Just an addendum. When we first started with RAC and we did the entire MDS and Raps, we expected the other disciplines to complete their assessments during the 7 days prior to the ARD so that we could glean from them to complete the MDS process. After they again began with their own sections of the MDS, we had them do the paperwork after the ARD as a reflection of the tracking period while merging the data for their RAP. (Hope this makes sense) Looking forward to the different viewpoints on this one....
-----Original Message----- From: Connie L. Frank Sent: Monday, February 02, 2004 7:52 AM To: [EMAIL PROTECTED] Subject: RE: ASSESSMENTS Funny this should come up. We also have had some differences of opinion and I am looking for clarification. The Resident Assessment Coordinators complete the MDS and RAPs on behalf of the nursing dept. The other depts. are responsible for certain sections of the MDS and related raps. The Nursing dept completes Continence, Safety, Hydration, Skin, Sleep, Wandering, Eating, and Pain Assessments on a quarterly basis aligned with the MDS. As far as timing: In order for me to glean the information related to Nursing assessments, they need to be completed during the 7 days prior to and including the ARD. ... Correct? For completion of MDS and Raps and related other discipline assessments, they should reflect data that occurred during the designated time periods ie. 7 d, 14 d, 30 d, but be actually completed after the ARD (up to the date the assessment must be closed and locked).... Correct? Please share your views. We currently have 4 RACs and we didn't know until recently that we had varied opinions. -----Original Message----- From: carol maher [mailto:[EMAIL PROTECTED] Sent: Sunday, February 01, 2004 4:32 PM To: [EMAIL PROTECTED] Subject: Re: ASSESSMENTS Donna, I think that we are getting tripped up by the word assessment. You would assess the skin, vision, hearing, vision, etc DURING the observation window. However, if you are talking about having a dated note from each of the disciplines to be able to use to enter data for the MDS, I think that their note should be AFTER the ARD and should reference the 7 day observation period. If the ARD was on Monday the 9th, the dietitian could enter a note into the record on the 10th stating that the information for section K was for the observation period of the 3rd to the 9th. This should satisfy the surveyors--that you are all looking at the same observation window and the accurate date of entering the data into the medical record is present. ----- Original Message ----- From: <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]> Sent: Saturday, January 31, 2004 5:17 PM Subject: Re: ASSESSMENTS > I am saying the assessments should be completed by the A3a date, then the MDS sections should be completed after the A3a date. > > I am not sure what you mean by "WITHIN the observation periods". The > > official definition of 'observation period" are those days prior to and > > including the ARD where data is collected for the assessments. The number of > > days varies by MDS item. The only way you can have the dates (R2b, VB2, and > > VB4) fall within the observation period is to have them all the same as the > > ARD. That would mean you are starting and completing the assessments and > > careplan all in one day. That would be unreasonable for most faciltiies. > > > > Nathan > > > > ----- Original Message ----- > > From: <[EMAIL PROTECTED]> > > To: <[EMAIL PROTECTED]> > > Sent: Friday, January 30, 2004 4:06 PM > > Subject: RE: ASSESSMENTS > > > > > > > I should ask what is the proper method for doing the MDS. My UMR team > > leader told me a few years ago that she wanted to see the dates of the > > assessments WITHIN the observation periods. Is this what most coordinators > > do? I have been doing this full time for 6 years at 2 different facilities, > > but each administrator wants it done differently. I just wanted to know if > > there really was an assigned menthod. > > > > > > /---------------------------------------------------------- > > > 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 > > > -----------------------------------------------------------/ > > > > > /---------------------------------------------------------- > > 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 > > -----------------------------------------------------------/ > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
