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The condition (pneumonia) does not still affect
thier treatment plan. That is like saying someone that had a broken leg 5 years
ago, still has a broken leg because they walk with a limp. The
after-effects of pneumonia are not an infection and should not be coded that
way.
Nathan
----- Original Message -----
Sent: Saturday, February 14, 2004 7:55
PM
Subject: Re: Dave Audit
"I2 - Infections
Check an item only if the infection
has a relationship to current ADL status, cognitive status, mood and behavior
status, medical treatment, nursing monitoring, or risk of death. Do not record
any conditions that have been resolved and no longer affect the resident's
functional status or care plan."
I copied above from the instructions
for I2, and I don't understand why they're making such a big deal over this.
I interpret the instructions to say "if the condition affects their
functional status or care plan then it's still appropriate". Often it
takes six full weeks to recover from pneumonia. So what if they're no
longer receiving active treatment like an antibiotic, it's still affecting
them, and that's why they're still on Med A.
Somebody please straighten
me out.
Thanks, Sally
[EMAIL PROTECTED]
wrote:
Our homes participated in the
PAAR program, as branch of DAVE, and they founf the biggest error was MDSC's
were not resolving off the pneumonia after the first assessment, IE it would
be coded on the 5 day and the 14 day and even the 30 day PPS assessment.
They had each facility review for accuracy and out of 90 reviews, only one
truly had pneumonia after the 5 day assessment. We had 12 facilities in the
program.
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