Journal ArticleDOI
Reliability Estimates for The Minimum Data Set for Nursing Home Resident Assessment and Care Screening (MDS)
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TLDR
The process of testing the reliability of the MDS items in 13 nursing homes in five states demonstrates that MDS data gathered in a research effort attain reliabilities that make such data useful.Abstract:
The MDS is a core set of items, definitions, and response categories used to assess all of the nation's 1.5 million nursing home residents who reside in facilities participating in the Medicare or Medicaid programs. Further, the Health Care Financing Administration (HCFA) has proposed a rule that would require facilities to computerize MDS data and submit it to state and federal agencies, paving the way for a national database. This article describes the process of testing the reliability of the MDS items in 13 nursing homes in five states. The results demonstrate that MDS data gathered in a research effort attain reliabilities that make such data useful. MDS items met a standard for excellent reliability (i.e., intraclass correlation of .7 or higher) in key areas of functional status, such as cognition, ADLs, continence, and diagnoses. Sixty-three percent of the items achieved reliability coefficients of .6 or higher. Eighty-nine percent of the items in the MDS achieved .4 or higher.read more
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Journal ArticleDOI
Scaling ADLs Within the MDS
TL;DR: The new ADL summary scales, based on readily available MDS data, should prove useful to clinicians, program auditors, and researchers who use the MDS functional self-performance items to determine a resident's ADL status.
Journal ArticleDOI
Functional Status of Elderly Adults before and after Initiation of Dialysis
Manjula Kurella Tamura,Kenneth E. Covinsky,Glenn M. Chertow,Kristine Yaffe,C. Seth Landefeld,Charles E. McCulloch +5 more
TL;DR: The initiation of dialysis is associated with a substantial and sustained decline in functional status among nursing home residents with ESRD, and this decline was independent of age, sex, race, and functional-status trajectory before the initiation ofdialysis.
Journal ArticleDOI
Screening for dementia with the Memory Impairment Screen
Herman Buschke,Gail Kuslansky,Mindy J. Katz,Walter F. Stewart,Martin J. Sliwinski,Haftan Eckholdt,Richard B. Lipton +6 more
TL;DR: The Memory Impairment Screen provides efficient, reliable, and valid screening for AD and other dementias and presents normative data for use in settings with different base rates (prevalences) of AD and dementia.
Journal ArticleDOI
Comprehensive Clinical Assessment in Community Setting: Applicability of the MDS‐HC
John N. Morris,Brant E. Fries,Knight Steel,Naoki Ikegami,Roberto Bernabei,G. Iain Carpenter,R. Gilgen,John P. Hirdes,Eva Topinkova +8 more
TL;DR: The results of an international trial of the home care version of the MDS assessment and problem identification system (the MDS‐HC) are described, including reliability estimates, and an examination of the types of problems found in home care clients using the M DS‐HC.
Journal ArticleDOI
Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system.
John P. Hirdes,John P. Hirdes,Gunnar Ljunggren,John N. Morris,Dinnus Frijters,Harriet Finne Soveri,Len Gray,Magnus Björkgren,Reudi Gilgen +8 more
TL;DR: The results indicate that interRAI items retain reliability when used across care settings, paving the way for cross domain application of the instruments as part of an integrated health information system.