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Designing the National Resident Assessment Instrument for Nursing Homes

1990; Oxford University Press; Volume: 30; Issue: 3 Linguagem: Inglês

10.1093/geront/30.3.293

1758-5341

Jack Morris, C. Hawes, Brant E. Fries, Charles D. Phillips, V Mor, S. Katz, Kellie E. Murphy, Margaret L. Drugovich, Alan S. Friedlob,

Geriatric Care and Nursing Homes

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.