I was really referring to the last paragraph in Rena's reply ---- I was looking for a reference to if you find that a significant change should have been done at a point in time and was not done, but an annual was done inbetween the time of noticing the change and the actual change you don't need to do a significant change at the time of noticing the change should have been done - I know it makes logical sense, but I just wanted to know if it was written anywhere. Sorry if this is confusing. Holly McGran
> -----Original Message----- > From: Nathan [SMTP:[EMAIL PROTECTED] > Sent: Monday, March 08, 2004 12:01 PM > To: [EMAIL PROTECTED] > Subject: Re: missed significant change--survey here > > You won't find a place in the manual that specifically says you can't do a > Significant Correction in place of a Significant Change. Regs aren't written > that way. What you need to do is look at the defined situations that are > appropriate for each. On page 2-13 of the RAI Manual it states that you do a > Sig. Corr when "an uncorrected major error is discovered in a prior > comprehensive assessment". The SCSA is performed after discovery that a > change in resident condition has occured. They are both comprehensives, but > are intended for different purposes. > > If a review of documentation reveals that a significant change occured > sometime prior to the last comprehensive assessment, it might be tempting to > go back and change that comprehensive to a SCSA. You can't. Remember that > changing AA8a requires that you Inactivate the original assessment and > submit another in its place. You will make the situation worse because the > new R2b date required for the new assessment will be VERY late. > > Nathan > > ----- Original Message ----- > From: "Holly McGran" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Monday, March 08, 2004 7:35 AM > Subject: RE: missed significant change--survey here > > > Is there reference to this in the manual? > Holly McGran MSN RN > > > -----Original Message----- > > From: [EMAIL PROTECTED] [SMTP:[EMAIL PROTECTED] > > Sent: Saturday, March 06, 2004 6:34 PM > > To: [EMAIL PROTECTED] > > Subject: Re: missed significant change--survey here > > > > If the resident met the criteria for a Significant Change in Status > Assessment, it is not appropriate to complete a Significant Correction of a > Prior Full Assessment to make up for it. > > > > If a comprehensive assessment has been completed between the time the SCSA > was due and now, then it is not necessary to complete a SCSA, since the > comprehensive assessment already completed would have conducted the > necessary assessment. If a comprehensive assessment has not been completed > since prior to the time that the criteria for the SCSA were met, then it is > necessary to complete a SCSA now. > > > > Rena > > > > Rena R. Shephard, MHA, RN, FACDONA, RAC-C > > Chair, American Association of Nurse Assessment Coordinators > > [EMAIL PROTECTED] > > > > > > > > > > > > Subj: Re: missed significant change--survey here > > Date: 3/5/04 9:40:21 PM Pacific Standard Time > > From: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > > Reply-to: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > > To: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]> > > Sent from the Internet > > > > > > > > surveyor found a resident that should have had a significant change done > > several months ago. Agreed that we missed it and then stated we will > > complete one tomorrow. Anything else we need to do? > > > > > > My opinion is that "You have to do Sig. Correction on the assessment you > did previously" > > "SEVERAL MONTH AGO"? Which means that prior quaterly was assessed > incorrectly > > Please read manual for Sig. Correction Good luck! > > > > > > > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ > /---------------------------------------------------------- > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
