disney158

disney158 specializes in Hosp, SNF.

Latest Activity

1. Raising CMI

   disney158 replied to luvwine's topic in MDS

   I used to work in Pittsfield MA, so I also suffered thru thse audits, not a very fun job we have, so many people to please....so many people to teach to do the right thing....uggh...I just came to work depresseed already !

2. Raising CMI

   disney158 replied to luvwine's topic in MDS

   I'm glad I stumbled into this thread, in Jan. 2009 NY went to case mix for reimbursement based on MDS and I can't tell you how angry I am and annoyed, at one organization I work at. What a miracle that 75% of the Medicaid patients in this facility ...

3. Pushing The Limit For $

   disney158 replied to disney158's topic in MDS

   You are so right and this whole thing is heart breaking. Now into the second attempt at the case mix upload for NYS reimbursement, I find that my MDS role seems to no longer be to get the best patient outcome but to get the best fiscial outcome. ...

4. Pushing The Limit For $

   disney158 replied to disney158's topic in MDS

   I am all in agreement with the extra $ spent for the staff to do the work, but since we are salaried, we are expected just to get the job done, so , the facility believes they will win more $ in the long run pushing the slave/salaried mds workers g...

5. Pushing The Limit For $

   disney158 replied to disney158's topic in MDS

   Yes, I have also joined that "crowd" the facility is so going for the big $" that I am doing extra Quartely's on every applicable state resident to up the score for Case Mix, ... and to top it off isn't it a miracle that these peopla are all of ...

6. Pushing The Limit For $

   disney158 replied to disney158's topic in MDS

   That is my take on the subjecct, and thank god ,

7. Pushing The Limit For $

   disney158 replied to disney158's topic in MDS

   I really feel comfortable that when I sign on R2B I sign that the MDs is complete, not that it is correect, I will not sign for the sections that I feel are inerror, as I said, I am siging R2B, and the way I read it , that is only indicating the M...

8. Still not sure on ending PPS with no rehab?

   disney158 replied to jpav33's topic in MDS

   "they are recieving PT and OT, and they are only cut form OT, you must give a cut letter for the OT when it is cut. This is a new rule, and there is a special form for this." VeryBerryRn, can you site where this came from, and the special form I ...

9. I got a $40,00 grant and not getting acknowledged for it !!

   disney158 replied to disney158's topic in Career Support

   Update : Did I also say that I also put in for the grant for my part time job at another SNF , and also GOT THE GRANT THERE TOO ! So, I have obtained almost $80,00 for 2 SNF"S which is more than my salary ! That facility has sent me a huge fl...

10. I got a $40,00 grant and not getting acknowledged for it !!

    disney158 replied to disney158's topic in Career Support

    Thanks to all, this happened yesterday and I am waiting as I am too angry/hurt/annoyed to approach this topic with him. He is the administrator, young ( middle 30's been in the field for about 10 years, 2nd administrator role), very upwardly mobile...

11. I got a $40,00 grant and not getting acknowledged for it !!

    disney158 posted a topic in Career Support

    I don't mean to sound ******, but, I told my supervisor about the opportunity of a grant for the facility, I worked on the grant paperwork endlessley for a month, took it home, aganoized over it , etc. Since it was the first grant I have ever tri...

12. Mds Nurse And Actng Don

    disney158 replied to gonenutz's topic in LTC Directors

    Prioritize, delegate,...."any problems can be blamed on your predecessor?" ... I am perfectly okay with this statement, most times it is true... but fix those problems, first.. make a difference for positive change and you will be respected and ...

13. Leave the phone at home !!

    disney158 replied to disney158's topic in Geriatric

    "before cell phones, IMO, there werent as many "emergencies" and if there were emergencies...they were made and recvd from the company phone" :yeah:I am so glad so many people think like I do ! I started the thread, and still am constantly embarras...

14. Leave the phone at home !!

    disney158 replied to disney158's topic in Geriatric

    You do have manners and I carry a cell too, but can you believe someone would do this to a resident. And to top it all off , to get natsy to me when I told her not to use the Bluetooth ever on the floor, can you imagine what they can do to already...

15. Leave the phone at home !!

    disney158 replied to disney158's topic in Geriatric

    I just remembered, is it Bluetooth ?