>From page 1-15 of the RAI manual
* Short-term stay or respite residents. An RAI must be completed for
any individual residing more than 14 days on a unit of a facility that is
certified as a long-term care facility for participation in the Medicare or
Medicaid programs. If the respite resident is in a certified bed, you must
follow the OBRA assessment schedule and tracking document requirements. If
the respite resident is in the facility for fewer than 14 days, no
assessment is due. Facilities that have short-term or respite residents
should follow the instructions in Chapter 2 for completion of assessments
and tracking forms.
Given the nature of short stay or respite admissions, staff members
may not have access to all information required to complete some MDS items
prior to the resident's discharge (e.g., the physician may not be available,
or the family may not be able to provide information on the resident's
Customary Routine). In that case, the "no-information" convention should
be used ("-") (See Chapter 3 Section 3.2 for more information). For respite
residents who come in and out of the facility on a relatively frequent basis
and readmission can be expected, the resident may be discharged to
"extended" leave status (Discharged-return anticipated). This status does
not require reassessment each time the resident returns to the facility
unless a significant change in the resident's status has occurred in the
intervening period.
Regardless of the resident's length of stay, the facility must still
have a process in place to identify the resident's needs, and must initiate
a plan of care to meet the resident's needs upon or shortly after admission.
In addition, if the resident is eligible for Medicare Part A benefits, a
Medicare assessment will still be required to support payment under the SNF
PPS.
Nathan Lake, RN, BSN, MSHA
Director of Clinical Product Management
-----Original Message-----
From: BONNIE RANDOLPH [mailto:[EMAIL PROTECTED]
Sent: Tuesday, November 04, 2003 1:02 PM
To: [EMAIL PROTECTED]
Subject: Respite questions-Please help ASAP!!
Need some advice regarding Respite care:
1. Do you consider the resident as a true admission?
2. Do you complete MDS on them?
3. Do you include them on the 802?
4. What is your procedure/criteria for accepting Respite?
Thank you in advance.
_________________________________________________________________
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
-----------------------------------------------------------/
