Re: re:Surveyors - documenting on error

[dfrias]

I apparently do not have the entire thread....but this would be what I would do. IF the last assessment did not accurately reflect the current level of functioning to the extent of 2 or more areas of improvement or decline...regardless if it was greater than 2 weeks ago....then....I personally would do a Significant Change.   IF the previous assessment was coding errors....I would double check to ensure there was no significant change taking place ...if all was well then I would modify the assessment.   When doing a modification for error in coding....I always documented by; explaining the error then would add the following note: documented error (or whatever the problem was for reason of modification) on previous assessment found on (date) this IDT re-assessed and found no change of condition.  This facilities IDT shall continue with the plan of care as stated in this residents chart and will proceed with the next assessment as scheduled or when a significant change does indeed take place.   Just my thoughts...Good Luck Debbie (The Nose) ----- Original Message ----- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Sent: Tuesday, March 02, 2004 4:57 AM Subject: re:Surveyors SInce everyone is saying not to do sig changes due to coding error am I write to assume that if you document such as the changes were due to coding errors etc that will support you for not doing a significiant change?  Sometimes the surveyors look at 1 MDS and compare and want to know why it was not done? Lisa     In a message dated 3/2/2004 12:35:58 AM Mountain Standard Time, [EMAIL PROTECTED] writes: In a message dated 2/27/04 6:33:46 AM Eastern Standard Time, [EMAIL PROTECTED] writes: ANy words of wisdom to clear all this mess up would be appreciated.  Obviously due to coding errors I probably will be doing a lot of sig changes.  Upon looking at the history of the MDS it appears this nurse did modifications on almost every assessment she did.  Crazy! Lisa Been there, done that.  You can't go back.  Start with the current schedule and go forward and everything will end up corrected as each person is done for their next quarterly, annual, ect.  You don't have to do sig changes just because the last MDS was wrong.  And most will be beyond modifications (time wise) anyway.  Get the team together and work on it together.  90 days from now, it will be a whole new ballgame.  Rough situation and you have my utmost empathy.  It is hell to fix a seriously flawed "system".  Best of luck.   Sherri