Nancy,
I'm not sure if I am clear about your question , but will attempt to answer what I think you are asking. If the resident is a new admission to your facility and you are choosing to do the admission assessment with the 14 day instead of the 5 day (not usually a good use of time, but acceptable), on the 5 day assessment you would code all of the deteriorations compared to 90 days ago for each of the appropriate sections and Q2 for overall deterioration. (I believe you meant Q2 instead of R1). For the 14 day assessment that you are completing as an admission assessment per your example, you compare to the last assessment which would be the 5 day assessment. So the admission assessment would be showing no deterioration because of being compared to the 5 day. I know that it doesn't seem appropriate since it is the OBRA assessment , but those are the instructions at the moment. I would recommend doing the admission assessment with the 5 day, it saves you time in the long run because you would have until day 14 to finish the admission assessment combined with the 5 day and then have 14 days from the ARD to complete the 14 day PPS only assessment. If you combine the admission assessment, you would need to have both the 5 day and the 14 day assessment completed by day 14. That puts a lot of pressure on you. If I think the resident will be discharged before day 14 , I don't combine the admission with the 5 day, but do in all other situations.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Feb 4, 2004 11:28 AM
To: [EMAIL PROTECTED]
Subject: pps vs obra need help
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Feb 4, 2004 11:28 AM
To: [EMAIL PROTECTED]
Subject: pps vs obra need help
HI
Do you compare a pps only( like a five day ) to an obra assessments for sign changes. For example. Resident admitted for overall deteriation. five day coded o/1 with overall deteriation coded in section R I think. For the next assessment adm + pps coded 1/7 do you still code overall deteriation or no change since last assessment. What is the proper way??????????????????????
thanks
nancy
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