State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report. Missouri


Educational Materials2

Below are several educational materials developed by the MU MDS and Quality Research Team, the Statewide Planning Committee for Improving MDS Assessment and Use, and the Quality Improvement Program for Missouri. All of these documents are in Adobe Portable Document Format (PDF), therefore you will need Adobe Acrobat Reader to view and print the documents. You can download the free Adobe Acrobat Reader at We hope you put these materials to good use.

The Resident Assessment Instrument

  1. Item by Item

    The MDS Version 2.0 Item by Item Quick Reference and Self Study Guide interprets each item on the MDS by giving a written detailed description along side many of the MDS items. The Item by Item guide also explains the standard coding conventions, timetables for submission, and other valuable information you will need when completing the MDS. In addition, the PPS supplement illuminates the mysteries of PPS. The appendix gives you additional resources and contact information.

    The Item by Item can be downloaded in 3 parts.

    Item by Item
    PPS Supplement

  2. Case Study

    The Case Study is a two-part scenario that takes you through the MDS, RAP triggers, RAP documentation, and care plans for a sample nursing home resident. Part One is a resident's initial admission to the nursing home while Part Two is a significant change in status resulting in a hospital stay and Medicare return admission. The Case Study is a valuable document for anyone practicing in Long-Term Care.

    Download the Case Study

  3. Self-Study Modules

    The Self-Study Modules present an overview of the entire Resident Assessment Process (RAI) with emphasis on the Resident Assessment Protocols (RAPs) and care planning process based on the RAI. The modules are organized so that you can learn at your own pace. If you are struggling with care plan or RAP issues, or are working with staff in need of RAI education, the Self-Study Modules can help.

    Download the Self-Study Modules

Quality Indicator (QI) Reports

  1. Show-Me QI Report User's Guide

    The "Show-Me" QI Reports are available to all nursing homes in Missouri submitting MDS data to the state database. These QI reports differ from the federal reports that facilities have access to nationwide. The "Show-Me" QI Reports show 5 quarters of data, allowing facilities to track their QIs over time. In addition, the "Show-Me" Reports have expert set thresholds for use to compare your specific facility QI data. The "Show-Me" QI Report User's Guide explains how to download and use your Missouri "Show-Me" QI reports.

    Download the Show-Me QI Report User's Guide

  2. Sample "Show-Me" QI Report

    Download a sample page from a "Show-Me" QI Report to see how it looks

    Download the Sample "Show-Me" QI Report

  3. List of Thresholds

    Here is a complete listing of the expert set QI thresholds used on the "Show-Me" Reports. We hope these thresholds help you determinepotential problem areas when compared with your facility QI scores so that improvement in resident care and outcomes may occur.

    Download the complete List of Thresholds

Other Educational Tools

  1. Video Post-Test

    Mary Zwygart-Stauffacher, PhD, RN, CS, GNP/GCNS presented a workshop entitled "Prevention and Detection of Acute Clinical Problems in Older Adults" in the fall of 2001. The workshop was videotaped, professionally edited and distributed FREE to long-term care facilities in Missouri. Unfortunately, there are no more videos. However, for those facilities that did receive a video, the Quality Improvement Program for Missouri has developed a post-test to test your knowledge after viewing the video.

    Download the Video Post-Test

Copyright (c) 2003
MU MDS and Quality Research Team & the Curators of the University of Missouri
DMCA and other copyright information
Published by: Susan Farrell and Steven Miller 

2. Source, 4/1/2003.

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"statenh.pdf" (pdf, 822.35Kb)

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