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Functional Improvement Among Short-Stay Nursing Home Residents in the MDS 3.0.
J Am Med Dir Assoc. 2015 Jun 01; 16(6):470-4.JA

Abstract

OBJECTIVES

To examine the completeness of the activities of daily living (ADL) items on admission and discharge assessments and the improvement in ADL performance among short-stay residents in the newly adopted Minimum Data Set (MDS) 3.0.

DESIGN

Retrospective analysis of MDS admission and discharge assessments.

SETTING

Nursing homes from July 1, 2011, to June 30, 2012.

PARTICIPANTS

New nursing home residents admitted from acute hospitals with corresponding admission and discharge assessments between July 1, 2011, and June 30, 2012, who had a length of stay of 100 days or less.

MEASUREMENTS

ADL self-performance items, including bed mobility, transfer, walking in room, walking in corridor, locomotion on unit, locomotion off unit, dressing, eating, toilet use, and personal hygiene, at admission and discharge.

RESULTS

The ADL self-performance items are complete at both admission and discharge, with less than 1% missing for any item. More than 60% of residents improved over the course of their post-acute stay. New short-stay nursing home residents with conditions such as cognitive impairment, delirium, dementia, heart failure, and stroke showed less improvement in ADL performance during their stay.

CONCLUSION

The discharge assessment data in the MDS 3.0 provide new information to researchers and providers to examine and track ADL performance. Nursing homes can identify and track patients who require more intensive therapies or targeted interventions to achieve functional improvement during their stay. Future research can examine facility-level measures to better understand how ADL improvement varies across facilities.

Authors+Show Affiliations

Mathematica Policy Research, Washington, DC. Electronic address: awysocki@mathematica-mpr.com.School of Public Health, Brown University, Providence RI; Providence VA Medical Center, Providence, RI.School of Public Health, Brown University, Providence RI; Providence VA Medical Center, Providence, RI.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

25659622

Citation

Wysocki, Andrea, et al. "Functional Improvement Among Short-Stay Nursing Home Residents in the MDS 3.0." Journal of the American Medical Directors Association, vol. 16, no. 6, 2015, pp. 470-4.
Wysocki A, Thomas KS, Mor V. Functional Improvement Among Short-Stay Nursing Home Residents in the MDS 3.0. J Am Med Dir Assoc. 2015;16(6):470-4.
Wysocki, A., Thomas, K. S., & Mor, V. (2015). Functional Improvement Among Short-Stay Nursing Home Residents in the MDS 3.0. Journal of the American Medical Directors Association, 16(6), 470-4. https://doi.org/10.1016/j.jamda.2014.11.018
Wysocki A, Thomas KS, Mor V. Functional Improvement Among Short-Stay Nursing Home Residents in the MDS 3.0. J Am Med Dir Assoc. 2015 Jun 1;16(6):470-4. PubMed PMID: 25659622.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Functional Improvement Among Short-Stay Nursing Home Residents in the MDS 3.0. AU - Wysocki,Andrea, AU - Thomas,Kali S, AU - Mor,Vincent, Y1 - 2015/02/03/ PY - 2014/02/19/received PY - 2014/09/29/revised PY - 2014/11/24/accepted PY - 2015/2/10/entrez PY - 2015/2/11/pubmed PY - 2016/2/24/medline KW - Minimum Data Set (MDS) KW - Nursing home KW - functional improvement SP - 470 EP - 4 JF - Journal of the American Medical Directors Association JO - J Am Med Dir Assoc VL - 16 IS - 6 N2 - OBJECTIVES: To examine the completeness of the activities of daily living (ADL) items on admission and discharge assessments and the improvement in ADL performance among short-stay residents in the newly adopted Minimum Data Set (MDS) 3.0. DESIGN: Retrospective analysis of MDS admission and discharge assessments. SETTING: Nursing homes from July 1, 2011, to June 30, 2012. PARTICIPANTS: New nursing home residents admitted from acute hospitals with corresponding admission and discharge assessments between July 1, 2011, and June 30, 2012, who had a length of stay of 100 days or less. MEASUREMENTS: ADL self-performance items, including bed mobility, transfer, walking in room, walking in corridor, locomotion on unit, locomotion off unit, dressing, eating, toilet use, and personal hygiene, at admission and discharge. RESULTS: The ADL self-performance items are complete at both admission and discharge, with less than 1% missing for any item. More than 60% of residents improved over the course of their post-acute stay. New short-stay nursing home residents with conditions such as cognitive impairment, delirium, dementia, heart failure, and stroke showed less improvement in ADL performance during their stay. CONCLUSION: The discharge assessment data in the MDS 3.0 provide new information to researchers and providers to examine and track ADL performance. Nursing homes can identify and track patients who require more intensive therapies or targeted interventions to achieve functional improvement during their stay. Future research can examine facility-level measures to better understand how ADL improvement varies across facilities. SN - 1538-9375 UR - https://www.unboundmedicine.com/medline/citation/25659622/Functional_Improvement_Among_Short_Stay_Nursing_Home_Residents_in_the_MDS_3_0_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1525-8610(14)00775-0 DB - PRIME DP - Unbound Medicine ER -