|Title||Designing the national resident assessment instrument for nursing homes|
|Publication Type||Journal Article|
|Year of Publication||1990|
|Authors||Morris J.N, Hawes C., Fries B.E, Phillips C.D, Mor V., Katz S., Murphy K., Drugovich M.L, Friedlob A.S|
|Keywords||*Nursing Homes/st [Standards], *Questionnaires, Human, Quality of Health Care, Questionnaires/st [Standards], Support, U.S. Gov't, Non-P.H.S., United States, United States Centers for Medicare and Medicaid Services|
In 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 this 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 for 55% of the items and pinpointed redundancy of 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 40% altered. The MDS provides a structure and language in which to understand long-term care, design care plans, evaluate quality, and describe the nursing facility population for planning and policy efforts.