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If the ARD of the OMRA also falls within the
assessment window for a regularly scheduled assessment, then the OMRA takes the
place of the scheduled MDS. There are HIPPS codes to reflect this
situation. In that case, then you would pick up with the next regularly
scheduled assessment. (Ex, OMRA replacing 30 day assessment; you would
then do the 60 day when it is due) If the ARD of the OMRA does not fall
within the window for a regular assessment, then you would still need to do the
next regular assessment, even if it's only a week later. (Example, OMRA ARD
3/1/04, which is day 48 of a Medicare stay. You would then need to do the
60 day, with ARD of day 50-59)
This is why it is important to have really good
communication with your rehab department. If someone is getting close to D/C
from therapy, and I know they will have skilled nursing needs, we try to
coordinate the d/c from therapy so that OMRA will fall in the assessment
window. Doesn't always work, but it's nice when it does.
HS
Holly F. Sox, RN, RAC-C
Clinical
Editor
----- Original Message -----
Sent: Monday, March 01, 2004 12:04
PM
Subject: OMRA question
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I know I asked this before but I never saved the information...
WHen doing an OMRA do you pick up with the last assessment done?
Ex: 5day, 14day, OMRA, 30day...
or do you do the OMRA in place of the next assessment due?
Ex 5day, 14day, OMRA, 60day
Are you able to combine and OMRA with a PPS assessment, if so how
would you code say an OMRA with a 30day??
Thanks in advance |
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Nancy Canady <[EMAIL PROTECTED]> wrote:
I am at a hospital-based SNF. The hospital
has started doing cultures for MRSA and VRE on all patients that are
admitted
from a nursing
home because we had so many patients that their facility refused to
take them back until the MRSA/VRE was cleared up. What we discovered
is that a majority of these residents brought MRSA/VRE with them, so we do
not have the problems of getting them back to the facility that we had
prior to this practice. The hospital felt it was cheaper to do the
cultures than to have then in our hospital or SNF
unit.
-----Original
Message-----
From: gayleneland
[mailto:[EMAIL PROTECTED]
Sent: Sunday, February 29,
2004 3:16 PM
To: [EMAIL PROTECTED]
Subject: Sputum MRSA
+
Long term resident of SNF (has been a
resident of this facility for greater than 20 years) is sent to
hospital with pneumonia. MRSA+ sputum is cultured out.
Patient is ready to return to SNF but now the SNF is refusing to take
him back stating he "wanders" (although he is wheelchair bound) and
presents a health risk to the other residents.
What do you see as options the hospital has
to get the resident back to his home at the
facility?
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