the conditions of the report that you created User Manual Reset Set EDDIE ES Demo Nursing Home Residents With Hearing Aids 07 19 2010 11 14 13 AM Page 1 Resident Name Bed MDS Date Mds Type Hearing aid 1 1 Bobson Bob 106B 02 01 2010 01 99 0 1 listed 1 listed 1 1 gt gt 1 distinct 1 distinct 1 listed 1 residents 0 blank 0 blank 1 distinct 1 distinct 0 blank Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 50 o Visual Software MDS 3 0 Report Generator his User Manual Modifying a Previously Created Report To modify a previously created report locate the report and click on Edit alongside the report as shown below ee DDD ____ Run Pressure Ulcers Worsening Since Pri
43. issssonseneseseten MINIMUM DATA SET 3 0 E ID 999746 DOB 04 17 1952 BED 113C SSN 340958891 MA MC 2 CMS Data specifications 4 RHS Specifications Work environment SKIP PATTERNS Import MDS 3 0 assessments Imported Data The following screen appears Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 31 Visual Software MDS 3 0 User Manual MDS 3 0 IMPORT Folder Path and Name dimasfilesiDemoNursingHome File Name All All Clear Import data O contains 24 records 6 are ready for merging with the facility s MDS data MERGE ASSESSMENTS 1 of these records occur more than once in the import data 2 total Resident ID target date A0310A B C and X0100 match Unless it is Delete Imported Duplicates a modification X0100 2 only one will be merged into the MDS data 1 of these are duplicates of records already in the facility s MDS data Except for modifications X0100 2 they will overlay update the existing records upon merging 18 cannot be identified as facility residents One of the following must match resident information 1 Social Security Number Delete Unidentified Records 2 Medicare Number 3 Medicaid Number 4 Last name initial of first name birthdate There are four logical steps to import MDS records 1 Import the MDS records into a temporary work area 2 Review the records to be import
44. it31 Qunit55 Qunit56 WHICH ASSESSMENTS Vaie a Moi Moi Mo M Moz Moz Mi M Mos Mos M2 M Mos Mos M3 M Mos Mos Complete O Incomplete O Both MY Most recent assessment resident lt Status batch gt CI Current resident only or No date limits In facility be dhold last 90 days or from 07 15 2010 tp 07 16 2010 Only those active right now No date limits Assessments of last 90 to days Clunit59 Unit 63 Qunit64 unit 65 Clunit 99 OFrom 07 15 2010 to 07 16 2010 Moe Moe 7 99 Mor 99 EE WHATITEMS q TO DISPLAY 98 VUnit Q UMDSDate 9 MDSType Vertical Sort Descen HeadingTally Priority ding Oo M O Explanation ee No Yes Only VResidenName apResioent sName from Residents b bedUnit cer bed from JP Census lt Date of MDS record RO type AD310A B Heading O ResicentName OUr _______ O Bee ll O MbSDate O Mostpe O E x x x Since Hearing Aid is question B0300 click on section B as shown above The program now displays only the fields in Section B Note As show below click AH to show all available sections Click RUGs or CATs to display all items that affect RUGs or CATs Click Close Display Items to close 50 Lines per Page Sh
45. lay the records in the batch click on Display Content To export the records to CHARTS click on the Charts icon If you created a batch in error you can delete it by clicking on the white on blue W This deletes the batch but does not delete the MDS records Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 28 o Visual Software MDS 3 0 his User Manual Step 3 Copy the submission file to your local disk drive Copy the submission file to your local disk drive by clicking on o The following prompt appears File Download Do you want to open or save this file Name 20100921 141607 zip Type WinRAR ZIP archive 5 24KB From 192 100 100 194 Always ask before opening this type of file Wi hile files from the Internet can be useful some files can potentially harm pour computer IF you do not trust the source do not open or save this file What s the risk Notice that the file name is comprised of the date and time in YYYYMMDDHHMMSS format Click on Save to save the file to a local disk Drive Step 4 Log on to CMS and transmit your file As per QIES Technical Support Office www gtso com Transport Layer Security TLS 1 0 must be active in your web browser in order to access the QIES National Systems including the new MDS 3 0 Submission System Follow the steps below to activate TLS 1 0 Note You must have administrative rights to yo
