IMPACT Act: MatrixCare Point of Care Workflow Thursday, July 14 Purpose: Review changes to MatrixCare Point of Care and MatrixCare in general as they relate to the IMPACT Act and October MDS changes. The initial discussion was centered around a new button on the POC MDS menu, Functional Abilities. This button launches a new POC page which was populated by the question from new MDS section GG. We reviewed the available questions and the common answer set used by most of the questions and the unique workflow for two questions: Does the resident walk and Does the resident use a wheelchair/scooter. The next portion of the discussion involved the POC functionality for Lookback and Update. At this point the topic switched to the role of the CNA in capturing observations related to section GG. The emphasis was that the data captured by the CNA should only be one piece of the collected information. Therapy and nursing input along with resident and family interviews should also be collected. Of those clients that responded, they felt that aides have a role, particularly when no order for therapy existed. After POC the discussion switched to the MatrixCare changes. We reviewed the changes to the POC Lookback Setup page, which now includes section GG and the update functionality of the POC Responses page. Users can now record and manage section GG on this page as well as view observations captured through POC. Following POC we discussed some of the changes to the draft RAI manual with a brief look at the MatrixCare MDS. The RAI manual discussion was really focused on two points: Section GG observations for Admission Performance and Discharge Performance are based on usual performance. This means a “suggested answer” for the question in section GG cannot be provided. The use of the dash (-) when answering question in section GG. The RAI manual is clear in stating the dash should not be used, even though the CMS specifications define it as a valid response. The manual states the use of the dash could result in a 2% reduction in the annual payment update. The final portion of the focus group reviewed the three Quality Reporting Measures with an emphasis on the measure “Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function”. This measure uses the questions from section GG as the bases for the calculations. We reviewed the Numerator and Denominator rules and the report we are adding to MatrixCare to support these measures.
IMPACT Act: MatrixCare Point of Care Workflow Thursday, July 14 Purpose: Review changes to MatrixCare Point of Care and MatrixCare in general as they relate to the IMPACT Act and October MDS changes. The initial discussion was centered around a new button on the POC MDS menu, Functional Abilities. This button launches a new POC page which was populated by the question from new MDS section GG. We reviewed the available questions and the common answer set used by most of the questions and the unique workflow for two questions: Does the resident walk and Does the resident use a wheelchair/scooter. The next portion of the discussion involved the POC functionality for Lookback and Update. At this point the topic switched to the role of the CNA in capturing observations related to section GG. The emphasis was that the data captured by the CNA should only be one piece of the collected information. Therapy and nursing input along with resident and family interviews should also be collected. Of those clients that responded, they felt that aides have a role, particularly when no order for therapy existed. After POC the discussion switched to the MatrixCare changes. We reviewed the changes to the POC Lookback Setup page, which now includes section GG and the update functionality of the POC Responses page. Users can now record and manage section GG on this page as well as view observations captured through POC. Following POC we discussed some of the changes to the draft RAI manual with a brief look at the MatrixCare MDS. The RAI manual discussion was really focused on two points: Section GG observations for Admission Performance and Discharge Performance are based on usual performance. This means a “suggested answer” for the question in section GG cannot be provided. The use of the dash (-) when answering question in section GG. The RAI manual is clear in stating the dash should not be used, even though the CMS specifications define it as a valid response. The manual states the use of the dash could result in a 2% reduction in the annual payment update. The final portion of the focus group reviewed the three Quality Reporting Measures with an emphasis on the measure “Patients with an Admission and Discharge Functional Assessment and a Care Plan that Addresses Function”. This measure uses the questions from section GG as the bases for the calculations. We reviewed the Numerator and Denominator rules and the report we are adding to MatrixCare to support these measures.
POC-FG.docx