JAMDA
Volume 10, Issue 2 , Pages 98-106 , February 2009

“Sometimes People Don't Fit in Boxes”: Attitudes Toward the Minimum Data Set Among Clinical Leadership in VA Nursing Homes

  • Patricia A. Parmelee, PhD

      Affiliations

    • Atlanta Veterans Affairs Medical Center and Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Decatur, GA
    • Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA
    • Now at Center for Mental Health and Aging and Department of Psychology, The University of Alabama, Tuscaloosa, AL
    • Corresponding Author InformationAddress correspondence to Patricia A. Parmelee, PhD, Center for Mental Health and Aging, Box 870315, 207 Osband Hall, The University of Alabama, Tuscaloosa, AL 35487-0315
    • ,
  • Susan E. Bowen, PhD

      Affiliations

    • Atlanta Veterans Affairs Medical Center and Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Decatur, GA
    • ,
  • April Ross, MS

      Affiliations

    • Atlanta Veterans Affairs Medical Center and Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Decatur, GA
    • ,
  • Holly Brown, RN, MSN, GNP

      Affiliations

    • Atlanta Veterans Affairs Medical Center and Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Decatur, GA
    • ,
  • Joanna Huff, RN, MSN, GNP

      Affiliations

    • Atlanta Veterans Affairs Medical Center and Birmingham/Atlanta Geriatric Research, Education and Clinical Center, Decatur, GA
    • Now at Park Springs Continuing Care Retirement Community, Stone Mountain, GA

References 

  1. Hawes C, Morris JN, Phillips CD, et al. Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). Gerontologist. 1995;35:172–178
  2. Lawton MP, Casten R, Parmelee PA, et al. Psychometric characteristics of the Minimum Data Set II: Validity. J Am Geriatr Soc. 1998;46:736–744
  3. Frederiksen K, Tariot P, De Jonghe E. Minimum Data Set Plus (MDS+) scores compared wtih scores from five rating scales. J Am Geriatr Soc. 1996;44:305–309
  4. Casten R, Lawton MP, Parmelee PA, Kleban MH. Psychometric characteristics of the minimum data set I: Confirmatory factor analysis. J Am Geriatr Soc. 1998;46:726–735
  5. Hendrix CC, Sakauye KM, Karabatsos G, Daigle D. The use of the Minimum Data Set to identify depression in the elderly. J Am Med Dir Assoc. 2003;4:308–312
  6. McCurren C. Assessment for depression among nursing home elderly: Evaluation of the MDS mood assessment. Geriatr Nurs. 2002;23:103–108
  7. Fisher SE, Burgio LD, Thorn BE, et al. Pain assessment and management in cognitively impaired nursing home residents: Association of certified nursing assistant pain report, Minimum Data Set pain report, and analgesic medication use. J Am Geriatr Soc. 2002;50:152–156
  8. Engle VF, Graney JM, Chan A. Accuracy and bias of licensed practical nurse and nursing assistant ratings of nursing home residents' pain. J Gerontol A Biol Sci Med Sci. 2001;56A:M405–M411
  9. Cohen-Mansfield J, Libin A, Lipson S. Differences in presenting advance directives in the chart in the Minimum Data Set, and through the staff's perceptions. Gerontologist. 2003;43:302–308
  10. Office of the Inspector General. Nursing home resident assessment quality of care. Report No. OEI-02–99–00040 Washington, DC: Department of Health and Human Services; 2001;
  11. Bates-Jensen BM, Cadogan MP, Osterweil D, et al. The Minimum Data Set pressure ulcer indicator: Does it reflect differences in care processes related to pressure ulcer prevention and treatment in nursing homes?. J Am Geriatr Soc. 2003;51:1203–1212
  12. Cadogan MP, Schnelle JF, Yamamoto-Mitani N, et al. A Minimum Data Set prevalence of pain quality indicator: Is it accurate and does it reflect differences in care processes?. J Gerontol A Biol Sci Med Sci. 2004;59:281–285
  13. Kapasi ZF, Ouslander JG, Schnelle JF, et al. Effects of an exercise intervention on immunologic parameters in frail elderly nursing home residents. J Gerontol A Biol Sci Med Sci. 2003;58A:M636–M643
  14. Zisselman MH, Warren RS, Cutillo-Schmitter T, Denman SJ. Challenging the quality of the quality indicator, “depression without treatment.”. J Am Med Dir Assoc. 2002;3:41–45
  15. Bernabei R, Murphy K, Frijters D, et al. Variation in training programmes for Resident Assessment Instrument implementation. Age Ageing. 1997;26:31–35
  16. Centers for Medicare and Medicaid Services. Revised long-term care resident assessment instrument user's manual (version 2.0). Baltimore: Centers for Medicare and Medicaid Services; 2002;
  17. Taunton RL, Swagerty DL, Smith B, et al. Care planning for nursing home residents: Incorporating the Minimum Data Set requirements into practice. J Gerontol Nurs. 2004;30:40–49
  18. Mor V, Angelelli J, Jones R, et al. Inter-rater reliability of nursing home quality indicators in the US. BMC Health Services Research. 2003;3:20
  19. Adams-Wendling L, DeDonder J, Tidwell S, et al. Budgeting nursing workload for required minimum data set assessments. J Nurs Manag. 2007;15:442–448
  20. Ettinger RL, O'Toole C, Warren J, et al. Nursing directors' perceptions of the dental components of the Minimum Data Set (MDS) in nursing homes. Spec Care Dentist. 2000;20:23–27
  21. Piven ML, Ammarell N, Bailey D, et al. MDS coordinator relationships and nursing home care processes. West J Nurs Res. 2006;28:294–309
  22. Jogerst G, Daly J, Zimmerman MB. Physician use of and attitudes regarding the Minimum Data Set. J Am Med Dir Assoc. 2001;2:4–9
  23. Schnelle JF, Bates-Jensen BM, Chu L, Simmons SF. Accuracy of nursing home medical record information about care-process delivery: Implications for staff management and improvement. J Am Geriatr Soc. 2004;53:1378–1383
  24. Mor V, Angelelli J, Gifford D, et al. Benchmarking and quality in residential and nursing homes: Lessons from the US. Int J Geriatr Psychiatry. 2003;18:258–266

 The title quote is a comment made by a study participant in response to the question, “In your opinion, what causes [the Minimum Data Set] to be inaccurate?”

 This research was supported by a research grant, IIR-03–241, from the US Department of Veterans Affairs Health Services Research and Development Service to the first author. None of the authors of this research had any conflict of interest.

PII: S1525-8610(08)00270-3

doi: 10.1016/j.jamda.2008.08.004

JAMDA
Volume 10, Issue 2 , Pages 98-106 , February 2009

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