The readmission/return assessment functions like a 5-day assessment. So, following the readmission/return assessment, you follow the PPS assessment schedule with the 14-day assessment, then the 30-day assessment, etc. as outlined on page 2-29 of the RAI User's Manual.
The OBRA schedule runs in parallel with the PPS schedule - the requirements of both must be met at all times. If the resident was discharged with return anticipated (the correct tracking code, since his initial Admission assessment [AA8a=1] had been completed and his discharge was to the hospital), then the OBRA schedule would pick up where it left off prior to his discharge - unless a SCSA is warranted. A new initial Admission assessment is required only after a readmission following a discharge with return NOT anticipated.
Rena
Subj: readmission assessment clarification
Date: 12/31/03 9:30:24 AM Pacific Standard Time
From: [EMAIL PROTECTED]
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I just read Rena's response about the return/readmission assessments. If I am reading this correctly I just pick up where we left off, but start off with a readmit assmt.
For example: Mr. B went to hospital on day 18 and returned on day 22. We would do a return/readmit day 5 of return (26th day) then do 30 day on day 30 - 34? No need to do 14 day/admission (RAPs) again?
Suzanne
Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]