46. n below click on Reports and then click on Report Generator MIRATI A TATA TR 7 o E D Bobson Bob mlel ID 1139806 DOB 02 11 1932 BED 106B Legacy ID Last Admit 06 24 2010 MRN 0 Cycle 08 10 2010 Unassigned Days Remaining Bed Hol MC Dept Nursina SSN 312123123 MA au mM Data reporting 2 Schedule 3 Surveyor Auditing Report Generator The following screen appears MDS 3 0 REPORT GENERATOR fai an Aiea New Simpie Run eae Behavior Wandering Simpie Run ea Bowel Toileting Program EA CATS All Triggers condensed esa CATS All Triggers for printing ey me CATS All Trigg for viewing In the above screen notice the 4 choices Facility Reports These are reports that your facility creates Library Reports These are reports created by RHS Archived Reports Reports you deleted New Create a new report Of the above four choices notice that Library Reports is highlighted in yellow Click on any of the buttons to change screens Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 41 o Visual Software MDS 3 0 Report Generator his User Manual Running a Library Report created by RHS On the screen below notice that alongside each report there are three functions from which to choose MDS 3 0 REPORT GENERATOR pci RR ce New Run simple ET Mee A Behavior Psychosis lt gt Run
47. nitoz Unit 03 lt Status batch gt M o2 Mo2 Mi In facility bedhold last 90 days or O from 07 15 2010 to 07 16 2010 Qunit24 Qunit31 No date limits Fa Mos Mos M3 Only those active right now Junit55 JUnit 56 O Assessments of last 90 days M os Mos Cunits9 Clunites O From 07 15 2010 tp 07 16 2010 M106 Mos Clunit64 Unit 65 v 99 Mor unit 99 7 99 Clunitoa Dlunitos Mos Mos M2 At Report Title type the name of a report you would like to create For example to create a report that shows all residents with hearing aids type Residents With Hearing Aids and then click on Create The following screen appears In the above and on the following screen there are four sections Appearance Specify the appearance of the new report Choose from several formatting options including New page unit which will create a new page for each unit Organization Specify one of five basic print orders and choose to separate results by unit or to quickly show just the number of records returned with Tally Only Which Residents Select which residents should appear Choose the report to run just for the resident who is currently in the resident box or choose to show residents that qualify when using one of three date choices or only for active residents Limit the report to those residents in a selected unit or units Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableH
48. or Assessment ETR CO ESSA RES ESA Pressure Ulcers Worsening Since Prior Assessment Tae oon copy o Run SimpleRun Copy Edit Residents With Hearing Aids Run simpieRun Copy Edit Restorative Nursing Program Technique Run Simpie Run Copy Ee ia Restorative Nursing Program Train amp Skill Practic The following screen appears You can edit the existing report or Copy the report change the name and use this report as a base for a new report You can then add new fields to the report or modify the existing fields Click Save to save your new report REPORT TITLE Residents With Hearing Aids Lines per Page h Al ticall i APPEARANCE 150 g Ms ow Borders ORGANIZATION O None Alphabetically O By bed unit Separate by unit Shade alternate lines C New page unit OldestMDS date ONewestMDS date Tally Only ees Conant iesidentonty pr Limiti WHICH complete O Incomplete O Both aa E E VE RESIDENTS ONo date limits Llunitoo LJunitot ASSESSMENTS M Most recent assessment resident Moi Moi E ea Qunit02 lunitos lt Status batch gt Moz Mo Mi O In facility be hold last 90 days or Cunitos Qunitos Mo3 os M2 Only those active right now Qunit55 Qunit56 O Assessments of last 90 days Jos Jos unit 59 Cunites OF rom 07 15 2010 1p 07 16 2010 Joe Mos C unit64 unit 65 7 99 Mor Unit 99 99 a a Explanation Show Show Vertical Sort Descen No Yes Only a Heading Heading Tally Priority ding WHA
