carrieMDSrn

Maybe I'm brain dead but I can't seem to understand what causes this QI to flag. We have too many of these flagging in our facility. All of these have what I think is a supporting diagnosis. Can someone explain this QI to me?

Roster/Sample Matrix - who keeps it up to date at your facility??? Thanks MDS people!!! CC

Very nice!!! Thanks!

When I started at this facility, all the signature dates matched: AA9, R2B, VB1, VB3. This threw me for a loop...how could we really be completing the MDS, RAP process and care plan process all in one day and ON the ARD - when you all know we go home before midnight on the ARD. I have instructed my team on what the dates should be - informing them of the instructions re: dates in the RAI manual. The problem is that this has thrown everyone for such a loop that no one knows what dates to put on the care plan, their progress notes and my fellow MDS nurse doesn't know when to sign the R2B. They are acting like I am crazy for suggesting that all these dates shouldn't match. They have done it this way "forever" Any advice?

Would love to have a copy of your pps meeting worksheet

What I mean is, what meetings you as MDS Coordinator are required to attend (except the budget meetings, nurses staff meeting) I'm talking about UR, medicare meetings, things like that.

Tell me about your meetings: what is discussed, what is format of meeting, when is it held and who attends?

At my former place of employment, we care planned everything...specific medications, specific treatment orders. We were instructed to be so specific that a nurse could pick up the care plan and know exactly what to do without even having to look at the MAR. (I never CP'd specific dosages though, just, "Adm. Remeron as ordered. Observe for A/R such as...and spelled out some specific adverse reactions) At the new facility, the CP would only say "Administer Psychotropic Meds as Dir" They don't care plan treatments at all. I see the pros of just care planning specific drug classifications instead of specific drug names, that way you don't paint yourself into a corner if the med changes...but shouldn't they be care planning treatments??? How specific are your care plans and how do you care plan treatments? Does the tx nurse CP tx or do you do it?

American healthtech here too

I recently started a new job as MDS/CP coordinator. When printing a comprehensive care plan we date the care plan (and change all the onset dates to) the date of the actual care plan interdisciplinary review meeting. Is this how everyone else does it? When we review a quarterly care plan, I, as MDS coordinator am reviewing the existing nursing problems in the care plan book the morning of the care plan review meeting and writing a little summation on the care plan: "7/1/09 Quarterly review. Continue plan of care." My interdisciplinary team is used to doing their quarterly reviews of the care plan on the date that they actually key their mds items in the computer so they had been using the ARD date as the quarterly review date on their care plans. This didn't make much since to me to be care planning a week before the actual date we get together to review the care plan. Since I have came to the facility, I suggested that they wait to update and review the care plans in the actual care plan review meeting so that we all will have reviewed our sections on the same date, which reflects the date that we actually came together as a team to review them. The team is concerned that there is not enough time and they prefer to have already reviewed the care plan prior to the meeting and that updating the morning of the care plan meeting is not possible. My question is, do you think it is OK for them to be reviewing the quarterly care plan on the ARD date???? It just doesn't look right to me, but if it's ok I can deal with it to keep peace since they have been doing it that way since the dawn of time. Thanks for your replies!!

I may been way too late in my reply, but if I were being brutally honest, I would recommend you spend a few months of so (until an mds position becomes available) working on the floor. This will give you insite as to what goes on "in the trenches". I would join AANAC and become a certified resident assessment coordinator through them. Also, I would begin to read and understand the RAI manual available on the CMS website. Hope this helps! Carrie

thanks to the original poster, i had this exact same question. just took a job at a new facility and they typically skill someone even after therapy has stopped until the day the omra is due and then cut them if there is no "decline". this makes me nervous because in my previous job once they were cut from therapy and nothing "nursing" was going on, we cut them from part a.

Would love a copy also. Just registered today and can't PM yet...ugh.