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AHCA/NCAL: Focus MDS Update of the Week – Changes to Section O

The MDS 3.0 version v1.8.11v4 final item sets were updated on July 7, 2023, draft RAI guidance was released on April 3, 2023, and substantial changes were made to several sections. Changes to section O (Special Treatments, Procedures, and Programs) include:

  • The expansion from two columns to three to reflect new timeframes:
    • On admission
    • While a resident
    • At discharge
  • Expansion on several items:
    • Chemotherapy
    • Oxygen
    • Suctioning
    • Non-Invasive Mechanical Ventilator
    • IV Medications
    • Dialysis
    • IV access

AHCA has created an MDS Section O resource document to help providers breakdown the changes. The information outlines key changes to MDS Section O, Coding Instructions/RAI Guidelines for each item, and Actions to Consider for implementation across your facility.

It is important to develop a training plan for your facility to ensure all staff impacted by the changes are trained in them.

Additional Resources:

Please email regulatory@ahca.org with any questions.

NYSHFA | NYSCAL CONTACTS:

Lisa Volk, RN, B.P.S., LNHA
Director, Clinical & Quality Services
518-462-4800 x15

Tarrah Quinlan, RN, BSN
Director of Education Program Development and Member Operations
518-462-4800 x20