May I make a suggestion? 
 
I think what you are asking is "How do I compare a PPS MPAF form to an OBRA to see if the patient had significant changes?" 
 
Essentially, the MPAF form quickly captures the information needed to assess RUG grouping for payment purposes, but it still has the "nitty-gritty".  Look at the CHANGES in the Cognition, Communication, ADL's, Continence, and Range of Motion sections.  Look at the number of services provided, such as nebulizer meds, postural drainage, psychological therapy, restorative nursing.  Then ask yourself:  "is this the same patient we were treating when the MPAF was performed?"  Another way to look at it is what the surveyors will use to cite you: "Do my care plans written for the MPAF still provide for the patient's care now?"
 
If you answer, "Yes" to either question, there's no sig change.  If you answer "No" to either question, you do a sig. change.
 
Corey


-----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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