Online Appendix 1

Acknowledgements:

The CMS project officers for the MDS 3.0, Mary Pratt, Robert Connolly, and Thomas Dudley provided critical leadership and support for the evaluation activities. The field trial and training activities benefitted from the engagement of the Colorado Foundation for Medical Care, Carelink, and Rena

Shephard, RN, BA, FACDONA from RRS Healthcare Consulting Services. The Kleimann group collaborated on form design. After the project began, the scope of work was modified to include a national Veterans Health Administration NH research collaborative comprised of researchers from the

Greater Los Angeles, Philadelphia, Bedford and Atlanta VAs with national support from Christa Hojlo,

PhD, RN.

We would like to acknowledge item developers who generously provided advice and input on including items in MDS 3.0 national testing:

Kurt Kroenke (PHQ-9)

Sharon Inouye (CAM)

Bruce Ferrell (Geriatric Pain Measure)

Evelyn Teng (3MS gold-standard cognitive measure)

Jiska Cohen-Mansfield (CMAI gold-standard measure)

We would like to thank the following individuals who provided advice and input on methods and item content: George S. Alexopoulos, David Baker, Julie Brown, David Casarett, Shiri Etzioni, Jim

Hallenback, Laura Hanson, Rosalie Kane, Joanne Lynne, Ed Park, Patricia Parmelee, Christine Ritchie,

Charlie Sabatino, Gregory Sachs, Meg Skibitski, and Joan Teno. Technical Expert Panel 1 Members (Affiliation at Time of Participation)

Sarah Greene Burger, MPH, RN (National Citizen’s Coalition for Nursing Home Reform); Diane Carter,

RN, MSN (American Association of Nurse Assessment Coordinators); Anne Deutsch, CCRN, PhD

(Rehabilitation Institute of Chicago); Sandy Fitzler, BSN (American Health Care Association); Irene

Fleshner, RN, MHSA, CHE (Senior Clinicians Group); David Gifford, MD (Rhode Island Quality

Partners); Christa Hojlo, DNSc (VA Nursing Home Service); Ruta Kadonoff, MHS (American

Association of Homes and Services for the Aging); Sally Kaplan, PhD (MedPAC); Courtney Lyder, ND,

FAAN (University of Virginia, School of Nursing); Cherry Meier, RN, MSN, LNHA (National Hospice and Palliative Care Organization); Sue Nonemaker, RN, MS (Hebrew Rehabilitation Center for the

Aged); Joe Ouslander, MD (Emory University); Peter Rabins, MD, MPH (Johns Hopkins University

Hospital); Naomi Salamon, RN (North Shore University Hospital for Extended Care and Rehabilitation);

Judith Salerno, MD, MS (National Institute on Aging); Eric Tangalos, MD (Mayo Clinic).

Validation Panel Members (Affiliation at Time of Participation)

Dan Berlowitz, MD, MPH (Boston University & Bedford VHA); Barbara Bowers, RN, PhD (University of

Wisconsin); Richard Della Penna, MD (Kaiser Permanente Aging Network); Marcy Harris, RN, PhD

(Mayo Clinic); Ira Katz, MD, PhD (University of Pennsylvania & Philadelphia VHA); Paul Katz, MD

(University of Rochester); Rosemary Lubinski, EdD (University at Buffalo); David Mehr, MD, MS

(University of Missouri); Vince Mor, PhD (Brown University); Christine Ann Mueller, RN, PhD

(University of Minnesota); Patricia Parmelee, PhD (Emory University & Atlanta VHA); Margaret

Schenkman, PT, PhD (University of Colorado); Neville Strumpf, RN, FAAN, PhD (University of

Pennsylvania); Eric Tangalos, MD (Mayo Clinic); Christie Teigland, PhD (NY Assoc. of Homes &

Services for Aging); Sheryl Zimmerman, MSW, PhD (University of North Carolina at Chapel Hill). Workgroup on the Integrated Tool (WIT) Participants (Affiliation at Time of Participation)

Dawn Barrett, RNC, BSN, CRNAC (Hospital Corporation of America); Sarah Greene Burger, MPH, RN

(National Citizen’s Coalition for Nursing Home Reform); Diane Carter, RN, MSN, CS (American

Association of Nurse Assessment Coordinators); Richard Della Penna, MD (Kaiser Permanente Aging

Network); Sandra Fitzler, BSN (American Health Care Association); Christa Hojlo, DNSc (VHA Nursing

Home Service); Paul Katz, MD (University of Rochester Medical Center); Barbara Manard, PhD

(American Association of Homes & Services for the Aging); Katie Maslow, MSW (Alzheimer’s

Association); Christine Ann Mueller, PhD, RN (University of Minnesota School of Nursing); Judith

Salerno, MD, MS (National Institute on Aging); Joel E. Streim, MD (University of Pennsylvania,

Philadelphia VHA MIRECC); Eric Tangalos, MD (Mayo Clinic); Sheryl Zimmerman, PhD (University of

North Carolina at Chapel Hill).

Technical Expert Panel 2 Members (Affiliation at Time of Participation)

Sarah Greene Burger, MPH, RN, FAAN (National Citizen’s Coalition for Nursing Home Reform); Diane

Carter, RN, MSN, CS (LTC NurseNet); Victoria Christian, MBA, RNC, CNHA (American Hospital

Association); Sandra Fitzler, BSN (American Health Care Association); Irene Fleshner, RN, MHSA

(Nurse Executive Council); Bob Godbout, PhD (Stepwise, Inc.); Deanna Gray-Miceli, DNSc, APRN,

FAANP (University of Pennsylvania); Christa Hojlo, DNSc (VHA Nursing Home Service); Paul Katz,

MD (University of Rochester School of Medicine and Dentistry); Mary Jane Koren, MD, MPH (The

Commonwealth Fund); Rosemary Lubinski, EdD (University at Buffalo); Barbara Manard, PhD

(American Assoc of Homes & Services for the Aging); Katie Maslow, MSW (Alzheimer’s Association);

Mark Snowden, MD, MPH (University of Washington at Harborview Medical Center); Eric Tangalos,

MD (Mayo Clinic); Sheryl Zimmerman, PhD (University of North Carolina at Chapel Hill).