You schedule the care plan from your
previous significant change assessment. Just document, as you said, that the
resident was in the hospital, returned with no significant change, and then
proceed to your care plan as you would if she had not gone to the hospital.
Brenda W. Chance, RN,
RAC-C
MDS Coordinator
CONFIDENTIALITY
NOTICE: This e-mail message, including any attachments,
is
for the sole use of the intended recipient(s) and may contain confidential
and
privileged information. Any unauthorized review, use, disclosure or
distribution
is prohibited. If you are not the intended recipient, please
contact
the sender by reply e-mail and destroy all copies of the original
message.
-----Original Message-----
From: MDSNancy
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, December 24, 2003
1:17 PM
To: [EMAIL PROTECTED]
Subject: RE: Medicare/sig
change/to hosp before careplan????
OK, so I'll submit this mds, and document that
the careplan was not held due to her being in the hospital. Then
upon readmission, it there hasn't been "another" significant change
from this current mds, I'll just do an MPAF readmission 5day, and I can
scedule the careplan from that return MPAF assessment? I did not know
that. Is this correct?
Nancy
Brenda Chance
<[EMAIL PROTECTED]> wrote:
You go
ahead and submit your 5 day/significant change mds. When you resident
comes back from the hospital, reassess to see if there has been a significant
change.
If
not: Restart your pps cycle by doing a readm/return (5 day)
assessment. Coded under AA8b as a 5. Set up a care plan conference
and formulate your care plan.
If
so: Restart your pps cycle as above. Complete a significant change
assessment with either the 5 day or 14 day assessment and then do your careplan
within 7 days of signing Vb2 of the mds.
Brenda
W. Chance, RN, RAC-C
MDS
Coordinator
CONFIDENTIALITY NOTICE: This e-mail message, including any
attachments,
is
for the sole use of the intended recipient(s) and may contain confidential
and
privileged information. Any unauthorized review, use, disclosure or
distribution
is prohibited. If you are not the intended recipient, please
contact
the sender by reply e-mail and destroy all copies of the original
message.
-----Original Message-----
From: MDSNancy
[mailto:[EMAIL PROTECTED]
Sent: Wednesday, December 24, 2003
9:31 AM
To: [EMAIL PROTECTED]
Subject: Medicare/sig change/to
hosp before careplan????
I had a resident who has been in and out of the
hospital, medicare A. We were doing a 5day/significant change mds.
However, we completed the mds but she went to the hospital before the
careplan. So what do I do? Do I submit the 5day/significant
change mds? But then when she comes back from the hospital I know I do
another 5day, but can I call that one a significant change too? Should I
change this current 5day/sig change mds to just an MPAF? That would
be extra work since it's already completed. What do I do
here? She is in the hospital right now. Her careplan was
supposed to be today. We have never held a careplan when the resident
wasnt' in the building.
Do you Yahoo!?
Yahoo! Photos - Get
your photo on the big screen in Times Square
Do you Yahoo!?
Yahoo! Photos - Get
your photo on the big screen in Times Square
