This post is part of the MDS 2023 Countdown series. Disclaimer. Current as of October 1, 2023
Section A1800 “Entered From” and A2100 “Discharged Status” have Changed
One of the changes you will see when coding section A of the MDS this October 1, 2023, is found with A1805 – Entered From, and A2105- Discharge Status.
A1805 was previously A1800 and A2105 was previously A2100.
In the ‘Entered From’ section, you will notice that the list has expanded from 10 options to 13.
Hospice will now be divided up into two distinct categories, one being- Hospice (home/non-institutional) and the other Hospice (institutional facility).
The other two additions you will see are Critical Access Hospital and Home under care organized home health service organization.
What Is Changing
Although the options have changed, the goal remains the same: to accurately identify where your resident is admitted from and discharge status as it helps facilitate care planning as well as the discharge planning, if applicable.
The RAI Manual States:
Item Rationale
- Understanding the setting that the individual was in immediately prior to facility admission/entry or reentry informs care planning and may also inform discharge planning and discussions.
- Demographic information.
The changes to Section A will give the interdisciplinary team a better picture of where this resident admitted from. Previous residency plays a critical role in discharge planning, so that the resident can safely and successfully discharge either back to their previous residency or an appropriate level of care:
AAPACN (American Association of Post Acute Care Nursing) states,
“Discharge planning begins at admission and is based on the resident’s assessment and goals for care, desire to be discharged, and the resident’s capacity for discharge…A well-executed discharge planning process, without avoidable complications, maximizes each resident’s potential to improve, to the extent possible, based on his or her clinical condition. An inadequate discharge planning process may complicate the resident’s recovery, lead to admission to a hospital, or even result in the resident’s death”
The new expanded list of” Entered From” includes:
The new expanded list of “Discharge Status” includes:
Recommendations from MDS Consultants
- To prepare for this change facilities should ensure that the appropriate admission documentation is available in the medical record for accurate MDS coding.
- Discharge planning starts upon admission to the facility. Take time to review the facility’s discharge planning process.
- Preparing for these changes ahead of time is going to aid in the success of the transition come October.
Do not wait! The time to prepare is now.