This quarterly interdisciplinary review tool provides a structured, clinically focused process for MDS, nursing, and therapy teams to identify and document active diagnoses, current signs and symptoms, functional changes, and early indicators of decline during routine IDT review. It supports consistent capture of clinically relevant findings across body systems, helping ensure documentation accurately reflects the residentā€™s current status and care needs.
Designed to align with facility workflows, it facilitates interdisciplinary collaboration, real-time validation during walking rounds, and appropriate care planning and referrals, while strengthening the clinical foundation for MDS coding, care plan accuracy, and overall regulatory compliance.
