The RAI manual states on page 2-11, "Because a Medicare-certified hospice must also
conduct an assessment at the intiiation of its services, this is an appropriate time
for the nursing facility to evaluate the MDS information to determine if it reflects
the current condition of the resident." Since the initiation of hospice usually means
a change in care plan--no longer working toward resolution of the end-stage problem
and now only palliative care will be provided, a SCSA is usually needed. There may be
times when the resident was already on palliative care and has had no functional
declines when a SCSA is not required. But in many cases, the initiation of hospice is
a good time to do a SCSA and get the care plan in order. Then unless an unexpected
disease course, no more SCSA would be required for that resident.
-----Original Message-----
From: [EMAIL PROTECTED]
Sent: Mar 29, 2004 6:14 AM
To: [EMAIL PROTECTED]
Subject: hospice and significant change
We are in negotiation with a hospice group. The hospice administrator wants to meet
with our MDS coordinators, to talk about how the MDS coordinators can identify hospice
criteria.
The Hospice administrator also said something about the need to do a significant
change assessment when the resident elects hospice. I know that if there is a
deterioration in condition that is the reason for the decision to elect hospice a
significant change assessment should be done, but if there is no change in physical
condition, should we be doing a significant change assessment when the resident elects
hospice?
/----------------------------------------------------------
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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/----------------------------------------------------------
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
-----------------------------------------------------------/
