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Where did you learn this and in what context?
Rubber stamping has a number of uses. In some situations the States may have
regs governing their use, but they don't write the CMS/MDS
policies.
Nathan
----- Original Message -----
Sent: Friday, February 20, 2004 1:53
PM
Subject: Re: Second try - Surveyors here!
Who needs to sign the MDS?
I learned 2 wks ago that rubber signature stamps are NOT allowed in
IL.
In
my opinion you may have a problem. While rubber stamps are allowed,
the
intent was that everyone completing part of the MDS would apply their
rubber
stamp to the paper form. CMS still has no official policy
regarding the type
of electroinic signing of the MDS that you are talking
about. In talking to
various people at CMS they verbally state that a
secure system, such as you
apparently have, should be ok, but there is
nothing in writing to that
effect. The MDS is still a paper system and
relies on putting ink to the
paper for a signature. If there is an appeal
process, you may be able to
argue the case. All the software vendors will
be very interested in the
outcome as we have been rying to decide where
to go with this issue..
Good
luck.
Nathan
----- Original Message -----
From: "Doyle, Renee" <[EMAIL PROTECTED]>
To:
<[EMAIL PROTECTED]>
Sent: Friday, February 20, 2004 11:18 AM
Subject:
Second try - Surveyors here! Who needs to sign the MDS?
> Sent
this yesterday and got only one response. Surveyors are here
-
please
> respond if possible. Thanks!
>
> Currently
in the middle of a Public Health survey (Illinois), and they
> aren't
happy that I (RNAC) am the only one signing the MDS. We have an
>
electronic audit trail that shows each entry made to the
>
MDS/Date/Time/Name/Credentials and have a policy in place to support
the
> electronic signature. I told them that although other people
enter
> information in the computerized form, I am the one
to
review/edit/complete
> the form. They were not happy with this
explanation. Page 3-212 of the
MDS
> manual says under
Clarifications: The use of signature stamps is allowed
> (with
policies in place). This was brought up on a past inspection, at
>
which time no one was physically signing (before my time), and they
said
> that an RN must sign in all places. Since I have been here (3
yrs) I have
> been signing in every place needing a signature. They
had been fine with
> that until today. Now, they want everybody to
sign. I think I have read
in
> the past on this listserve that
other SNF's also have only the RNAC sign
> without a problem. Do I
have a case or am I out of compliance with the
> policy? Please
respond ASAP as they are due back in the a.m. with the
exit
>
interview at 2 pm. By the way, they also thought the 5 day MDS had to
be
> done by day 5! They also couldn't understand why I wasn't doing a
5-day
> Medicare on my Insurance patients. They told me you can't just
pick any
day
> you want for the reference day. I had to copy
several pages of the manual
> to show them because they didn't believe
me! Then I made the mistake of
> giving them the manual to look at
when they asked me for a copy. I think
> they were embarrassed to be
so uninformed. So, they are probably looking
> for anything they can
think of...
>
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