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The Gerontologist, Vol 30, Issue 3 293-307, Copyright © 1990 by The Gerontological Society of America

ARTICLES

Designing the national resident assessment instrument for nursing homes

JN Morris, C Hawes, BE Fries, CD Phillips, V Mor, S Katz, K Murphy, ML Drugovich and AS Friedlob
Department of Social Gerontological Research, Hebrew Rehabilitation Center for Aged, Boston, MA 02131.

In response to the Omnibus Reconciliation Act of 1987 mandate for the development of a national resident assessment system for nursing facilities, a consortium of professionals developed the first major component of this system, the Minimum Data Set (MDS) for Resident Assessment and Care Screening. A two-state field trial tested the reliability of individual assessment items, the overall performance of the instrument, and the time involved in its application. The trial demonstrated reasonable reliability for 55% of the items and pinpointed redundancy of items and initial design of scales. On the basis of these analyses and clinical input, 40% of the original items were kept, 20% dropped, and 40% altered. The MDS provides a structure and language in which to understand long-term care, design care plans, evaluate quality, and describe the nursing facility population for planning and policy efforts.


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