Upcoming changes to 3.0

Specialties MDS

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Specializes in ED, Long-term care, MDS, doctor's office.

How does everyone think the changes regarding COT and assessment periods will effect our workload, reimbursement, scheduling, and therapy tracking? All opinions are appreciated!

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Specializes in Care Coordination, MDS, med-surg, Peds.

I think it is going to be beyond crazy!!!!!!!!!!!!!!!!!!!!!!!!!!!!! I am having nightmares already. We have 15-30 Med A's. sometimes 10-13 discharges a week. I can hardly keep up with discharges and my other assessments and NOW to add COT's EOT-R, etc., is just plain nuts!!!!!!!

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Specializes in ED, Long-term care, MDS, doctor's office.

That's what I am thinking too! Good Luck to all of us:)

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Specializes in Assessment coordinator.

Per the open door forum notes I received today, I believe that it will first of all, eliminate the consideration of grace days. Just do the 5 day on day 8, the 14 day on day 15, the 30 day on day 22 (each of these resets the 7 day period) then one on day 29, 36 (and dear god can we please send them home now? and do the dc assessment?), etc., using the day 7 "evaluation" as a scheduled assessment on a day that would normally fall.

By the way, whoever develops a spreadsheet tool for this gets my vote for queen or king of the universe.

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Specializes in Assessment coordinator.

Oh, yes, and if the Big K and others still try to get a > 40 day length of stay they will have mutiny on their hands. My administrator took one look at it and said, "Well, if they are cutting our pay by 11%, I don't see how I can get you any help." We are the largest facility in AZ, and we are privately owned, not a part of a big company.:confused:

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Specializes in Assessment coordinator.

Believe me, I hearby declare as law that no one misses three days of therapy while skilled for therapy. End of story.

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Specializes in long term care - MDS.

Our therapy mgr was trying to say that if a resident wasn't able to take therapy on a Fri., no therapy was in the building Sat or Sun or maybe just to do evals, that by Mon that would be three consecutive days without therapy??!!

We've already seen staffing cuts since Aug. 1st. Before I left the Big K, I was basically promised another MDS nurse, that never happened for those who followed me, and when someone left it was over a month before others were considered. Poor girl had a 120 bed facility with usually at least 20 mcr. What are they doing to us? Now there is talk because of staffing cuts of cutting our hours, making us take weekend call etc. Moral is low....

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Specializes in Assessment coordinator.

Yes, tell me the logic of cutting the MDS staff when we are your only lifeline to payment for Med A patients, and that represents over 30% of your income if you are average. I am hearing the same things around town. ST

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