Re: SCSA mds or not?

[Nathan Hotmail]

If I understand this correctly, the resident was back in your facility only 4 days before passing away. There is no need to do a SCSA based on 4 days. You did some type of initial/admission careplan and that is sufficient for a 4 day stay.   You did not say what type of discharge you did when the resident left in early January, but I am guessing you did a Discharge Return Anticipated. It appears she was gone a couple weeks or so. When a resident is going to be gone more than 10-14 day I ususally suggest doing the Discharge Return not anticipated even if you expect the resident back. Several years ago (I don't remember exactly when) HCFA came out with guidance (not a written reg)  that a resident gone more than that time period should be considered to have been finally discharged. I don't believe you did anything wrong the way you did it, but when a resident is gone that long it is just simpler to deal with the return as if it were a new admission.   Nathan     ----- Original Message ----- From: Janice To: [EMAIL PROTECTED] Sent: Saturday, January 24, 2004 11:38 PM Subject: SCSA mds or not?   Just to start out with I want to say THANK YOU to everyone that offers to share their knowledge here.  It has been a great help.  Now to my question.   I have a res. that was originally admitted back in Nov.  Admission assessment with RAPS and CP done back in Dec.  She went to the hospital early in Jan.  Returned to our facility with a new peg tube and tube feeding orders.  She returned on 1/20/04.  I set her ARD for her 5-day to go through 1/24/04 and had planned on doing her SCSA with her 14 day assessment so I would have a bit more information as to how extensive of a SCSA she would be, with ARD set for 1/31/04 and CP set for 2/5/04.  She passed away on 1/24/04.  On 1/20/04 peg tube and the feedings were addressed on her personal POC kardex.  The question I have is 1.  Should I change her 5 day PPS assessment to also be a SCSA assessment, coded dually as a 3/1 or do I really need to do a SCSA MDS with RAPS as no care planning will be done with this res as she is deceased.  I know I need to do the 5day.  But since RAPS are to guide us to the care planning process do I really have to go through the work of doing the SCSA and RAPS when she will not be care planned and the peg tube and feedings are already addressed on the res specific POC kardex.   I would appreciate any input on this.  Thanks.   Janice RN, BSN, RAC-C