MDS 3.0 Discharges

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Specializes in HH,LTC.

It seems you can plan all you want, but you will never be prepared enough. How are you all doing your discharges? It's crazy!! I had "3" residents sent to Hospital and Admitted over the weekend. So how do I assign everyone their sections?? How do they assess?? They were admitted friday nite and saturday nite. I can see us doing the whole 'planned' discharge. Can anyone help, please?!?

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Specializes in MDS/ UR.

I have done 5 in the last 2 working days. I have completed all the sections at this time as the others would have a heart attack. They were all unexpected discharges to home or hospital so I had to punt.

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Specializes in ER CCU MICU SICU LTC/SNF.
It seems you can plan all you want, but you will never be prepared enough. How are you all doing your discharges? It's crazy!! I had "3" residents sent to Hospital and Admitted over the weekend. So how do I assign everyone their sections?? How do they assess?? They were admitted friday nite and saturday nite. I can see us doing the whole 'planned' discharge. Can anyone help, please?!?

This is what the RAI p2-34 says...

For unplanned discharges, the facility should complete the discharge assessment to the best of its abilities. The use of the dash, "-", is appropriate when the staff are unable to determine the response to an item, including the interview items.

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Specializes in MDS/ UR.

I thnk the discharge assessment should only be done when going to community. This acute care thing is just dumb IMHO.

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Specializes in Hem/Onc, LTC, AL, Homecare, Mgmt, Psych.

I'm confused by this-- When the residents discharge (planned or acute) do you do ALL the typical assessments (and now interviews) or just the MDS sections? From what I understand we need to treat a discharge just like a quarterly MDS and do observations and the MDS sections? We've done 4 discharges this week and the assessments on top of the MDS sections are INSANE...

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Specializes in medsurg, everything in LTC.

let me whine please, 8 discharges since friday AND can't do them because of software issues.......lots of software issues.....:(

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Specializes in LTC, Hospice, Case Management.
let me whine please, 8 discharges since friday AND can't do them because of software issues.......lots of software issues.....:(

:banghead: :hug:

We are having the problems too. Got a 3 page memo from corporate today. Page 1 informed up we could now transmit. Page 2 explained how to do it. Page 3 said "Do not transmit". Really??? Come on - how much frustration can one person take. (Oh did I mention we are also in middle of annual state survey during all of this)

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Specializes in long term care - MDS.
:banghead: :hug:

We are having the problems too. Got a 3 page memo from corporate today. Page 1 informed up we could now transmit. Page 2 explained how to do it. Page 3 said "Do not transmit". Really??? Come on - how much frustration can one person take. (Oh did I mention we are also in middle of annual state survey during all of this)

oh you poor thing! you have my sympathy. i guess we all need to step back, remember what is really important in our lives, not wreck our health and let the chips fall as they may.

reading everyone else's situations let's me know i'm not alone. today, my partner and i actually laughed about the whole thing. only the government could come up with such a plan as this. a video on aanac website actually said it should only take 17 minutes to complete an assessment. lol. each of us completed one resident today. at that rate with 28 estimates at close, it will take us at least 14 days longer to do those, not including the others due. with the double assesments for reimbursement during this time, the hosp discharges, reentries and new addmission assessments, we're eating up the poor trees. i am learning to omit section x which is just a correction anyway. why it's not it's own seperate assessment, i don't know. i'm also getting a little better with reentries and usually a hospital discharge follows a recent assessment and most of what was entered is appropriate and carries over. if we can ever catch up after this month, we may even get the hang of it. thanks everyone for sharing. it helps a lot!

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Specializes in MDS/ UR.

I would not kill yourself over these discharge assessments if they are unexpected. The ones I had each took approximately 1.5 hours thus far. I hate the graphics on my software and it flows poorly.

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Specializes in gerontology.

our software (Accu-care) is soooooooo slow. Moving from screen to screen, opening and even getting out of the program takes forever, there is little we can do about it, and it loses information. I've done CAA's 2-3 times on the same people. I'd almost rather do them on paper as the software is really jacked. And, it came so late to install by the 1st that we've had no training whatsoever on the software. They are sending update "fixes to the software. Look, we all know even after the years of talking about 3.0, that CMS was not , is not, ready for 3.0. It makes us look like fools to even try getting things done in time. I get no overtime but go back to work after supper some nights. They have managed to pull us away from the very residents they say they want "voice" from. REally, you need information/statistics on residents we are sending out? Come on, CMS. CAtch-22. I really hate going to work now, and used to love it.Just 2 more years for me if I can last.

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Specializes in LTC, Psych, Med/Surg.
I really hate going to work now, and used to love it.Just 2 more years for me if I can last.

I am curious, golflinda2214, what happens for you after 2 years?

Catmom :paw:

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Specializes in gerontology.

Retirement , with a nice pension!

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