49. os Mos Mos M2 Min from 07 15 2010 to 07 16 2010 Dunit24 Qunit31 No date limits Mos Mos M3 12 Only those active right now Qunit55 Qunit 56 I seen BRA 90 ist Was Mo Mog Cunits9 Cunites OF rom 07 15 2010 tp 07 16 2010 Mos Mos Cunit64 Unit 65 M9 Mor unit 99 7 99 Select Explanation Show Show Vertical Sort Descen No Yes Only A Heading Heading Tally Priority ding WHAT ITEMS ResidentName lt Residents Name from Census O fesidentName O 1 O TO DISPLAY YUnit lt 3 amp Resident s bed Unit from Census O O Unit O O 4 Bed lt 3 Resident s bed from Census O O Bed O E O MDSDate lt 3 Date of MDS record O lMDsDe N E a MDSType lt 3 MDS type A0310A B C O O Mos Type O E a S B0300 lt 3 Hearing aid OO 0 Hearing aid O O With the desired fields and column headers now in place click on Run as shown above Clicking RUN runs the report and also saves your changes The following report is produced Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 47 Visual Software MDS 3 0 Report Generator User Manual l Print Excel Demo Nursing Home Residents With Hearing Aids 07 16 2010 3 45 16 PM_ Page 1 Resident Name MDS Date Mds Type Hearing aid Bahmanesh Sogo 02 11 2010 06 990 Baldi Franki 02 11 2010 06 990 Berenstein Jean 02 11 2010 06 990 Bobson Bob 02 01 2010 01 990 BumBaum Valiza 02 11 2010 06 990 Do
50. ow Borders M Shade alternate lines C New page unit Separate by unit ID Tally Only ONone Alphabetically O By bed unit APPEARANCE O Oldest MDS date NewestMDS date ORGANIZATION Qunitoo Qunitoi Qunito2 Cunit03 Qunit04 Qunit05 Qunit24 Qunit31 Qunit55 unit 56 QUunit59 unit 63 Clunit64 lunitos Clunit 99 WHICH ASSESSMENTS AS Be G Moi Moi Mo M v oz Mor Mi Mos Mos M2 Mos Mos M3 Mos Mos Mos Mlos M9 Mor 7 99 Complete O Incomplete O Both Most recent assessment resident lt Status batch gt C Current residentonly or No date limits O In facility bedhold last 90 days or from 07 15 2010 to 07 16 2010 Only those active right now No date limits Assessments of last 90 days O From 07 15 2010 t 07 16 2010 Select WHAT ITEMS TO DISPIAY Explanation ShowShow No Yes Only 4 Vertical Sort Descen Heading HeadingTally Priority ding O ResidentName Od O O O Unt _______ D Bed O Mosbae 1 O MosType o vResidenName gp Res cent SName imom Resident s bed Unit 88 VUnit BP om Census wa ved Resident s bed from census 4 VMDSDate 8 MDSType O x E K lt Date of MDS record ang type A0310A B E K x K Click on Hearing Aid as shown above and then click on Close Dis
51. owing 6 are ready for merging with the facility s MDS data Show MERGE ASSESSMENTS i 1 of these records occur more than once in the import data 2 total i EE EA Resident ID target date A0310A B C and X0100 match Unless it is Delete Imported Duplicates a modification X0100 2 only one will be merged into the MDS data 1 of these are duplicates of records already in the facility s MDS data Except for modifications X0100 2 they will overlay update the existing Delete Dupes of MD records upon merging e 18 cannot be identified as facility residents One of the following must match resident information 1 Social Security Number Delete Unidentified Records 2 Medicare Number 3 Medicaid Number 4 Last name initial of first name birthdate Click on Show as shown above and the following report appears e pele Ze cer Harry z Ci E EFl E Z ey DOB os 17 1952 BED 113C Legacy ID 0 Last Admit 03 20 2002 MRN Cycle Date 12 20 2009 Unassigned Days Remaining Bed Hold Days Acct MC 081385084A Dept Nursing Bed Hold Anniversary Date psi GK A MM MM 4 MDS 3 0 IMPORT Assessments that cannot be identified as facility residents tr etione stone oos con esse esca uos se fec afo cb MDS 1 TESTI 19351125 01 27 2010 99 O 1 08 03 2010 5 21 48PM NV_MDS3_ASMT_EXTRGT_20100708_264 txt MDS 1 TEST1 19351125 04 27 2010 NQ 02 08 03 2010 5 21 48 PM NV_MDS3_
