RE: case mix help.

[Patricia Whitcomb]

Title: Message

Help, its almost 4 in the afternoon, and my mind has clocked out for the day.  This am my administrator brought in our case mix, it had dropped down considerably.  Some of it is easy to explain, like deaths, and improvement in condition.  But upon looking over an mds recently submitted, and the one used for case mix last time, I noted something and I hope someone can help my poor overworked, underpaid, and very little sleep brain. The last mds was a significant change, decline.  Previous was a quarterly.  My question is this why did the score drop from the last mds to this one.  Here are the numbers: mds on 11/05/2003-5  CB2  INDEX 1.1500: mds 01/28/2004-3 PD1 INDEX 0.8900.  I realize this maybe simple, but my brain has died, and I am feeling pressure right now from the powers that be to have to explain the changes with the index.  Thank you in advance.  Any suggestions, explanations, or statements of duhh will be greatly appreciated. Thanks again, Shellie    I'm not sure what state you are in or how your case mix is done, but it sounds similar to Minnesota.  If  you look @ the clinically complex area, she must have had something that placed her in that area, like physician visits & orders, oxygen, etc. but did not have on the significant change MDS.  Hope this explanation helps but without knowing your case mix & seeing your MDS's I wouldn't be able to determine for sure. Pat Whitcomb, RN MDS Coordinator Madonna Towers 507-288-3911, Ext. 3050 This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients named above. If you are not the intended recipient, you are hereby notified that you have received this communication in error and that any review, disclosure, dissemination, distribution or copying of it or its contents is prohibited. As required by HIPAA you need to hold this information as privileged and confidential. If you have received this communication in error, please destroy all copies of this communication and any attachments.