Sherri—
I did some looking on
the Ohio website and found that there is a proposed rule change that went into
effect January 8, 2004. The rule
is 5101:3-3-40 Nursing Facility (NF) case mix assessment instrument: minimum
data set version 2.0 (MDS 2.0) This is part of Ohio’s attempt to
reduce costs in this area.
“A (18) states
“Quarterly review assessment” means an assessment that is normally conducted
no
less than once every three
months using the MDS 2.0 designated for
use in Ohio that does not include the triggers, RAPs, and RAP summary
form.” This was on the e-manual
page, which I was unable to reconnect to since they are having some trouble
with the site. I hope this helps
to clarify the issue.
Roberta S.
Cline, MS, LNHA,
RAC-C
Consultant
Pathway Health
Services
2025 Fourth
Street
White Bear Lake,
MN 55110
C: 651-260-6940
e-mail:
[EMAIL PROTECTED]
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-----Original
Message-----
From:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of RSCline
Sent: Monday, January 26, 2004 8:35
AM
To:
[EMAIL PROTECTED]
Subject: RE:
Extra or early quarterlies
This may be a state
requirement. Check with your
corporate consultant.
Roberta S.
Cline, MS, LNHA,
RAC-C
Consultant
Pathway
Health Services
2025
Fourth Street
White
Bear Lake, MN
55110
C: 651-260-6940
e-mail:
[EMAIL PROTECTED]
Confidentiality
Notice: This e-mail message, including any attachments, is for the
sole use of the
intended recipient 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:
[EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED]
Sent: Sunday, January 25, 2004 3:04
PM
To:
[EMAIL PROTECTED]
Subject: Extra
or early quarterlies
I have
always done extra or early quarterlies in order to capture rehab or medical
treatment that will increase rugs. A good example is someone on therapy
at the end of a quarter. They will remain on therapy through part of the
next quarter. I do a quarterly, for instance, in December and another
one in January, in order to not miss the therapy rug score for both
quarters.
All of
a sudden, a corporate memo comes through telling us that extra or early
quarterlies are now being considered fraudulent by the State and we are no
longer permitted to do them. This is in Ohio. This will kill our
rugs, as half of our facility are up and around independently with ADL index
of 4 or less.
Per Fed
regulations, I don't see where this is a problem and we have to stop. We
are required to do a minimum of 3 quarterlies. There is nothing
prohibiting more than that, unless I'm missing something.
All
input would be greatly appreciated about this.
Thanks.
Sherri
Jankowski, RN, CRNAC
Cleveland,
OH
