Quote from BrendaH84
ok thanks. hey what does mdr stand for?
MDS is about that reimbursement person's position (usually a nurse and we have a specialty room for MDS here on AN)which reviews a pt's status for the level of care that they need and what we and Therapy are providing towards meeting that need. It gets submitted to the feds and then drives financial payment. And it is much more complicated and detailed than as I've described.
***** To any MDS nurses out there - do you or do you NOT count into the staffing numbers? It's been a while since I did 'the numbers'. What about infomatics?
The main difficulty that staff have with understanding staffing formulas is that it is just NOT A HEAD COUNT of staff caring for pts. Pt acuity is what drives the need for a specific amount of time to provide BASIC care. And acuities have very specific definitions,
not just some employee thinking 'heavy' or 'complete' care means more nsg staff is needed for the unit. Wounds, IVs, cast care, trachs and some others usually count as extra needed time in the formula, whereas a pt with C-diff pooping 10 times a shift doesn't count into the acuity formula.
Management is usually very careful about meeting 'the formula's numbers'. That's what's REQUIRED by the State for minimum staffing, so to be below the requirement could result in a deficiency. But they usually don't go over very much. However there ARE some facilities that do staff better and are above the minimum requirement - I've worked for both over & minimum coverage places.