Implementation of the Resident Assessment Instrument/Minimum Data Set in the nursing home as organization: implications for quality improvement in Rn clinical assessment.

The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) used in nursing homes (NHs) participating in the Federal Medicare and Medicaid programs is a state-of-the-art, computerized clinical assessment instrument. RAI/MDS-derived data are essential, used for NH reimbursement, quality measurement...

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Publicado en:Geriatric Nursing Vol. 28; no. 6; pp. 377 - 387
Autor principal: Dellefield ME
Formato: Journal Article
Publicado: Elsevier B.V. Nov2007
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2007
      vid: 28
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.gerinurse.2007.03.002
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        atl: Implementation of the Resident Assessment Instrument/Minimum Data Set in the nursing home as organization: implications for quality improvement in Rn clinical assessment.
      aug:
        au: Dellefield ME
        affil: Nurse Researcher, VA San Diego Health Care System
      sug:
        subj:
          Clinical Assessment Tools
          Long Term Care
          Minimum Data Set
          Nursing Assessment
          Nursing Homes
          Change Management
          Clinical Competence
          Insurance, Health, Reimbursement
          Medicaid
          Medicare
          Nurse Administrators
          Nursing Role
          Organizational Culture
          Program Implementation
          Quality Improvement
          Registered Nurses
      ab: The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) used in nursing homes (NHs) participating in the Federal Medicare and Medicaid programs is a state-of-the-art, computerized clinical assessment instrument. RAI/MDS-derived data are essential, used for NH reimbursement, quality measurement, regulatory quality monitoring activities, and clinical care planning. Completing or coordinating the RAI/MDS, which may be conceived of as implementation, is a federally mandated responsibility of the RN involving clinical assessment, a core professional competency of any RN. How the RAI/MDS is implemented in each NH provides evidence of how each NH as an organization understands both the RAI/MDS process and its organizational level responsibility for promotion of RN competence in clinical assessment. Research literature related to RAI/MDS development, testing, and accuracy is used to identify what is known about organizational level implementation of the RAI/MDS. Evidence-based suggestions to enhance RN competence in RAI/MDS clinical assessments, given existing organizational barriers, are provided.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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