I can tell you that it needs to be an unusal and extenuating circmtances to use grace days, the state doesn't like it and it truly is a FLAG to them, almost as bad as fecal impaction/ dehydration wt loss....it is a pattern that is monitored very closely. I will use grace days usually around the holidays, an special cases only,  but on the other hand, the therapist can manage to get their selfs into the building as well as us nurses, 24/7. I can say that comfortably, I am married to an OT.




Claudia
>From: "Nathan" <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: <[EMAIL PROTECTED]>
>Subject: Re: MDS Question
>Date: Wed, 28 Jan 2004 14:32:09 -0800
>
>FW: MDS QuestionA standing policy to use the grace days for every 5-day is a bad idea. The safest way to appraoch this is to use the grace days when doing so causes the MDS to more accurately reflect the care being delivered to the resident.  For example, if you have an order for therapy that will qualify for High or Very Hight, but the resident was admitted on Friday and the first therapy is not delivered until Monday, setting the ARD to day 5 (Tuesday) would show only 2 days of therapy actually delivered. Using 3 grace days moves the ARD to the following Friday and now you show 5 days of therapy. This is more indicative of the actual level of care being given.
>
>Nathan
>   ----- Original Message -----
>   From: Sodos, Sandy
>   To: [EMAIL PROTECTED]
>   Sent: Wednesday, January 28, 2004 2:16 PM
>   Subject: FW: MDS Question
>
>
>   Hi All:
>
>   I have a question from one of our Medical Records personnel.  Can anyone help with this one?
>
>
>                   I have an MDS question for you, is it OK to use 2-3 grace days with every 5day MDS? Can you tell me how should an facility use the grace days. We have an out side Therapy that comes in and see our residents, they are telling us they used 3 grace days all the time, is this OK. We want to make sure that our facility is doing this correctly. Please let us know any thing about the grace days.
>
>           Thanks
>           Patty Ooton
>
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