I think this is NOT a good plan. The RAP is a clinical assessment that helps determine where and if care planning is needed. The care plan is the outcome. The RAP review must reflect use of related guidelines in your decision making. The RAPs facilitate decision making, providing the Interdisciplinary Team a solid framework for developing the care plan. The structure and content of the care plan is simplified when the team focuses on the assessment process. This assessment includes data collection and data analysis. Without the analysis, time spent in collecting information results in a paper compliant process with care planning that does little to affect positive outcomes for the resident.

In addition to the RAP assessment process, positive outcomes in care planning can be further enhanced with the use of the Quality Indicators. The Indicators are determined by selected responses made on the MDS. The Indicators identify prevalence of certain conditions. When used in conjunction with the residents� plan of care the Indicators act as a �crib note� or key to insure conditions have been appropriately evaluated and care planned as needed. Reviewing the triggered Indicators against the care plan and / or related RAPs to insure they have been acted on appropriately guarantees you care planning is on target.

Debbie Ohl RN, NHA
LTC Consultant & Educator, Ohl & Associates
613 Compton Road, Cincinnati, Ohio 45231
Phone / Fax 513-522-6041
[EMAIL PROTECTED]  www.greatcareplans.com

----- Original Message -----
Sent: Sunday, January 18, 2004 4:09 PM
Subject: Re: unneccesary raps?

When entering the location of information on the RAP sheet, what do you think about siting the care plan as the source of information?

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