Launch of National Learning Collaborative
on Maximizing MDS 3.0 to Catalyze High Quality Individualized Care
More than 500 people from 39 states and Canada attended the pre-conference launch of Pioneer Network's National Learning Collaborative on Maximizing MDS 3.0 to Catalyze High Quality Individualized Care! Barbara Frank and Cathie Brady of B&F Consulting put the session together and were the facilitators for the day. Representatives of CMS including Alice Bonner, Director of the Division of Nursing Homes, Karen Schoeneman, Technical Advisor and Tom Dudley from the Office of Clinical Standards and Quality Improvement and Health Assessment Group, Division of Chronic and Post Acute Care were on hand (Dr. Bonner via video) to express CMS' support of this initiative. Mr. Dudley is the CMS lead for MDS 3.0.
Ms. Schoeneman stated that "MDS was developed to foster resident choice…but that will only happen if a genuine effort is made to find out the reasons and root causes of issues and find out how the resident wants to live life." Participants in the session learned about how providers have put the systems in place to support strong working relationships between nurses, CNAs and others working directly with residents within and across shifts and departments in order to individualize care. These practices include CNAs and nurses "huddling" at start of shift to discuss each resident; in-person shift to shift reports to review each resident together; consistent assignment; interdisciplinary care team (with meaningful C.N.A involvement) meets "on the floor" to do care planning; and meetings in which the team reviews the data and solves problems together. Thus, a true interdisciplinary approach to assessment and "just in time" care planning through the use of the MDS 3.0 is achieved and results in early detection of problems and individualized care for the resident.
Dr. David Gifford, Senior Vice President of Quality and Regulatory Affair, American Health Care Association/National Center for Assisted Living, was on hand to talk about the use of a learning collaborative to maximize spread of effective practices. Dr. Gifford facilitated a small group exercise with session participants that highlighted that by working together and sharing practices and ideas with each other, problems can be solved more quickly and effectively than working alone. In a Learning Collaborative, when a participant "gets stuck" they can benefit from hearing how others have done it. Barbara Frank informed the group that during the next year and a half there will state and regional opportunities for learning together through state culture change coalitions and Advancing Excellence LANEs.
Dr. Cheryl Phillips, Senior Vice President of Advocacy, LeadingAge concluded the day reiterating how the MDS 3.0 can be "the glue for true partnership among caregivers." She said that the pieces that define the "glue" are the resident interviews, care area triggers and care area assessments which provide opportunities for person-centered interventions. As Dr. Phillips states in an article after the conference, "MDS 3.0 reminds us that our care is not "to" the resident, not even "for" the resident, but "with the resident and their family, as together we work on providing that high quality, person-centered care we all would choose for ourselves."
Return to Past Conference page