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Designing the national Resident Assessment Instrument for nursing homes
Author(s)John N Morris, Catherine Hawes, Brant E Fries
Journal titleThe Gerontologist, vol 30, no 3, 1990
Pagespp 293-307
KeywordsNursing homes ; Registration eg homes, nursing homes ; Management [care] ; Quality ; Evaluation ; United States of America.
AnnotationIn response to the Omnibus Reconciliation Act of 1987 mandate for the development of a national resident assessment system for nursing facilities, a consortium of professionals developed the first major component of the system, the Minimum Data Set (MDS) for Resident Assessment and Care Screening. A two-state field trial tested the reliability of individual assessment items, the overall performance of the instrument, and the time involved in its application. The trial demonstrated reasonable reliability of 55% of the items, and pinpointed redundant items and initial design of scales. On the basis of these analyses and clinical input, 40% of the original items were kept, 20% dropped, and 20% altered. The MDS provides a structure and language by which to understand long-term care, design care plans, evaluate quality, and describe nursing facility population for planning and policy efforts.
Accession NumberCPA-980317225 A
ClassmarkLHB: Q3: QA: 59: 4C: 7T

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