Sally
[EMAIL PROTECTED] wrote:
Our facility has scheduled dc meeting planned once rehab eval is done.We meet 3x a week for med a and managed care patients.We go over the rehab plan and get a meeting planned 1 week before discharge.These meeting sometime make rehab reconsider their plan and sometimes extend, other times the date of dc rehab stands.Most of our patients need their families involved in the dc plan,sometimes we only involve the patient.On occasion we keep them 1 or 2 days after rehab stops for varying reasons.Perhaps they live with families or family involvement helps facilitate a safe discharge.I am finding that the residents we are discharging are often in their late 80s' or 90s',familities are also elderly with sick spouses so their ability to help the resident I feel impacts a safe discharge.Most of these patients that I speak of, have medical issues that we could keep them for, but the snf is not the most practical place to be.My facility is in the northeast and am seeing patients be readmitted to us multiple times the past few months.I wouldd s ay almost 75% of them are in acute care ONLY 3 overnights,just enough to get them a snf stay.One particular patient has been here repeatedly.She has a daughter to helps her out and everytime the daughter goes on vacation,she comes to us after acute care stay.This week she comes again.I jokingly asked the Dr if daughter on vacation,no this time she's had a hip replacement.When I mentioned to Dr about the qualifying acute care stay always only 3 overnights.He told me without any reservation that this is being done all the time.I am tempted to write to CMS .Are others seeing this happening around the country.Then I wonder if acute care discharges them after 3 days so they can benefit from DRGS.I am glad that I am at the end of my career because I fear there is alot of fraud in the system and I think how honest we as MDS/PPS coordinators are in interpreting the med A guidelines.
/---------------------------------------------------------- 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 -----------------------------------------------------------/
