Designing the National Resident Assessment Instrument for Nursing Homes1 (original) (raw)

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2

Department of Social Gerontological Research, Hebrew Rehabilitation Center for Aged

Boston, MA 02131

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3

Research Triangle Institute

Research Triangle Park, NC 27709

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Institute of Gerontology and School of Public Health, The University of Michigan, and Geriatric Research, Education and Clinical Center, Veterans Administration Medical Center

Ann Arbor, Ml 48109-2007

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Charles D. Phillips, PhD, MPH

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Research Triangle Institute

Research Triangle Park, NC 27709

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Center for Gerontology and Health Care Research, Brown University

Providence, RI 02912

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Columbia University

New York, NY 10027

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Katharine Murphy, RN C, MS

2

Department of Social Gerontological Research, Hebrew Rehabilitation Center for Aged

Boston, MA 02131

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Margaret L. Drugovich, MA

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Office of Institutional Research, Bryant College

Smithfield, Rl 02917

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Health Standards Quality Bureau, Health Care Financing Administration

Baltimore, MD 21207

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John N. Morris, Catherine Hawes, Brant E. Fries, Charles D. Phillips, Vincent Mor, Sidney Katz, Katharine Murphy, Margaret L. Drugovich, Alan S. Friedlob, Designing the National Resident Assessment Instrument for Nursing Homes, The Gerontologist, Volume 30, Issue 3, June 1990, Pages 293–307, https://doi.org/10.1093/geront/30.3.293
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Abstract

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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© 1990 The Gerontological Society of America

Topic:

• internship and residency
• languages
• long-term care
• nursing homes
• care plan
• medical residencies
• field trial
• redundancy
• minimum data set
• weight measurement scales
• assessment scales

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