Texas Minimum Data Set (MDS)
The MDS is a standardized collection of demographic and clinical information that describes a person's overall condition. All licensed nursing facilities in Texas are required to submit MDS assessments for all residents admitted into their facility.
News & Alerts
MDS RAI Manual v1.15 is Now Available 09/20/2017
CMS has posted v1.15 of the MDS Resident Assessment Instrument (RAI) Manual to their MDS 3.0 RAI Manual website. This version of the manual becomes effective Oct. 1, 2017. Among other changes, CMS has elected to make item O0700, Physician Orders, dependent on state requirements. Texas has made completion of this item mandatory for those assessments in which it is active.
jRAVEN v1.5.0 is Now Available 09/20/2017
jRAVEN v1.5.0 has been posted to the QTSO jRAVEN website. jRAVEN is a free Java based software application from CMS which provides an option for facilities to collect and maintain MDS Assessment data. This latest version includes support for the upcoming release of MDS 3.0 for Oct. 1, 2017. Please see the website for installation guides, user guides and information. If you have any questions about jRAVEN installation or technical support, please contact the QIES Technical Support Office (QTSO) at 800-339-9313 or email@example.com.
Emergency MDS Protocol Available Online 08/24/2017
A document has been posted to the MDS Document Library that contains steps that should be taken, as they relate to MDS, in preparation for the possibility of evacuations in emergency weather events. Preparation for MDSC in Emergency Status (PDF)
Security Notice on CMS QIES Accounts 06/06/2017
Effective June 26, 2017, CMS QIES accounts (which includes the MDS Submissions and CASPER applications) will require users to successfully login every 60 days or the account will be disabled and can only be re-enabled by contacting the QTSO Help Desk at (888) 477-7876. QIES users will continue to use the QIES User Maintenance Application (QUMA) to update passwords as required every 60 days and use security questions to unlock accounts if the password is forgotten or the account is locked due to the password being entered incorrectly three times. If you have any questions concerning this information, please contact the QTSO Help Desk at firstname.lastname@example.org or (888) 477-7876. Additional information is also available on the QTSO Nursing Home Provider website.
MDS 3.0 QM User Manual Errata V11.0 06/06/2017
CMS has released an errata document for the MDS 3.0 Quality Measures Users Manual V11.0 to address an error in the manual with measure N015.01, Percent of High-Risk Residents with Pressure Ulcers (Long Stay). This document is available on the CMS Quality Measures website.
MDS 3.0 QM User's Manual V11.0 Now Available 04/28/2017
CMS has posted V11.0 of the MDS 3.0 Quality Measures User's Manual, effective April 1, 2017, to the CMS Quality Measures website. The prior V10.0 manual has been moved to the CMS Quality Measures Archive website.
Draft MDS 3.0 Item Sets v1.15.0 Now Available 12/08/2016
CMS has posted draft v1.15.0 of the MDS 3.0 Item Sets that are scheduled to become effective Oct. 1, 2017. These item sets should be considered draft until a final version has been released. The file is available in the Downloads section found at the bottom of the CMS MDS 3.0 Technical Information website.
MDS 3.0 Training Videos on Sections M and GG Now Available 11/16/2016
Recorded at the 2016 State RAI Coordinator Training, this Section M presentation by Elizabeth Ayello, PhD, focuses on staging pressure ulcers correctly and accurately coding pressure ulcers and other skin conditions on the MDS 3.0. The video contains interactive polling and quiz questions. As you reach questions throughout the training, you will be prompted to enter your response, just as participants were during the live training session. Be sure to study the image on screen carefully before proceeding to the interaction, as the question will involve correctly identifying the wound type. Once you submit your answer, you will be able to view the correct answer before continuing the presentation. Click here to access this training video online.
A four-part video series on Section GG has been posted to the CMS YouTube Channel and click here for the playlist. It consists of:
MDS 3.0 ASAP System Issue for Select OMRA Assessments 11/16/2016
The QIES Technical Support Office (QTSO) has notified state staff that an issue has been identified with MDS 3.0 assessment records submitted to the ASAP system beginning Oct. 1, 2016 through Nov. 4, 2016 that impacts all NO and SO assessments types for nursing homes and swing bed facilities with a target date of Oct. 1, 2016 or higher. These would be assessments where item A0310C was set to 2, 3 or 4 (EOT, EOT-R, or COT OMRAs) and not combined with any other assessment type. Apparently, items M0300B1, M0300C1, M0300D1 and M0300F1, required for these assessments, did not have their values stored in ASAP and therefore were not included in either the assessment validation or the RUG calculations.
CMS System Requirements for FY2017update 10/17/2016
CMS has posted their FY2017 System Requirements document for computers accessing CMS systems to the QIES Technical Support Office home page.
Section GG and NPE Discharge Assessment FAQ 10/10/2016
A FAQ document concerning Section GG and NPE Discharge Assessment.
Provider (PL) and Information (IL) Letters
All Providers are Required to Redo Nurse Aide Registry (NAR) Searches Conducted from June 14, 2017, through August 3, 2017
All Providers are Required to Redo Employee Misconduct Registry (EMR) Searches Conducted from June 9, 2017, through July 27, 2017
Provider Requirements for MDS 3.0 (replaces PL #10-19)
Preadmission Screening and Resident Review Minimum Data Set Long Term Care Medicaid Information Rejections
Nursing Facility Assessments and Minimum Data Set Assessment Data Accuracy
MDS 3.0 Section Q: Referral to the Community: NF Responsibilities and Local Contact Agency Information (replaces IL #11-57 and PL #11-20)
Pre-Admission Screening and Resident Review (PASRR) Process Changing
New Nursing Facilities and MDS Coordinators
Training is an ongoing process. It is beneficial to review all training resources and MDS documents periodically to ensure that you did not forget or misunderstand anything. Texas does not require nursing facility staff to be MDS certified in order to enter or submit Minimum Data Set (MDS) data. However, registered nurse (RN) assessment coordinators who sign that the MDS is complete for residents with Medicaid reimbursement are required to take RUG training. This course is offered online through the Texas State University Continuing Education RUG Training website.
The primary tool for MDS is the Resident Assessment Instrument (RAI) User's Manual. The Centers for Medicare and Medicaid Services (CMS) also offers online MDS training on topics that include the MDS schedule; item-by-item guidance for completing assessments; and resident assessment protocols, corrections and the prospective payment program for Medicare skilled nursing facilities. Reference the MDS 3.0 RAI Manual on the CMS website.
One of the best, frequently-updated sources for MDS training is The MDS Mentor, written by Shelly Nanney, RN, RAC-CT, Texas MDS RAI Coordinator, and Brian Johnson, Texas MDS Automation Coordinator
Nursing facility and swing bed facility MDS personnel enter MDS information into MDS data entry software. Facilities may purchase third party MDS software or use the free MDS software provided by CMS. CMS offers free java Resident and Validation Entry (jRAVEN) software on the Quality Improvement and Evaluation System (QIES) Technical Support Office (QTSO) website at www.QTSO.com. Technical assistance for jRAVEN is available by calling the QTSO Help Desk at 1-800-339-9313.
Nursing facilities are responsible for ensuring that their MDS data is backed up. Unexpected problems can occur that could cause the loss of electronic MDS data. The most frequent issue is hard drive failure. A natural disaster such as fire, flood or tornado may damage software or hardware. Human error can also cause data to be deleted or overwritten. Backing up the MDS data will ensure that MDS assessments are retrievable and not lost.