52. play Items Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 46 Visual Software MDS 3 0 Report Generator User Manual r bis As shown below Hearing Aid is now added to your report Limitto Clunitoo Cunito1 Qunito2 lunitos WHICH ASSESSMENTS Complete O Incomplete O Both A B C F M Most recent assessment resident Mo Moi Mo lt Status batch gt Moz Mo2 Mi a No date limits In facility be dhold last 90 days or Clunitos lunitos O from 07 15 2010 tp 07 16 2010 Fuynitoa Qunitai Only those active right now Qunit55 Unit 56 Qunit59 Unit 63 Clunit64 unites Clunit 99 Mos Mos Mos M04 Mos Mos O From 07 15 2010 o 07 16 2010 vos Mos vise Mor 7 99 No date limits Assessments of last 90 days 7 2 v 3 Explanation Show Show O Select No Yes Only 4 WHATITEMS ResicentName 4 EResidents Name from Census TO DISPLAY a vUnit lt 3 Resident s bedUnit from Census MDS Date VBed lt 3 Resident s bed from Census Mds Type O UMDSDate lt 3 amp Date of MDS record MDSType DS type A0310A B C amp B0300 Pira Notice in the above screen that the description of the column header was set to B0300 To change it to Hearing Aid click on the icon circled above that points to the description Hearing Aid In the Explanation column you can format the content of
53. rsistent vegetative state no discernible consciousness 0 No Continue to B0200 Hearing 1 Yes Skip to G0110 Activities of Daily Living ADL Assistance B0200 Hearing Ability to hear with hearing aid or hearing appliances if normally used 0 Adequate no difficulty in normal conversation social interaction listening to TV 1 Minimal difficulty difficulty in some environments e g when person speaks softly or setting is noisy 2 Moderate difficulty speaker has to increase volume and speak distinctly 3 Highly impaired absence of useful hearing B0300 Hearing Aid Enter Code Hearing aid or other hearing appliance used in completing B0200 Hearing Enter Code st description of The section appears with the answers you entered You can now print that section by clicking on the print icon as shown above To continue completing the MDS click on any section icon Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 16 oo Visual Software MDS 3 0 his User Manual Show and Edit All Interview Questions When you are doing the resident interview it is helpful to see all the interview questions together To see and edit all interview questions do the following eee eee Show interview items only Show all sections Activities of Daily Living ADL ADL scoring 7 days look back Signature of Persons Completing the Assessment or Entry Death Repor
54. rtial denture chipped cracked uncleanable or loose B No natural teeth or tooth fragment s edentulous C Abnormal mouth tissue ulcers masses oral lesions including under denture or partial if one is worn n D Obvious or likely cavity or broken natural teeth i u n E Inflamed or bleeding gums or loose natural teeth n F Mouth or facial pain discomfort or difficulty with chewing _ n G Unable to examine n Z None of the above were present Click on the right hand side yellow box alongside any question to enter a value for that field For example to enter a value for Broken or loosely fitting full of partial dentures click on the yellow alongside the question and the following choices appear Dental broken or loosely fitting denture mu 0 Not checked No mal 1 Checked Yes E Not assessed no information Mio Clear the response Click on the appropriate answer to select your choice The red box indicates that if you select 1 Checked Yes it will affect a CAT Note If you move the cursor out of the box the set of choices disappear Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 11 o Visual Software MDS 3 0 his User Manual Understanding the Usage of Red and Green Colors Red and Green are used to indicate respectively the potential for RUGs
