The Falls with Major Injury (FMI) measure is changing, and the change goes beyond a new calculation. CMS has respecified the measure as a hybrid measure, combining information from MDS assessments with claims and encounter data. For skilled nursing facilities, that means fall-related documentation and coding remain important, but the measure will no longer rely on assessment data alone to identify major injury events. What is changing? Under the respecified measure, CMS will

When a resident leaves a skilled nursing facility, determining whether an OBRA Discharge assessment is required can sometimes be confusing, particularly when the resident is sent to the emergency department, placed in observation or leaves the facility temporarily. CMS has addressed some of that confusion with a new OBRA Discharge Assessment Determination Fact Sheet. The one-page resource provides clarification related to Chapter 2 of the MDS 3.0 RAI User's Manual and address