GRACERN47

Sure hope they have an MDS person familiar with 3.0 when and if they make changes !

I just had a patient return from the hospital and did an entry and then she went back out 2 days later. My software would not let me do a short stay and discharge but I was able to combine a 5 day and discharge. What I can't understand is if your allowed to use dashes ie: on a discharge, than why do you have to do all those pages?? Dashes aren't giving anyone any information especially when you have not had the chance to assess the patient!!!

I so agree with you ! I recently went to a seminar on 3.0 given by ACHA and most of the questions asked could not be answered by the speakers. So, my question is how can they give a cite in MDS 3.0 when they don't even know how it's done??? Go figure !

So very sad when residents are mad at their families for "putting them in a nursing home" and they pick out one person to blame. Unfortunately it is usually the nicest or prettiest or whatever positive thing they may see. Your lucky you employer has stood by you. Rarely does mine ask anyone to leave.

My facility has given us enough help but the pay is way below what MDS coords are paid. I have been with same company as director of the dept for 11 years and my friend just started a new part time MDS job making exactly what Imake. Very disheartening ! Average salary in my area as 2009 was $69,00/yr. Not what I make.

That is crazy, I bet if you give notice things will change. Hope they are paying you guys big bucks ! Impossible to keep that pace and remain in compliance with regs. Good luck !

Boy, talk about a way to get "cites" ! You poor thing ! If it wasn't broken, why fix it. No way would I work under those conditions. It's not fair to the patient nor the staff. I am sure with your experience you will be able to find another job. In my area the job offers come weekly from head hunters, with excellent salary offers. The nurses I hear of are getting out of this mess. I am lucky my company is very understanding and have bent over backwards to help us out. Good luck !

So true, with the managed care that leave before the 14 th day, you are actually doing a whole assessement with this new crazy, ridiculous discharge assessment. We have had as many as 10 discharges on a weekend and with the Med A your doing two assessments.

We are a 173 bed facility and we have 3 full time RNs and 1 part time. We have part A, B managed care and medicaid. I do all the PPS with a low of about 12 up to a high of about 27. One full timer does all the medicaid and the other does the managed care. The part timer fills in wherever needed. We are also responsible for the ICD 9 codes and all mail outs involving care plan invites, follow up letters etc.. And yes I know what you mean. We are just holding ours heads above water.

If there is , Please let me know because I know my whole department will participate. There are 4 of us !

We copied the actual pages from the MDS for each department and they use it as part of their admission assessment . It is kept in the resident's chart and we put that info into our computer by the 10th day so that gives us time to get everything done by day 14 . It has worked out well for our facility . Good luck !

The whole 3.0 thing is crazy ! The full assessment is fine but all the rest like the discharges is a waste of time. The surveyors better not pick apart what all of us are trying to keep up with because I would challenge them to try it for one day. I am so glad there are so many that hate it ! Why did they make so much extra work??? I am lucky , my company has allowed me to bring on a part timer which gives us 3 full time and 1 part , all RNs so we can divide everything up and not worry about having someone else sign. We are a 173 bed facility so I feel very lucky. I feel for those of you who work with one or two. Anyone have any ideas how we can get the powers that be to rethink this mess???

I am an MDS Coordinator and I am responsible for all coding of every admission. I recently got the ICD 9 for 2011 and there are some changes that go along with 3.0. It is not as easy as one thinks as some Docs continually give "symptom diagnosis" which is not accepted for billing and you sometimes have to read the history and/or consults to figure out an acceptable code.

My team is also having all sorts of problems with not only Rugs but dates etc. I think ours is a program related problem Good luck , know how you feel!

I don't know anyone that doesn't hate 3.0. I pray everyday that someone with really good insight will realize how ridiculous this extra paperwork is. The word nurse has been taken out of nursing and replaced with data entry. I have been doing MDS since day one as well as PPS. Does anyone really think any of these 50 pages will be read by anyone including state surveyors! If it's the patient's choice just document that! Good luck!