Annette,
You are describing 5.14.30 day assessments for Medicaid which sound like Medicare PPS timelines. Most facilities have an ADL documentation sheet in place, or method of collecting ADL documentation, for their assessments. I have the documentation in place for each resident regardless of when their MDS is due so that we can see significant changes, reactions to medications, behavior, etc. Personally, I think that the appropriate staff member to complete the ADL documentation is the CNA because they are the direct care giver. Licensed nurses might not know whether or not any weight bearing was required for the ADL task during the resident's care for the day. While some CNAs have difficulty grasping the ADL concepts, they are the direct care givers and know what kind of assistance they gave to the resident each day. With some coaching, they usually understand the difference between limited, extensive and total. If they understand how important their documentation is, they are usually more careful. Including them in the discussion at Care Planning meetings and the discussions about what was found during assessment helps them see the importance of thier coding.
-----Original Message-----
From: "Annette M. Corn" <[EMAIL PROTECTED]>
Sent: Feb 9, 2004 6:02 AM
To: [EMAIL PROTECTED]
Subject: FW: Medicaid charting 2nd Request
-----Original Message-----
From: "Annette M. Corn" <[EMAIL PROTECTED]>
Sent: Feb 9, 2004 6:02 AM
To: [EMAIL PROTECTED]
Subject: FW: Medicaid charting 2nd Request
-----Original Message-----
From: Annette M. Corn
Sent: Wednesday, February 04, 2004 6:18 PM
To: 'Aanac Group ([EMAIL PROTECTED])'
Subject: Medicaid charting
From: Annette M. Corn
Sent: Wednesday, February 04, 2004 6:18 PM
To: 'Aanac Group ([EMAIL PROTECTED])'
Subject: Medicaid charting
After completing a the RUG III, Supporting Documentation and Case Mix Reimbursement class that deals with the system for Medicaid and RUG reimbursement, our facility has hit a brick wall in regards to the documentation. Specifically 7 day 14 day and 30 day(look back period) documentation that would support the MDS. We are trying without success to get the documentation we need. How has every one been dealing with this change? Are you using the same documentation as before? Has anyone come up with assessments just for Medicaid documentation and the specific look back periods? Are your staff complying? If not then what? One thing that stands out from the class was that best way to get accurate documentation from the staff for the 7 day look back for ADL's is to have only licensed staff document for those 7 days. What is everyone doing? If you have any documentation or a helpful solution I would love to hear it or see it. I realize this may be a time consuming question but please know your response is appreciated. I look for this information on the website daily and don't see anything which makes me think someone's got this figured out. Thanks for your undying support. [EMAIL PROTECTED]
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