AAPACN 2025 Quality Virtual Conference Recording Bundle: Intermediate Track-2.2 Outpacing Skin Integrity Risk: Strategic Approaches to MDS Accuracy and Wound Care Compliance

Video Transcription

Video Summary

This comprehensive webinar, developed for MDS professionals, nurse leaders, and interdisciplinary teams in long-term/post-acute care, focuses on enhancing pressure injury management through accurate MDS coding, documentation, and wound care compliance. Led by experts Lauren Stenson and Jesse McGill, it underscores that precise MDS coding is crucial not only for reimbursement but also for compliance, care planning, and quality outcomes.<br /><br />The session emphasizes identifying residents at pressure ulcer risk using clinical signs, the Braden Scale, and careful skin assessments, especially on admission—a critical time point affecting wound classification and liability. Correctly distinguishing pressure ulcers from other wounds, avoiding pitfalls like reverse staging, conflicting documentation, and including only wounds active during the look-back period are highlighted to ensure survey readiness.<br /><br />Strong interdisciplinary collaboration is vital, involving nursing, therapy, dietary, and medical staff to create individualized, evidence-based care plans addressing mobility, nutrition, moisture management, and behavioral barriers. Regular reassessment of wounds with measurable goals and prompt response to stalled healing are essential to avoid citations for poor clinical oversight.<br /><br />The webinar also introduces OLEAR Health, an AI-powered tool for thorough, efficient documentation review, aiding MDS integrity, reimbursement, and quality monitoring.<br /><br />Finally, root cause analyses after wound occurrences are encouraged for system improvements and regulatory compliance. The overarching message stresses that accurate documentation and coordinated care do more than fulfill requirements—they improve resident outcomes, comfort, and dignity by transforming clinical assessments into effective, personalized care strategies.

Keywords

MDS coding

pressure injury management

wound care compliance

Braden Scale

pressure ulcer risk assessment

interdisciplinary collaboration

evidence-based care plans

OLEAR Health AI tool

root cause analysis

clinical documentation accuracy