edhcinc

edhcinc

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All Content by edhcinc

  1. Pushing The Limit For $

    edhcinc replied to disney158's topic in MDS Coordinator Information

    Hi--a few questions--and a comment... If you do "extra" quarterlies, does that also mean "extra" care planning sessions in "sync" with the quarterlies? Or does the care plan session remain...

  2. care plan notices

    edhcinc replied to crissrn27's topic in MDS Coordinator Information

    hi--the som (state operations manual) notes ltc survey requirement/regulations and the surveyor's interpretive guidelines. http://www.cms.hhs.gov/manuals/downloads/som107c08.pdf it is a rather large...

  3. MDS 3.0--CMS revised/updated information

    edhcinc posted a topic in MDS Coordinator Information

    More specific information referencing MDS 3.0 version 0.26 (someone seems pretty serious about going forward with this version...) For States who plan to continue to use RUGs III for MA billingRUGIII...

  4. Is this a skill?

    edhcinc replied to CapeCodMermaid's topic in MDS Coordinator Information

    "Skilled" service for any surgical wound til healed?? Checking "surgical wound care" does put the person into a so-called "coverable" RUG. But that presumptive coverage is only "good" on a 5-day...

  5. how many for mds

    edhcinc replied to jimw's topic in MDS Coordinator Information

    Hi. Are any of those 20 hr/wk+ meetings are care plan meetings? If yes, work with DN to "give" them back to the nurse/nurses who are responsible for care--charge nurse, unit manager, ADN, etc. The...

  6. MDS 3.0 & RAP---new CMS guideline on printing MDS's

    edhcinc replied to santeeaholic's topic in MDS Coordinator Information

    Hi-- CAT= Care Area Trigger Re: Electronic signature requirement for MDS 3.0 There is no electronic signature requirement attached to MDS 3.0. Many facilities will still use a "hard-copy" MDS,...

  7. skilled charting

    edhcinc replied to travel50's topic in LTC: Directors, Assistant

    Hi. There are innumerable "answers" to your query , and no specific regulatory guidance. Although some facilities/consultants require/teach "q shift documentation". this approach frequently results in...

  8. RAPs

    edhcinc replied to rukiddingme's topic in MDS Coordinator Information

    hi. please don't take this the wrong way... "doing" the raps? or defining the resident's actual problems? the rap form requires consideration of these areas: why triggered (nature), complications,...

  9. LPN= MDS?

    edhcinc replied to focusedvalpn's topic in MDS Coordinator Information

    Hi. YES-- LPN's, as well as other "qualified" staff may, can, and DO complete portions of the MDS. LPN's may be, can be, and ARE "certified" as competent in the RAI process. On the "flip" side--...

  10. Nine Or More Meds?

    edhcinc replied to mdsdebbie's topic in MDS Coordinator Information

    Is the problem of concern to the resident? The care plan is not for--staff problems, DN problems, surveyor problems, lab tests, diagnoses, etc. Don't think I ever heard a resident say "I have an ADL...

  11. MDS 3.0 Delayed until October 2010

    edhcinc replied to Talino's topic in MDS Coordinator Information

    Unfortunately, sometime during the evening of 4/7/09, CMS removed/de-activated all of the links to the MDS 3.0 website --internal and external. "We are sorry, but there is no www.cms.hhs.gov Web page...

  12. MDS Certification class in TX?

    edhcinc replied to nursewiggins78's topic in MDS Coordinator Information

    Hi--"live" sessions are good, but contain no more information than what is available to the public at no cost. AANAC as well as NASPAC offer on-line courses for $$$. Am not from Texas, but understand...

  13. MDS Coordinator sub-forum

    edhcinc replied to Nascar nurse's topic in MDS Coordinator Information

    Hi--you do NOT code that the person has pain unless he/she tells you so, or responds yes if you ask. If the person is on an effective pain med program, the answer might be daily, but should not be...

  14. Job Interview

    edhcinc replied to rukiddingme's topic in MDS Coordinator Information

    Guess there are many ways for clinical teams to review assessment and resident findings, prioritize 4 to 6 resident issues/problems, and plan care goals and approaches with the resident. But am...

  15. MDS 3.0 Delayed until October 2010

    edhcinc replied to Talino's topic in MDS Coordinator Information

    Hi. Tis official. Shelia Lambowitz of CMS called many professional associations this morning (including NASL [a vendor association], AHCA, and many others...) as Talino stated. Some associations have...

  16. Physician orders section p8?

    edhcinc replied to jeffrey930's topic in MDS Coordinator Information

    Hi--you don't need to buy a MDS RAI Manual--you can download it for free (and add updates when needed) from the CMS site. http://www.cms.hhs.gov/nursinghomequalityinits/20_NHQIMDS20.asp After you...

  17. Signed ADON behind my name today

    edhcinc replied to Nascar nurse's topic in LTC: Directors, Assistant

    Great thread, and great advice! A few more thoughts-- As a part of "upper management", you will be exposed to, and be "in on", situations you never thought possible amongst professionals in a...

  18. Where do you keep your care plans?

    edhcinc replied to BEDPAN76's topic in MDS Coordinator Information

    somehow, the content of parts of this thread seem inconsistent with the professional nurses' role in care planning. the first responder stated--"i think it's better to keep them [care plans] in a...

  19. Tube Feeding & 60 day spell of wellness

    edhcinc replied to MickRN07's topic in MDS Coordinator Information

    this can be confusing. talino's response on january 7th was the short, succinct "cliffs notes" version. here is the encyclopedia version-- daily skilled care is daily skilled care--no matter what...

  20. MDS 3.0 Delay?

    edhcinc replied to lisalake's topic in MDS Coordinator Information

    Guess we SHOULD BELIEVE WHAT WE READ... :bowingpur at least what is on the CMS 3.0 website... "The information listed below under the "Downloads" section is subject to change. CMS will communicate...

  21. Section G

    edhcinc replied to toicole's topic in MDS Coordinator Information

    Seminars can teach/reinforce many things, but our main source must be the RAI Manual. Pg. 3-84 indicates how a person who requires cueing/supervision in ambulation should be coded. 1/0 not 0/1. Walk...

  22. ICD-9 coding on section I

    edhcinc replied to greenbean21's topic in MDS Coordinator Information

    The best coding references are out there for all of us... Official coding guidelines from CDC-- www.cdc.gov/nchs/datawh/ftpserv/ftpicd9/icdguide08.pdf and special guidelines for LTC and the use of V...

  23. Care plans & sig changes

    edhcinc replied to OHIOGIRL08's topic in MDS Coordinator Information

    Hi--be cautious of "I was told"...what is the written policy? IF you use your computer program for clarity, ease, and standardization, and print documents out of this program for placement into a...

  24. Care plans & sig changes

    edhcinc replied to OHIOGIRL08's topic in MDS Coordinator Information

    Which record does your facility consider to be the LEGAL MEDICAL RECORD? The hard/paper copy or the electronic record? If the paper copy is the legal medical record, you can make your corrections via...

  25. Survey says.......!!

    edhcinc replied to Rexie68's topic in MDS Coordinator Information

    Hi--don't despair! The most important thing about "care"--is that you still do!! A few tips for your MC/PPS patients: Most software programs calculate and SHOW you the ADL score--compare that score...