correction sent for major error - ? RAPs

this is really the first time we have had to correct such a big error on a full mds.

if by "big error" you and the idcp considers this a "major error", not only will you be doing a correction (modification), you will also need to complete a significant correction of a prior full assessment.

the provider instructions for making automated corrections using the mds p1-17 defines "major error" as...

if an obra assessment has misrepresented the resident's overall clinical status or the care plan derived from that assessment does not suit the resident's needs, then a major error has occurred.

rai manual p5-8...

when a major error is discovered in an assessment after the assessment has been accepted into the state mds database, the facility must complete the following actions to correct the assessment:

1.correct the original assessment,

2.complete a correction request form to modify the assessment,

3.submit the correction record, and

4.perform a significant correction of a prior assessment or significant change in status assessment and update the care plan as necessary

since the restraint rap had already been addressed, the error may not be considered "major." likely, the care plan/s also identified the existence of the restraint, and, modifying the overall plan of care is extraneous.

hence, the submitted correction request (modification) suffices. in the original rap summary sheet, enter an addendum to the relevant triggers with today's date (not backdated).