I know where Fertile is located. My paternal grandmother grew up on a farm near Union Lake, about 9 miles from Fertile. Her sister lived in Fertile and we would visit them several times a year. I'm originally from Moorhead. Sorry if I'm boring anyone. We also get the emergency admissions from home. We are a church home, so we have several members who called and need their loved one admitted. Usually they end up being long term residents.
Susan > -----Original Message----- > From: Jeana Lundeen [SMTP:[EMAIL PROTECTED] > Sent: Thursday, April 29, 2004 12:56 PM > To: [EMAIL PROTECTED] > Subject: Re: default rate > > I am way up north in Fertile (near Grand Forks, ND)... Our nearest > hospital > is 21 miles away. We frequently get emergency admissions - people who come > from home, whose families are too far away to drop everything to stay with > mom or dad, whose home health nurse just doesn't think they should stay > another day alone. No medicare qualifiers, not real dependent on staff for > ADLs, maybe more confusion than anything R/T a UTI. This resolves quickly > and the person goes home in 10-12 days (just one scenario). > > Jeana > > ----- Original Message ----- > From: "Woodstrom, Susan" <[EMAIL PROTECTED]> > To: <[EMAIL PROTECTED]> > Sent: Thursday, April 29, 2004 9:43 AM > Subject: RE: default rate > > > > Jeana, > > Where in Mn. are you? I'm in Minneapolis at the Mount Olivet Careview > Home. > > We have elected to do all assessments for case mix. We tend to get most > of > > our residents from the hospital, which gives us a higher rate of > > reimbursement. > > Susan Woodstrom > > > > > -----Original Message----- > > > From: Jeana Lundeen [SMTP:[EMAIL PROTECTED] > > > Sent: Thursday, April 29, 2004 9:54 AM > > > To: [EMAIL PROTECTED] > > > Subject: Re: default rate > > > > > > Actually, in Minnesota, we have what is called a "penalty" rate. This > is > > > the > > > lowest possible rate you can and will receive if you complete/transmit > > > late > > > or inappropriately. The default rate (or equivalent of 1.0 as the > index) > > > is > > > reserved for discharges less than 14 days where we have opted not to > > > complete the comprehensive assessment. We have so few medicare people > > > (5-6/week on the avaerage), and most that will go home are hip > fractures, > > > etc that usually always stay longer than 14 days. Also taken into > > > consideration was the fact that the default rate lands right about in > the > > > middle and if someone is well enough to go home in less than 14 days, > they > > > frequently would RUG out lower than this if we did complete the > > > assessment. > > > Our administrator and DON decided it was not worth the time and effort > to > > > try to complete these when the circumstance only came up maybe once > every > > > 3-4 months. I guess I'm mixing case mix with medicare. The penalty > rate > > > only > > > applies to case mix, as well as default rate for discharges less than > 14 > > > days. Therefore, this only applies to resident's who do not qualify > for > > > medicare. You see how it was to our advantage to opt for the default > rate > > > instead? I know not all states have this as part of their case mix > > > program, > > > so I'm probably confusing some people. How many states do this? > > > Jeana in MN > > > > > > ----- Original Message ----- > > > From: "Vogt, Kathy" <[EMAIL PROTECTED]> > > > To: <[EMAIL PROTECTED]> > > > Sent: Wednesday, April 28, 2004 1:38 PM > > > Subject: default rate > > > > > > > > > When are you stuck with the default rate? If the ARD is set out of > the > > > window and if transmitted after 31 days? > > > > > > > > > Thanks, > > > > > > Kathy > > > > > > NOTE: This e-mail message may contain information that is privileged, > > > confidential, > > > and exempt from disclosure. It is intended for use only by the person > to > > > whom it is > > > addressed. If you have received this message in error, please do not > > > forward > > > or use > > > this information in any way. Delete it immediately and contact the > sender > > > as > > > soon > > > as possible by the reply option or by telephone at the telephone > number > > > listed (if > > > available). In the event you cannot fulfill your obligation or there > has > > > been any > > > improper release of this information, please contact the Privacy > Officer > > > at > > > Carondelet > > > Health at (816) 943-4611. > > > > > > > > > > > > > > > /---------------------------------------------------------- > > > 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 > > > -----------------------------------------------------------/ > > /---------------------------------------------------------- > > 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 > -----------------------------------------------------------/ /---------------------------------------------------------- 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 -----------------------------------------------------------/
