There are guidelines in the RAI manual. Follow those guidelines (Chapter 2.2) If there is a consistent pattern of changes with either 2 or more areas of decline or two or more areas of improvement, then SCSA is appropriate. If you are not sure, give the team 2 weeks to decide. Schedule for another IDCP meeting after 2 weeks. If it does not resolve itself without intervention by staff, impacts more than one area of the resident's health status and requires interdisciplinary review and/or revision of the care plan, then you proceed to a SCSA.
--- Holly McGran <[EMAIL PROTECTED]> wrote: > > > 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 > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ ===== *******CONFIDENTIALITY NOTICE******* This message and any attachment are confidential and may be privileged or otherwise protected from disclosure and solely for the use of the person (s) or entity to whom it is intended. If you have received this message in error and are not the intended recipient, please notify the sender immediately and delete this message and any attachment from your system. Please be advised that any use of this message is prohibited and may be unlawful, and you must not copy this message or attachment or disclose the contents to any other person. __________________________________ Do you Yahoo!? Protect your identity with Yahoo! Mail AddressGuard http://antispam.yahoo.com/whatsnewfree /---------------------------------------------------------- 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 -----------------------------------------------------------/
