Charlene ,
The resident data reporting manual is a state publication related to your state's MA
for case mix system. Since physician's orders are not required for restorative
nursing, your state has decided to not count orders for restorative. Physician's
orders do affect the CMI by placing the resident in the clinically complex RUGS group.
The state's concern would be that restorative orders would be written during the
observation period in order to increase the RUGS score. PPS alert is not a regulatory
agency. As always, if you have a concern about an issue, you should contact your
state's RAI coordinator for clarification.
-----Original Message-----
From: Charlene Kleman <[EMAIL PROTECTED]>
Sent: Jan 12, 2004 7:52 AM
To: [EMAIL PROTECTED]
Subject: Restorative Nursing orders
Hi everyone,
I have found conflicting information regarding counting restorative nursing orders.
In the Resident data reporting manual (revised 9/17/03), it states that orders for
restorative nursing should not be counted.
In December issue of PPS Alert page 10 the question was:
In our facility, we obtain physicians orders when we are going to
begin, discontinue, or change a restorative nursing program. Can I count these orders
in MDS item P8 if I receive the order during the MDS lookback period?
Answer: You can consider the orders you have described in your question as a new
treatment when you begin a restorative program, and as altered treatment when you
change a restorative program. Remember that when counting these orders, you must have
received them within the 14-day lookback period, which ends with the assessment
reference date of your MDS.
I would appreciate any feedback thanks!
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The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
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/----------------------------------------------------------
The Case Mix Discussion Group is a free service of the
American Association of Nurse Assessment Coordinators
"Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
questions posted to NAC News and FAQs.
For more info visit us at http://www.aanac.org
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