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You are absolutely right... I was thinking of the
reentry date, and using 14 days to complete the admission assessment. Just
using my keyboard before my brain is completely in gear. Thanks for correcting
that.
----- Original Message -----
Sent: Tuesday, December 02, 2003 5:28
PM
Subject: Re: OBRA ADMISSION MDS
ASSESSMENT
I disagree...I would use the original date of entry in AB1 and use the
reentry date in A4a...this was addressed in a Q&A in May 2002...5-26 I
think....this is from page 2-24 of the RAI manual...
The
Discharged-prior to completion of the initial assessment (AA8a = 8) is indicated when a resident is admitted to the facility and
the Admission assessment is not completed before the resident is discharged.
This reason for assessment should be selected whether or not the resident is
expected to return, e.g., from an admission to the hospital, or is not
expected to return, e.g., the resident dies in the nursing facility. If the
Admission assessment had not been completed, the only discharge that may be
selected is AA8a = 8. If the resident is unstable and has several return
visits to the hospital before the Admission assessment is completed, the
facility should continue to submit discharges prior to completion of the
initial assessment (AA8a = 8) until the resident is in the facility long
enough to complete the comprehensive Admission assessment. The same
date of entry (AB1) should be used for all these discharges.
"Holly Sox, RN, RAC-C"
<[EMAIL PROTECTED]> wrote:
When
you do d/c tracking prior to completion of initial assessment, then
your
AB1 will change to the new admission date upon return.
Holly F.
Sox, RN, RAC-C
Clinical Editor, Careplans.com
www.careplans.com
[EMAIL PROTECTED]
----- Original Message -----
From: "Sheehan,
Deborah W." <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent:
Tuesday, December 02, 2003 1:13 PM
Subject: OBRA ADMISSION MDS
ASSESSMENT
>
> Resident was admitted to our nursing
facility with discharge prior to
> initial assessment( to an acute
care hospital) a few days after admission.
> Tthis is not a medicare a
client. Upon return to the nursing home an obra
> admission assessment
was opened. Should the admission date on this
> assessment be the date
of initial admission or the date the resident
> returned to the
nursing facility? The admission assessment will not be
> completed
within 14 days or the first admission to our facility.
>
> DEB
S.
>
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