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
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-----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.
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