Resident Assessment Instrument/Minimum Data Set (RAI/MDS)

<p>The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) is a comprehensive assessment and care planning process used by the nursing home industry since 1990 as a requirement for nursing home participation in the Medicare and Medicaid programs. The RAI/MDS provides data for monitoring changes in resident status that are consistent and reliable over time. The VA commitment to quality propelled the implementation of the RAI/MDS in its nursing homes now known as VA Community Living Centers (CLC). In addition to providing consistent clinical information, the RAI/MDS can be used as a measure of both quality and resource utilization, thereby serving as a benchmark for quality and cost data within the VA as well as with community based nursing facilities. Workload based on RAI/MDS can be calculated electronically by the interactions of the elements of the MDS data and grouped into 53 categories referred to as Resource Utilization Groups (RUG-IV). Residents are assessed quarterly. The data is grouped for analysis at the Austin Information Technology Center (AITC). Conversion to electronic data entry and transmission to the AITC was completed system-wide by year-end 2000. In 2010, the Centeres for Medicare and Medicaide Services released a significantly upgraded version, MDS 3.0, to begin to be implemented on October 1, 2011 in VHA CLCs. Training is underway currently. The MDS 3.0 will generate a new set of Quality Indicators and Quality Monitors as well the RUGs will increase to 64 RUGs from the current 53 RUG groups.</p>

居住者评估工具/最小数据集（RAI/MDS）自1990年以来一直是护理院行业用于评估和护理计划的综合流程，作为护理院参与医疗保险和医疗补助计划的条件。RAI/MDS提供的数据能够持续且可靠地监测居民状况的变化。美国退伍军人事务部对质量的承诺推动了其在护理院中实施RAI/MDS，这些护理院现被称为退伍军人社区生活中心（CLC）。除了提供一致的临床信息外，RAI/MDS还可作为质量和资源利用的衡量标准，从而在退伍军人事务部以及基于社区的护理设施内部充当质量与成本数据的基准。基于RAI/MDS的工作量可以通过MDS数据元素的交互进行电子计算，并归类为53个被称为资源利用组（RUG-IV）的类别。居民每季度进行一次评估。数据被分组至奥斯汀信息技术中心（AITC）进行分析。到2000年底，系统范围内已完成电子数据录入和传输至AITC的转换。2010年，医疗保险和医疗补助服务中心发布了一个显著升级的版本，即MDS 3.0，该版本自2011年10月1日起开始在退伍军人健康事务（VHA）CLC中实施。目前正在开展培训工作。MDS 3.0将生成一套新的质量指标和质量监控器，同时资源利用组（RUG）将从当前的53个组增加到64个。