RE: COMBINING 5 DAY AND ADMISSION MDS

[Davina Demerritt]

Title: AOL Email

I always do the admission with the 5d for that exact reason.  We average 30+ medicare.  As to the significant change.  I usually do not do them at all as once therapy is done, they discharge or go to long term and for a significant change to be required you must have two areas affected for over two weeks (basically they have to stabilize before it is required).  If they do stay with us long-term, then the LPN reviews them in two weeks to see if a significant change is then required.   Davina DeMerritt, RN -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]On Behalf Of [EMAIL PROTECTED] Sent: Monday, February 23, 2004 5:44 AM To: [EMAIL PROTECTED] Subject: Re: COMBINING 5 DAY AND ADMISSION MDS I know of at least two facilities (LTC companies) in NC that do the OBRA admission with the 5 day PPS as a matter of policy.  They says it allows them the option of grace days if the resident needs them with the 14 day PPS.  The OBRA admission doesn't allow for grace days as the PPS system does.  However, it can result in the need for a significant change at day 14 if the resident improves significantly between the PPS days.   In a message dated 2/23/2004 3:00:58 AM Eastern Standard Time, [EMAIL PROTECTED] writes: I guess I am having a difficult time understanding why you would code the 5 day and admission together except in rare circumstances.  My clients did this when the software would not allow an Admission assessment if we did a 5 day, sent the Res. to the Hospital and then tried to do the admission when they returned.     Susann Irwin, RN MDS Coordinator North Carolina