Sorry, I read the guidelines in the manaul to the letter also. However, one area of
improvement and one area of decline (as you used in your example) does not meet the
criteria for significant change in the manual. If I have 2 areas of ADLs that go from
2 to 3, and those changes are consistent changes--in other words , the resident does
require extensive assistance now--then I do a Significant Change. I also do a SCSA
when a resident requires total care consistently when they used to require extensive
assistance. Following the manual is the safest course of action.
-----Original Message-----
From: Holly McGran <[EMAIL PROTECTED]>
Sent: Nov 5, 2003 5:48 AM
To: "AANAC List Serve (E-mail)" <[EMAIL PROTECTED]>
Subject: Significant Change
I need some input from this fine group - we recently had our survey and
received a significant change deficiency. There were 4 residents that had a
significant change (they were clear "significant" changes and should have been done).
The problem now is the MDS Coordinator is afraid not to do a significant change on
residents for what I feel are minor changes. For example Mood and behavior symptoms (a
2 to a 1) and a change in 2 to 3 in section G in one area. The care plans are current
and don't need to be changed. The care plan team is going crazy because they are not
"significant" changes. She is reading the guidelines in the manual to the letter and
not looking at the whole picture. If anyone can give me any guidance on how you
determine significant change in residents, I would be so appreciative. Thank you in
advance.
Holly QI in CT
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The Case Mix Discussion Group is a free service of the
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Be sure to visit the AANAC website. Accurate answers to your
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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
-----------------------------------------------------------/
