case load

Bella'sMyBaby · Jun 16, 2010

Our facility census is running approximately 110 currently.

We have appx 15 Medicare.

Additionally, we have Managed Care that must be treated like Medicare for Billing.

Managed Care is a pain since the Insurance Companies expect frequent updates on their Residents--Very Time-Consuming........

1lanarn · Jun 16, 2010

Thanks for your reply, I guess what I really want to know is, how many MDS nurses do you have to manage this?

pielęgniarka, RN · Jun 16, 2010

The facility I work at has 1 MDS nurse for our 60-70 residents.

Bella'sMyBaby · Jun 17, 2010

Our facility census is running approximately 110 currently.
We have appx 15 Medicare.
Additionally, we have Managed Care that must be treated like Medicare for Billing.
Managed Care is a pain since the Insurance Companies expect frequent updates on their Residents--Very Time-Consuming........

There are 2 of us MDS Coordinators for now.......

But with MDS 3.0, we think they will have to add MDS Coordinators...... :cool:

rukiddingme · Jun 18, 2010

2 at my facility. We usually try to share the caseload. Usually around 45 each, which includes 6 or 7 medicare.

sls73 · Jun 18, 2010

We have one MDS Coordinator for a census of 59. We also have 5 other staff(two of which are nurses-restorative and a treatment nurse) that complete their own sections. The MDS Coordinator is responsible for completing sections AA8, A3, I, J, L, O, P, Q, R, S, W and overseeing the completion of the rest by the other disciplines. We have on average 8-13 Medicare, but our overall acuity is not high. We don’t have any trachs, vents, or major open areas/wounds. We have 2 tube feedings. We do take managed care but it is not a frequent occurrence. We use an electronic documentation system for ADL coding/Mood and behavior which helps.

1lanarn · Jun 18, 2010

Thanks so much for the info!!

glm777, BSN, RN · Jun 18, 2010

In my 176 bed facility, one other nurse and I are responsible for all of the MDSes - OBRA and PPS. We normally run about 20-25 medicare residents and average about 10 - 15 admssions per month. We each are employed full time but I often have to work a extra hours extra to get everything completed. I also do most of the new admission care plans. We also do our own data entry.

I'm NOT looking forward to the new 3.0!

1lanarn · Jun 18, 2010

Oh my God!!! Sounds like overload, you must both work many extra hours a week. Do you also do the Triggers and Raps? We do at my facility and I also do the new admission care plans for my case load. Have you had 3.0 training yet?

glm777, BSN, RN · Jun 19, 2010

I do all the RAPs and do the care plans for all new admissions. We just had our 3.0 training and supposedly we are getting some extra hours in the MDS dept - not sure yet how many but we are hoping for at least another 32 hours. Plus - we are going to become a TCU within the next few months so the turnover of patients is going to increase. And of course - the average length of stay target is 30 days, so each o0f those residents will require a full MDS! It never ends!

katoline · Jul 30, 2010

Thanks for the question and the responses. I currently work for a large company with 120 beds, usually 110 filled and averaging 20 mcr. I have one fulltime mds nurse partner. I do mcr, she does the obra. we average 25 admissions a month. i do the 5 day assessments with input from other members of the team, but do most of the raps. i usually do the 14, 30, 60 and 90 day assessments myself. that in itself is difficult, and have been running 8-10 hrs overtime in a two week payperiod. now no overtime, and dining room duties adding up to 20% of our worktime have been added. that means 1 hr a day, five days a week, two days a month from 5-7pm for supper and 1 day (8hrs) every seven weekends to do Manger on Duty with a list of things beside the dining room in that time. concerns, complaints are not appreciated. i sometimes feel my job is threatened. at least i don't take on call. month end close is disasterous. and so it goes.