It is not required to a significant change unless the resident condition meets the definition. However, we generally do one because during survey a few years back they focused on documented evidence of team effort by facility and hospice staff in developing the plan of care and care delivery. We have found it takes all of the guess work out of "proving" it. We didn't get cited that time but felt we were "forewarned" of expectations etc.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of [EMAIL PROTECTED] Sent: Monday, March 29, 2004 9:15 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 -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
