Wasn't suggesting that no other assessments be done, but rather that doing an entire book of them, and expecting the MDS nurse to out put them is often due to adding a form to solve a problem, rather than think the entire process thru. Often, though, surveyors get used to homes doing what they expect, rather than what they are required to do. Corey ----- Original Message ----- From: "Holly McGran" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Monday, November 17, 2003 9:54 AM Subject: RE: Surveyor Comments
Be very careful with getting rid of all your "assessments" that you do besides the MDS. Many years ago this happened in CT - many Nursing homes were told by so called "experts" in the field that the MDS replaced all those extra assessments we were doing, so they stopped doing them. The State came along and said - the MDS is just the "minimum" and the expectation in CT is that comprehensive assessments still need to be completed. Many homes were cited and since then most of us have gone back to doing all those x-tra assessments. States vary with this interpretation - call them and get their interpretation before you make any changes - many of the "speakers" out there are using generalizations or are speaking from only a handful of state interpretations. Holly QI in CT > -----Original Message----- > From: Corey [SMTP:[EMAIL PROTECTED] > Sent: Sunday, November 16, 2003 3:31 PM > To: [EMAIL PROTECTED] > Subject: Surveyor Comments > > Many times, surveyors are new, having a bad day, don't like their boss, had a fight with their wife or husband on the way out to the first day of survey, etc., etc., etc. They will often say things that just aren't true, and sometimes just mis-speak. Of course, the MDS is a form of assessment. But, if it was all there was, there wouldn't be a need for the RAP's - then- would there? Sometimes, a problem isn't picked up by the MDS-RAP process. That's where what we call "gut instinct" or "nurses instinct" kicks in (sometimes). On the other hand, the MDS Summary sheet does ask for the location of the MDS "Assessment" information, though. HMMM? Did you ask her where it said that in writing, because we don't want to make that mistake again, right? > > ----- Original Message ----- > From: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > Sent: Friday, November 14, 2003 8:05 PM > Subject: Re: Assessments > > In a message dated 11/13/2003 6:28:21 PM Pacific Standard Time, [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> writes: > > He spoke about approx. 100 homes around the country who don't do all these extra assessments but use the MDS as their tool.I thought it was so interesting that he gave me the name of one of these homes.My DON will get in touch with them I hope.I have long thought that we are doing too much paper work.At our facility we do all these admission,and quarterly assessments, that are really a duplication of the MDS. > > During my last survey, the surveyor told me the "MDS really isn't an assessment." > Comments? > /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
