Section C - BIMS Interview for MDS 3.0 Data Collection Tool - 100/pad

Description

Use this stand-alone form to capture resident responses to the MDS 3.0 Section C BIMS (Brief Interview for Mental Status.) This stand-alone form gives the responsible discipline the ability to maintain their own interview documents and manage their work flow. Be sure to see these complementary products: Created to assist in the resident interview process - MDS 3.0 Resident Interview Cards for BIMS. are provided for both  English speaking residents and Spanish speaking residents. An alternative format that consolidates all 4 interviews on one form is available also - see CP3000

Features

Includes scoring to determine resident's PDPM Cognitive Level Language and format coincide with the MDS 3.0 data set Includes prompts to confirm items A1100 (Language) and B0700 (Makes Self Understood) essential in the interview process RAI Version 3.0 Manual chapters pertinent to the interview topic are listed at the bottom of the page for quick reference Conducting the Interview tips and suggested language provided To aid in the transfer of collected data this form’s two color design includes purple to match corresponding sections on the MED-PASS MDS 3.0 Item Sets also printed in PURPLE

Specifications

Size	8 1/2 x 11
Unit	Pad of 100
Number of Pages	1
Other Info	Handwritten
Hole Punch	5 holes left, 5 holes top

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