title: The work of the RN Minimum Data Set coordinator in its organizational context.
abstract: The Resident Assessment Instrument/Minimum Data Set (RAI/MDS) is the foundational clinical framework for nursing home care, functioning as both a clinical assessment instrument and an assessment process. An RN is mandated by statute to complete or coordinate the work associated with this framework. Using both focus groups and questionnaires, 24 RN MDS coordinators attending a national conference for MDS coordinators described their work in its organizational context. Shortell et al.'s continuous quality framework of structural, technical, cultural, and strategic organizational dimensions was used to categorize descriptive themes. Clinical implications of the study findings are summarized.
authors.affiliation: Veterans Affairs San Diego Healthcare System, 3350 La Jolla Village Drive, San Diego, CA 92161, USA. Mary.dellefield@va.gov
authors.forename: Mary Ellen
authors.initials: ME
authors.lastname: Dellefield
mesh_terms: D000328:Adult; D000368:Aged; D001291:Attitude of Health Personnel; D002568:Certification / Q000458:organization & administration; D003625:Data Collection / Q000379:methods*; D005260:Female; D017144:Focus Groups; D015577:Geriatric Assessment / Q000379:methods*; D005851:Geriatric Nursing / Q000458:organization & administration; D006801:Humans; D037141:Mandatory Programs / Q000458:organization & administration; D008484:Medicaid / Q000458:organization & administration; D006278:Medicare / Q000458:organization & administration; D008875:Middle Aged; D024802:Nurse's Role; D009730:Nursing Assessment / Q000458:organization & administration*; D009735:Nursing Homes / Q000458:organization & administration; D015404:Nursing Methodology Research; D010343:Patient Admission; D010347:Patient Care Planning / Q000458:organization & administration; D010865:Pilot Projects; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D017749:Total Quality Management / Q000458:organization & administration; D014481:United States