55. submit Editing Status Incomplete e Type of assessment ISC NC A0310 A Admission assessment required by day 14 A0310 B 5 day scheduled assessment A0310 C No A0310 F Not entry discharge record RUGS info Medicare Part A HIPPS code Z0100A HB210 Medicare Part A non therapy HIPPS code Z0150A HB210 ADL 3 RugHier RMA RugHierNT HB2 I certify that the accompanying information accurately reflects resident assessment information for this resident and that I collected or coordinated collection of this information on the dates specified To the best of my knowledge this information was collected in accordance with applicable Medicare and Medicaid requirements I understand that this information is used as a basis for ensuring that residents receive appropriate and quality care and as a basis for payment from federal funds I further understand that payment of such federal funds and continued participation in the government funded health care programs is conditioned on the accuracy and truthfulness of this information and that I may be personally subject to or may subject my organization to substantial criminal civil and or administrative penalties for submitting false information I also certify that Iam authorized to submit this information by this facility on its behalf Signature of Persons Completing the Assessment or Entry Death Reporting User name Zelcer Harry Title RN Person completing the Assessment or section gt _ 7 _
56. ting Assessment Data Click on the tool icon and then on the Show interview items only icon All interview items appear as shown below na Interview for Mental Status BIMS 200 REPETITION OF THREE WORDS Ask resident Yam going to say three words for you to remember Please repeat the words after I have said all three The words are sock blue and bed Now tell me the three words Number of words repeated after first attempt After the resident s first attempt repeat the words using cues sock something to wear blue a color bed a piece of furniture You may repeat the words up to two more times D0100 SHOULD RESIDENT MOOD INTERVYEW BE CONDUCTED Attempt to conduct interview with all residents D0200 RESIDENT MOOD INTERVIEW PHQ 9 Say to resident Over the last 2 weeks have you been bothered by any of the following problems If symptom is present enter into 1 Symptom Presence then ask the resident About how often have you been bothered by this Read and show the resident a card with the symptom frequency choices Indicate response into 2 Symptom Frequency 1 Symptom Presence 2 Symptom Frequency 0 No enter 0 in column 2 0 Never or 1 day 1 Yes enter 0 3 in column 2 1 2 6 days several days 9 No response leave column 2 blank 2 7 11 days half or more of the days 3 12 14 days nearly every day A 1 Little interest or pleasure in doing things Presence Reli
57. uired Assessment OMRA No A 1s this a Swing Bed clinical change assessment Complete oniy if A0200 2 Blank skip pattern Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 8 o Visual Software MDS 3 0 his User Manual Quick Guide Show MDS Type and Status form Go to Show Go to previous all Tools next section Select any section sections section oo io Be Gee SMENE Name Zelcer Harry Date 08 26 2010 Type of Rec X0100 New Status Ready to submit Editing Status Incomplete e Type of assessment ISC NQ A0310 A Quarterly review assessment A0310 B 90 day scheduled assessment A0310 C No A0310 F Not entry discharge record zas Check m ISSING fields e RUGS info Medicare Part A HIPPS code Z0100A RVASO Medicare Part A non therapy HIPPS code Z0150A PA150 ADL O RugHier RVA RugHierNT PA1 Show Previous MDS T B HEARING SPEECH AND VISION Resize Screen 100 COMATOSE Sig n No gt Continue to B0200 No gt continue to 80200 emo o JRR vegetative state no discernible consciousness 200 HEARING Il Go to top of form Minimal difficulty assai in some environments bs to hear with hearing aid or hearing appliances if normally used TCS eben person speaks sultly or soil moter 300 HEARING AID Move up full screen O nc to oro etn ey aid or other hearing appliance used in completing B0200 Hearing SPEECH fosoo SPEECHCLARIY OSOS O i O Unclear speech
