Performance Improvement 2008. Can Health IT Standards Overcome Known Terminology and Messaging Challenges to Standardize Assessment Information Collected and Exchanged on Behalf of Nursing Home Residents?


The project revealed both the potential benefits and the challenges of leveraging health information technology (IT) standards when preparing and exchanging complex survey data such as the Minimum Data Set (MDS), version 2. HHS requires the collection and electronic transmission of information regarding health and functional status of Americans through a variety of federally-required assessment instruments. This collection includes the nursing home MDS used to create payment rates, quality measures and quality indicators for Medicare and Medicaid nursing facilities.

This project identified and applied recognized health IT standards to the nursing home MDS. The applied health IT standards were those that would support both the standardized exchange of the assessment data through the use of a widely used messaging standard, and would allow assessment data to be re-used in standardized electronic health records through the use of accepted content standards. Applied standards were analyzed by persons with expertise with the MDS using a software tool that was refined for this project. The identified standards provided a solution for addressing key vocabulary challenges related to clinical assessment instruments including the need to accommodate the complexity and idiosyncrasies of patient assessment instruments and bridging known gaps in existing standards.

Report Title: Making MDS v.3.0 Compliant with CHI Standards: Project Summary,
Agency Sponsor:
ASPE-ODALTCP, Office of Disability, Aging, and Long-Term Care Policy
Federal Contact: Jennie Harvell, 202-690-6443
Performer: Apelon

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"PerformanceImprovement2008.pdf" (pdf, 1.29Mb)

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