{"id":4093,"date":"2023-09-12T04:57:05","date_gmt":"2023-09-12T04:57:05","guid":{"rendered":"https:\/\/ltcally.com\/articles\/?p=4093"},"modified":"2023-09-12T04:57:15","modified_gmt":"2023-09-12T04:57:15","slug":"mds-3-explained-sdoh-coding","status":"publish","type":"post","link":"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/","title":{"rendered":"MDS 3.0 Explained: Coding the Social Determinants of Health"},"content":{"rendered":"\n<p>Updates to MDS 3.0 coming in October include an increased focus on resident self-reporting, giving residents a stronger voice during the interview process and their care journey. Throughout the latest draft, CMS discusses the need to better understand and address how disparities in health outcomes require better data regarding <a href=\"https:\/\/www.cdc.gov\/about\/sdoh\/index.html\">social determinants of health (SDOH)<\/a>. <br><br>This article is an overview of what\u2019s changing in MDS 3.0 to help address SDOH, based on draft <a href=\"https:\/\/www.cms.gov\/Medicare\/Quality-Initiatives-Patient-Assessment-Instruments\/NursingHomeQualityInits\/MDS30RAIManual\">v1.18.11<\/a> currently available on the CMS website.<\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Ethnicity_and_Race\" >Ethnicity and Race<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Language_Preferences\" >Language Preferences<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Transportation_Barriers\" >Transportation Barriers<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Providing_Reconciled_Medication_Lists\" >Providing Reconciled Medication Lists<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Health_Literacy\" >Health Literacy<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Social_Isolation\" >Social Isolation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#MDS_Coding_in_Long-Term_Care\" >MDS Coding in Long-Term Care<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ltcally.com\/articles\/mds-3-explained-sdoh-coding\/#Follow_Us_on_LinkedIn\" >Follow Us on LinkedIn<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Ethnicity_and_Race\"><\/span>Ethnicity and Race<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>By asking residents to self-report their ethnicity, CMS can gather data to form a greater understanding of how and\/or if ethnicity impacts the care an individual receives. Residents, or a legally authorized representative, can report ethnicity based on a list of options. Similarly, residents are asked about their race. See A1005 for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Language_Preferences\"><\/span>Language Preferences<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Finding out a resident\u2019s preferred way of communicating is essential to delivering quality care. Any friction in communicating a person\u2019s health needs can cause frustration and lead to safety issues, social isolation, unmet needs, and poor health outcomes. American Sign Language is included in communication preferences. See A1110B for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Transportation_Barriers\"><\/span>Transportation Barriers<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Residents need access to reliable transportation to support their care before, during, and after their stay at a LTC facility. This section asks residents how access to transportation has impacted their ability to make appointments or get their medications. By understanding barriers to transportation, providers can understand how widespread these issues are and better coordinate care after a resident returns home. See A1250 for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Providing_Reconciled_Medication_Lists\"><\/span>Providing Reconciled Medication Lists<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Successfully discharging a resident from a LTC facility must include a clear transfer of their reconciled medication list to the next party involved in their care. In doing so, complications are avoided and care coordination is improved during their next transition. A properly reconciled medication list should include OTCs, oxygen, and other physical items they require as part of their care plan. See A2121 for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Health_Literacy\"><\/span>Health Literacy<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>As with any barriers to communication, understanding how to follow care plans and medication instructions is essential for residents to be able to support their own health and well-being. As stated in MDS 3.0, poor health literacy is tied to poorer outcomes, residents receiving less preventive care, and higher medical costs. By gathering data around health literacy, providers can better coordinate care and discharge planning by ensuring extra clear details are given to residents with lower levels of literacy. See B1300 for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Social_Isolation\"><\/span>Social Isolation<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Part of gauging a resident\u2019s health-related quality of life involves asking them about their actual or perceived lack of contact with others. Social isolation often increases with age and is a significant risk factor for physical and mental illness. By understanding a resident\u2019s perceived level of isolation, care staff can make more attempts to engage them in social events and activities. MDS 3.0 clearly states that a resident\u2019s care plan should include ways to enhance their quality of life and include activity planning. See D0700 for more information.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"MDS_Coding_in_Long-Term_Care\"><\/span>MDS Coding in Long-Term Care<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p>Beyond gathering essential data regarding a resident and their health status, updates to MDS 3.0 offer residents more opportunities to have their perspective and personal health status recorded. By going the extra step, providers can gain important insights into the health of an individual beyond what\u2019s been documented in their health records or what may initially appear on their treatment plan.&nbsp;<\/p>\n\n\n\n<p>With a significant body of research supporting the need to address social determinants of health across our population, these updates will provide individuals with opportunities to improve their own outcomes and provide a vast data set that will give us valuable insights into population-level health risks associated with elements such as ethnicity, social engagements, and language and transportation barriers.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Follow_Us_on_LinkedIn\"><\/span><a href=\"https:\/\/www.linkedin.com\/company\/ltc-ally\/\">Follow Us on LinkedIn<\/a><span class=\"ez-toc-section-end\"><\/span><\/h3>\n","protected":false},"excerpt":{"rendered":"<p>What\u2019s changing in MDS 3.0 in 2023? See what SDOHs are being included in the interview. Read now.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[22,1],"tags":[],"class_list":["post-4093","post","type-post","status-publish","format-standard","hentry","category-articles","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>MDS 3.0 Explained: Coding the Social Determinants of Health | Articles | LTC Ally<\/title>\n<meta name=\"description\" content=\"What\u2019s changing in MDS 3.0 in 2023? See what SDOHs are being included in the interview. Read now. 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