Having a zero pain comparison might not be a good thing.  The score is coming from 
section J of the MDS.  Facilities that do a better job assessing pain will have a 
higher score than facilities who do not recognize resident pain.  Your goal should be 
to recognize and treat pain for your residents.  Care plan the pain management for 
your resident.  Your residents will have some pain being freshly post-op and that pain 
needs to be recorded on the MDS.  A goal of zero pain would not be realistic for your 
facility's QI, in my opinion.

-----Original Message-----
From: "Holbeny, Marylynn" <[EMAIL PROTECTED]>
Sent: Mar 8, 2004 6:24 AM
To: [EMAIL PROTECTED]
Subject: 

I have been doing some comparisons in the Medicare Nursing Home web site on pain 
management.  Out nursing home scores 20% for Residents with pain.  I noticed some 
Nursing homes have 0%.  How do they get this score and how can I get our Nursing Home 
to get there.  Do these comparisons come from the information on the MDS from the pain 
section?  In our facility we would like to decrease our pain score for a quaility 
improvement project.  We get so many acute patients here on the TCU that it is going 
to be hard to get the pain score down?  I would appreciate any input.    Mary lynn



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The Case Mix Discussion Group is a free service of the
 American Association of Nurse Assessment Coordinators
      "Committed to the Assessment Professional"
Be sure to visit the AANAC website. Accurate answers to your
         questions posted to NAC News and FAQs.
    For more info visit us at http://www.aanac.org
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