RE: ADMINISTRATION DELETION OF ASSESSMENTS!!

[Helen Kim]

I don't think 5 days mds is necessary because it is for pps which is for 
payment. resident admitted and discharged to hospitap at the same day and 
your facility can't send bill anyways. why 5days mds is needed? And it is 
not for resident's quality of care neither because resident is not there 
anymore. But discharge tracking is needed to be completed.
     Helen kim  MDS coordinator.


From: [EMAIL PROTECTED]
Reply-To: [EMAIL PROTECTED]
To: [EMAIL PROTECTED]
Subject: ADMINISTRATION DELETION OF ASSESSMENTS!!
Date: Fri, 26 Mar 2004 16:07:44 -0500
In a message dated 3/26/2004 8:14:15 AM Eastern Standard Time, "mdsc" 
<[EMAIL PROTECTED]> writes:

>You did everything the same way I would have done
> ?---- Original Message -----
> �From: Eileen Hall
> �To: [EMAIL PROTECTED]
> �Sent: Friday, March 26, 2004 12:39 AM
> �Subject: PPS Question
>
>
> �A resident of our facility was hospitalized with R/O MI. She returned 
to the facility after a 3 day qualifying stay as Medicare. Nursing 
assessment was completed at 5pm and orders were verified and sent to the 
pharmacy. To make a long story short she fell 3 hours later and hit her 
head. She was readmitted to the hospital with traumatic head injury. I 
proceeded as follows: re-entry assessment, 5 day PPS (as she met the 
presumption of care falling into the upper 26 RUG's) a discharge return 
anticipated, all reflecting the same date of event (ARD). My Administrator 
did not want these assessments done stating it would "mess up" the Medicaid 
bedhold. I contacted the corporate office and was told that these 
assessments needed to be done. I proceeded as instructed by the corporate 
office. Today these assessments were deleted from the database (by 
Administration)

Am I the only one who sees something unethical about Administraion 
"deleting" these assessments?
This is WORK that someone took the time to do!!
I'd be out the door.



and it now looks like she still has not returned from the original 
hospitalization. Was I right in doing these assessments? Regardless of pay 
status, aren't the re-entry and discharge federal requirements at least?
>
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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
-----------------------------------------------------------/