Did your person have
pneumonia, orders visits, vomiting, fever, etc on quarterly. This situation has
happened to me once in a while. The resident can be acutely ill on the
quarterly, then decline and on the sig change they are more dependent, but still
stable. Case Mix is a drag at times.
ann m schoeny
crnac
sem haven nursing and
rehab
225 cleveland
ave.
milford, ohio
45150
(513) 248-1270
-----Original Message----- From: Patricia Whitcomb
[mailto:[EMAIL PROTECTED] Sent: Thursday, April 22,
2004 6:28 PM To: [EMAIL PROTECTED] Subject: RE: case mix
help.
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
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