Re: Copying old chart to bring forward

[RRS2000]

15 months of MDSs must be maintained in the active chart (they can be maintained in a centralized location accessible to all professional staff members, etc.), however the MDSs specific to each chart must also be maintained in those records.  In other words, just as each medical record that represents a separate admission must contain all legal documents pertaining to that time period, each record also must contain the MDS records that pertain to that time period.  Therefore, If a resident is discharged and readmitted, the MDS from the prior admission must be copied and placed in the new record rather than removing the MDS from the prior record and placing it in the new medical record.

Rena

Rena R. Shephard, MHA, RN, FACDONA, RAC-C
Chair, American Association of Nurse Assessment Coordinators
[EMAIL PROTECTED]

Subj: RE: Copying old chart to bring forward
Date: 3/6/04 3:04:20 PM Pacific Standard Time
From: [EMAIL PROTECTED]
Reply-to: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Sent from the Internet



the 15 months of mds does not need to be copied that just generates more
paper work, we have our mds in a notebook that's easily accessible on the
unit and not in the chart, when the resident is discharged then that goes to
medical records, its in the RAI book, also the RNAC position is not well
understood by most coordinators and not at all be the director of nursing
and that is causing many errors and headaches, this position should be a
department head and the nurse assessor allowed to run it, I spent many years
training myself for this position and will not work under anyone who does
not understand it

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
[EMAIL PROTECTED]
Sent: Thursday, March 04, 2004 6:29 AM
To: [EMAIL PROTECTED]
Subject: RE: Copying old chart to bring forward


Any medical records people out there that could comment on 15 months MDS
and RAPS...my med records person insists I copy MDSs and not take the
original from the closed chart .....probably wishful thinking but I
really am hoping she is wrong.   Thanks

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of
Sally Murphy
Sent: Wednesday, March 03, 2004 9:24 PM
To: cmdg
Subject: Copying old chart to bring forward

Does anyone have a reference to cite for what needs to be in a new chart

when the old one was closed out because the resident wasn't expected to
return from the hospital but did after all?  I know of the MDS and RAPs
within 15 months.  What else?
Thanks,
Sally