Our facilities handle this a couple of ways.
 
1. upon return the medical record number is the same BUT with an additional sequential digit/character at the end, i.e., 4569 was the original number on first readmit it would be 4569a, second 4659b or 4659-1, 4659-2, etc. The resident number stays the same, i.e., 4659
2. the 'resident' number in the system is retained as the same number but the "medical record" number is changed to the current M/R number...out system allows us to have a different resident number and medical record number.
 

Michelle Witges <[EMAIL PROTECTED]> wrote:
I have question in regards to getting an entire new chart after every d/c.  I am hospital based SNF and billing tells me that each time they go to hospital and return they need NEW medical record number to be able to track them.  I realize the need to be able to track them but is there a way that could do that without having to d/c and admit each time they go to the hospital?
Michelle
----- Original Message -----
Sent: Friday, October 31, 2003 2:53 PM
Subject: RE: MDS Medical Records

Different facilities do it different ways. I worked in a facility where a new chart was required for each readmission. The DON & Administrator refused to budge on it until we had a resident who had multiple admissions to hospital in one month. He would come into facility, stay 1-2 days, go back into hospital for 3-4 days, and come back into facility. But until they "saw the light" I just copied my previous MDSs for each new chart. It also helped when the other Dept Heads complained that they were having to redo their inital assessments over & over. The more people complainig, the better.
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Friday, October 31, 2003 3:37 PM
To: [EMAIL PROTECTED]
Subject: MDS Medical Records

I am trying to keep the required last 15 month MDS assessments on the charts of readmitted residents. Medical records will not let me take the MDS out of the closed chart (from previous admission).  Is this the current medical record practice?  What does everyone else do?  I am trying to save myself the work of copying these assessments.    Thanks.


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