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Thanks..One question though



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Jan 06, 2008 07:09 PM

Thanks..One question though

by jpav33

Thanks for all of your and support. I do have one question..When they talk about having to do the 5 day, 14 day, 30 day and so on , does that mean you are filling out a new & complete MDS for each time. When they talk about doing one of these Medicare required assessments I am understanding (at least I think) that this is what you have to do sine in reality there really is no page that just is a 5 day or just Medicare assessment. Any and all help & advice is appreciated..Thanks a head of Time!

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8 Comments
No. 1
from Nascar nurse
Old Jan 06, 2008, 09:43 PM

Default Re: Thanks..One question though
Originally Posted by jpav33 View Post
When they talk about having to do the 5 day, 14 day, 30 day and so on , does that mean you are filling out a new & complete MDS for each time.

Yep, unfortunately that is what it means! Of course you're not doing RAPS as well as that is just for OBRA required assessments.

It is certainly a lesson in repetition.
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No. 2
from cadburypam
Old Jan 07, 2008, 06:53 AM

Default Re: Thanks..One question though
Unfortunately that is the nature of the monsterIf you do a comprehensive assessment with your 5 day you can use an MPAF form with the remainder of the assessments, that way you aren't doing a full assessment each time, just the info needed to calculate the ADL score, therapy minutes to get the RUGs level
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No. 3
from Rexie68
Old Jan 08, 2008, 05:38 PM

Default Re: Thanks..One question though
Originally Posted by cadburypam View Post
Unfortunately that is the nature of the monsterIf you do a comprehensive assessment with your 5 day you can use an MPAF form with the remainder of the assessments, that way you aren't doing a full assessment each time, just the info needed to calculate the ADL score, therapy minutes to get the RUGs level

I'm from PA and have been doing MDS' for almost 4 years. I've never heard of a MPAF..what is it? We do full assessments for the 5, 14, 30, 60, 90 and OMRA assessments. As NASCAR nurse said, you don't have to do the RAPs with those, but everything else needs done. It's time consuming but a lot of the time my patients RUG levels change and the care they need becomes less or more, so it makes sense. Good luck!
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No. 4
from Talino
Old Jan 09, 2008, 01:48 PM

Default Re: Thanks..One question though
The MPAF is the short version of the MDS, similar to the Quarterly, used solely as an option for PPS assm'ts. See RAI p2-32.

Use of the Full version for PPS may be a state requirement. However, only the items contained in the MPAF are actually stored in the state database. All other entries in the Full are ignored.
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No. 5
from sls0703
Old Jan 10, 2008, 06:51 AM

Default Re: Thanks..One question though
I just wanted to let you know that I work in PA and use the MPAF for all my medicare mds' except for the admission and any significant changes. Good luck...it does make things a little more bearable!
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No. 6
from cadburypam
Old Jan 10, 2008, 07:43 AM

Default Re: Thanks..One question though
I found when the MPAF came out I had a hard time using it because it seemed like I was "cheating" on the information I was giving, but now I wouldn"t trade it for anything, I hope they don"t do away with it with the 3.0...
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No. 7
from Rexie68
Old Jan 10, 2008, 05:29 PM

Default Re: Thanks..One question though
I'll have to ask my boss (I'm the LPNAC) if we can look into the MPAF. Since I do all the assessments-Medicare and the routine ones(and she signs off) I'd be thrilled to make it a little less time-consuming! Thanks to all!!
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No. 8
from cotjockey
Old Jan 15, 2008, 07:31 AM

Default Re: Thanks..One question though
We don't do an MPAF on anyone. Our corporate people think it is better to do the full MDS and avoid any problems. Apparently when the MPAF came out, some facilities were doing it when they shouldn't.
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