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AHCA/NCAL: Focus MDS Update of the Week

Changes to Section D

Since their release on April 3, 2023, MDS 3.0 version v1.8.11v2 final item sets and draft RAI guidance were updated and substantial changes were made to several sections. Changes to section D include:

  • Revision of the Patient Health Questionnaire (PHQ-9©) interview to the PHQ-2 to 9© interview. The PHQ-2 to 9© interview is a validated interview that screens for symptoms of depression and provides a standardized severity score and rating for evidence of a depressive disorder.
  • Incorporation of the Standardized Patient Assessment Data Elements (SPADES) pertaining to isolation.

AHCA has created a MDS Section D resource document to help providers breakdown the changes. The information in the resource document outlines key changes to MDS Section D, 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.

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NYSHFA | NYSCAL CONTACTS:

Jackie Pappalardi, RN, BSN
Executive Director
518-462-4800 x16

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