New Conditions of Participation (CoPs): New Assessment Tools and Forms
CMS is obviously seeking more precise and exact assessments of patient and care giver needs. As to the care givers, CMS expects the clinician to be observant for signs of stress and the burden of caring for the patient. That means using a tool that can assist to ascertain the level of stress and “quickly screen for the level of care giver strain.” ‘Have you been searching for such a tool?
One such tool to consider is the Modified Caregiver Strain Index (MCSI). It is a thirteen-question tool that can measure strain related to care provision with domains in finance, physical, physiological, social, and personal. There are no age constrains or requirements. It is quick and easy to learn to administer. It is also less of a burden for caregivers.
Like many tools, there are strengths and weaknesses with the tool. You will need to evaluate. There is also a Caregiver Burden Scale which accompanies the tool and can provide more detail as to caregiver needs. Scoring on this scale looks at patient needs, caregiver tasks, and caregiver burden (Macera, C, A., Eaker, E.D. Etal 1993. A measure of perceived burden among caregivers, evaluation and the health profession 16(2), pages 204-211).
Care for the patient means looking at patient needs as well as care giver needs. This tool provides guidance in this area.
Cognitive Test Results May be a New Requirement in 2019. Will you be Ready?
Begin getting familiar with the Confusion Assessment Method (CAM), a tool that seeks patterns of behavior and cognitive functioning of patients. CMS is committed to having the testing for cognitive status as data supports the fact that patients with lower cognitive functioning have higher incidence of falls, rehospitalization rates, and higher non compliance with plans of care.
CMS is looking at the MDS 3.0 version for use because of its ability to look at the behavioral symptoms. These are not a focus of the present OASIS C2. As you can see, CMS is seeking a more indepth assessment of patients so that more precise plans of care may be implemented. Starting now to educate clinicians in better understanding delirium and reversible confusion as well as becoming familiar with the CAM can be very helpful now and for future preparation.
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