minimum data set (MDS) for nursing home residents

Introduction

A 4 page form consisting of 16 sections required by the Omnibus Budget Reconciliation Act (OBRA) for all nursing home residents within 14 days of admission, with selected sections to be updated quarterly.

The 16 sections include:

• demographic & background information
  • includes advance directives
• cognitive patterns
  • delirium
  • dementia
• communication/hearing patterns
• vision patterns
• physical functioning
  • activities of daily living (ADL)
  • functional rehabilitation potential
  • falls
• continence
  • urinary incontinence
  • indwelling catheter
• psychosocial well-being
  • feelings about self & social relationships
• mood & behavior
  • depression
  • anxiety
  • behavioral problems
    • wandering
    • verbal abuse
    • physical aggression
• activity pursuit patterns
  • activity/inactivity
  • lack of participation
• disease diagnoses
• health conditions
• oral/nutritional status
  • nutritional status
  • feeding tubes
  • dehydration/fluid maintenance
• oral/dental status
  • dental care
• skin condition
  • pressure ulcers
• medication use
  • psychotropic drug use
• special treatments & procedures
  • dialysis
  • intravenous medications
  • physical restraints

Also see quality indicators in nursing homes

More general terms

• comprehensive resident assessment instrument

Additional terms

• Omnibus Budget Reconciliation Act (OBRA)
• physician evaluation at nursing home admission
• quality indicators in nursing homes (MDS-based)