Designing the National Resident Assessment Instrument for Nursing Homes

Bibliographic Data

ID23324979
AuthorsJ N Morris (0000-0003-2519-2400), Jack Morris (0009-0002-2755-1390, Hebrew SeniorLife), C Hawes (0009-0002-8784-4435, RTI International), Brant E Fries (0000-0002-1592-2433, University of Michigan), Charles D Phillips (0000-0001-8706-408X, RTI International), V Mor (Brown University), S Katz (Columbia University), K Murphy (0000-0003-3309-2784), Kellie E Murphy (0000-0002-7327-2600, Hebrew SeniorLife), Margaret L Drugovich (Bryant University), Alan S Friedlob (MetLife (United States))
Year1990
Volume30
Issue3
Pages293-307
Publication date1990-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueThe Gerontologist (JOURNAL)
Journal identifiersISSN: 0016-9013 • E-ISSN: 1758-5341
PublisherOxford University Press (OUP) (PUBLISHER)
DOI10.1093/geront/30.3.293
PMID2354790
OpenAlexW1983311436
LanguageEN
Citations received59

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.

Long-term care · Mandate · Minimum Data Set · Nursing homes · Reliability (semiconductor) · Geriatric Care and Nursing Homes · Medicine · Nursing · Psychology