AAPACN 2025 Quality Virtual Conference Recording Bundle: Novice Track-1.1 Off to the Races: Winning the Scripted Interview with the IDT

Video Transcription

Video Summary

This comprehensive session focuses on the importance of accurate Minimum Data Set (MDS) coding in skilled nursing facilities, emphasizing its critical role in reimbursement, compliance, care planning, and quality outcomes. The presentation underscores the value of the resident’s voice in care, achieved through scripted interviews including the Brief Interview for Mental Status (BIMS), Patient Health Questionnaire (PHQ-2/-9), Preferences for Customary Routine and Activities, and Pain Assessment. Conducted by trained interdisciplinary team members, these interviews must adhere strictly to the MDS Resident Assessment Instrument (RAI) User’s Manual guidelines, utilizing techniques such as cue cards and appropriate interview methods to ensure reliable data.<br /><br />Key highlights include detailed instructions for conducting the BIMS, focusing on memory recall and temporal orientation, and the PHQ-2/-9 for mood assessment, which directly impacts quality measures related to depressive symptoms. The session stresses that interviews must be attempted with all residents regardless of cognitive status, providing supports such as interpreters and backup staff as needed. When residents cannot participate, staff or family may assist for certain interviews, strictly following coding rules.<br /><br />Pain assessment interviews require careful attention to resident language, allowing alternate pain descriptors and focusing on pain frequency, intensity, and impact on sleep and activities over the past five days. Documentation of interview responses, including reasons for incomplete interviews, is vital for accurate MDS coding and care planning. Proper dating of assessments is also essential to ensure timely and compliant data entry.<br /><br />Overall, the training promotes person-centered care by faithfully incorporating resident perspectives into MDS assessments, enhancing care quality and compliance in nursing home settings.

Keywords

Minimum Data Set

MDS coding

skilled nursing facilities

resident interviews

Brief Interview for Mental Status

BIMS

Patient Health Questionnaire

PHQ-2

PHQ-9

pain assessment