58. ur workstation in order to update this value If you do not have administrative rights contact your IT support 1 Open the Internet Explorer browser 2 Select Tools from the Menu bar 3 Click on Internet Options 4 Select the Advanced tab 5 Underneath Security ensure that the box next to Use TLS 1 0 is checked this should be located near the bottom of the list 6 Click Apply 7 Click Ok If you have any questions concerning this information please contact the QTSO Help Desk at helo qtso com or 1 800 339 9313 Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 29 oo Visual Software MDS 3 0 his User Manual Reporting Click on Reports to access the MDS 3 0 Report Generator and various other reports Selector CAT s CAA s Assessments Data submission ADT s Documents Reports Data Explorer E Queries E Forms Data J Quality Indicators Matrix Form 802 Census and Conditions Form 672 Click on the desired report and follow the instructions on the screen Reliable Health Systems LLC e 2610 Nostrand Avenue e Brooklyn NY 11210 e www ReliableHealth com Page 30 oo Visual Software MDS 3 0 his User Manual Importing MDS 3 0 Records MDS records either XML or flat can be imported into VISUAL MDS 3 0 as follows As shown below click on the drop down icon and select Tools peenesenssosssscsenesssseses
59. wer Jane 02 11 2010 06 990 Labrochette Jean 02 11 2010 06 990 7 listed 7 listed 1 1 3 distinct 7 distinct 1 listed 7 residents 0 blank 0 blank 2 distinct 2 distinct 6 blank SID MA v v The report above shows how each resident was scored for Hearing Aid Adding Conditions to Your Report If you want to add a condition so that the report shows only those residents who have a hearing aid click on Conditions as shown below REPORT TITLE Residents With Hearing Aids REPORT OPTIONS Nests Save APPEARANCE 50 Lines per Page Show Borders ORGANIZATION O None Alphabetically O By bed unit Separate by unit Hide Shade alternate lines _ New page unit O Oldest MDS date ONewestMDS date Tally Only C F WHICH C Current residentonly or E a WHICH Complete O Incomplete O Both JE SE Go RESIDENTS No date limits Unit00 JUnit 01 ASSESSMENTS most recent assessment resident a wot Mo 01 e Clunitoz Clunitos lt Status batch gt Moz Moz Mi Mio O ln facilitybedhold last 90 days or A ynito4 unitos Mos Mos M2 Mu from 07 15 2010 tp 07 16 2010 Cunit2s Clunitat No date limits Fios Fios Fia M2 Only those active right now Qunit55 Qunit56 O Assessments oflast 90 days Mos Mos 99 Clunitso Clunites OFrom 07 15 2010 tp 07 16 2010 Vos Mos Clunit64 lunites 7 99 Mor Clunit99 7 99 The following screen appears Residents With Hearing Aids i
60. y Show all sections Activities of Daily Living ADL ADL scoring 7 days look back Signature of Persons Completing the Assessment or Entry Death Reporting Assessment Data Click on the tool icon and then on the Signatures of Persons completing the Assessment icon The following screen appears Signature of Persons Completing the Assessment or Entry Death Reporting Signature Date hz RN Section B Hearing Speech and Vision 09 02 2010 hz RN Section E Behavior 09 02 2010 hz RN Section G Functional Status 08 18 2010 hz RN Section H Bladder and Bowel 08 18 2010 HZ RN Section I Active Disease Diagnosis 09 21 2010 HZ RN i Section K Swallowing Nutritional Status 09 21 2010 HZ RN Section L Oral Dental Status 09 21 2010 HZ RN Section M Skin Conditions 09 21 2010 HZ RN Section N Medications 09 21 2010 HZ RN Section O Special Treatments and Procedures 09 21 2010 The signatures of the people who signed the MDS appear along with the sections they signed and the date it was signed If a section was signed in error click on edit as shown above and the following screen appears MDS 3 0 Signatures Signature Date 08 18 2010 SAVE DELETE hz 10 47 42 AM 08 18 2010 SAVE DELETE hz 10 47 55 AM SAVE DELETE hz bag cpoesection Section G Functional Status Section H Bladder and Bowel Section B Hearing Spe

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