MDS care plan meetings

Talino · Jul 5, 2012

Care conference among the IDCP team or w/ resident or family?

jenrain · Jul 5, 2012

Hoping someone can tell me if there is a requirement as to when a care conference has to be scheduled. I understand when the care plans need to be complete. Do you have to have your care conference by 14 days after ARD or just have the care plans done and have the care conference the next week?

I am asking about the conference with family.

jenrain · Jul 5, 2012

the conference with family/resident

Talino · Jul 5, 2012

there is no specified timeframe.

the mechanics of how the interdisciplinary team meets its responsibilities in developing an interdisciplinary care plan (e.g., a face-to-face meeting, teleconference, written communication) is at the discretion of the facility.

the facility has a responsibility to assist residents to participate, e.g., helping residents, and families, legal surrogates or representatives understand the assessment and care planning process; when feasible, holding care planning meetings at the time of day when a resident is functioning best; planning enough time for information exchange and decision making; encouraging a resident's advocate to attend (e.g. family member, friend) if desired by a resident.
the facility should encourage residents, legal surrogates and representatives to participate in care planning, including attending care planning conferences if they so desire.

time spent interviewing a resident or a family member during an initial evaluation by individual disciplines regarding his/her strengths and weaknesses either by phone, during an occasional visit, or via email prior to developing the care plan satisfy that responsibilty. a formal meeting w/ the idcp is optional.

the surveyor would be looking into...

probes 483.20(k)(2):
2. in what ways do staff involve residents and families, surrogates, and/or representatives in care planning?
3. do staff make an effort to schedule care plan meetings at the best time of the day for residents and their families?

jenrain · Jul 6, 2012

That is exactly what I was looking for. Thank you so much!!

DavidKarl · Mar 21, 2013

There is no 'care plan meeting' requirement. The requirement is that the patient/and or family must be able to 'be involved in the care plan process'. No meeting, again, is required. Why does everyone go through this ordeal, that, even most family members despise? I don't have the answer.