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I don't use this to skill someone for the reasons
that you state. However, if I have someone that I am expecting to fall in the
lower 18, and they get 2/2 or 1/4, then I am pleased with the clinically complex
RUG that results.
HS
----- Original Message -----
Sent: Tuesday, November 18, 2003 8:04
AM
Subject: Re: skilled determination
question
Does anyone routinely skill a resident with MD visits and order
changes? This seems kind of unpredictable isn't it? How does one
plan on this , if this is how you are skilling someone? Or would this be
for the 5day , and you already have this information?
"Holly Sox, RN, RAC-C" <[EMAIL PROTECTED]> wrote:
I missed the first part of this question. Is the resident in
question receiving daily insulin injections? Otherwise, 1 visit and 2 order
changes will not qualify for clinically complex. There have to be 1 visist
and 4 order changes or 2 of each.
Holly
----- Original Message -----
Sent: Monday, November 17, 2003 7:17
PM
Subject: Re: skilled determination
question
In a message dated 11/17/2003 11:11:16 AM Eastern Standard Time, [EMAIL PROTECTED]
writes:
Even if you are observing for
continued problems, etc., there has to be a reason to skill, usually
within the top 26 rugs.
One physician visit and two order changes should get you a CB1; and
that is in the upper 26 RUGS Levels.
Glenn
Gorleski (Barnes) RAC-C
Case Manager, MDS Coordinator
Quality
Assurance Nurse
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