Is there some reason the therapy company can't plan and do therapy minutes according to your planned ARD? They could possibly do a few more minutes each day, do 7 days versus 5, do more than 1 time per day, etc. There are many needs, issues, sections of MDS, functional use of the skills therapy increases, etc. besides therapy that goes on for each resident. It is so great with the whole team working together for the resident to increase their ADL function long term yet deal with all the care issues, etc. ----- Original Message ----- From: Pat Whitcomb Sent: Tuesday, April 27, 2004 8:01 AM To: [EMAIL PROTECTED] Subject: RE: moving PPS ARDs e have a new therapy company. On their first day they asked me to
unlock a PPS MDS and change the ARD because they thought they could
capture a higher RUG score. I refused. Now they are asking me to
change the ARDs soon after I post the schedule. This does not usually
involve RV-RU groups-often RM and RH. I think this may be legal as they
are asking me to change the dates prior to the ARDs but I'm not sure
this is ethical. I definitely don't think it is standard practice. Can
anyone validate this?
Judy
The ARD does not have to be kept the same once it is set. The reason we
have 8 days to pick from is so we can capture which day works the best
to pick the best rug. However, if it's a 5day assessment, I would not
use grace days if they are only able to get RM or RH, but for the other
assessments it is perfectly ethical to change the ARD to capture that
rug level. The patient may have been ill or uncooperative one or more
days & if you don't change the day, you probably won't be able to
capture the rehab rug.
When a resident is admitted, I set the ARD's out through their 100 days.
However, those are only projected dates & we frequently change them in
order to capture the best rug level.
Pat Whitcomb, RN
MDS Coordinator
Madonna Towers
507-288-3911, Ext. 3050
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