Long-Term Care

How are you supposed to complete the discharge assessment when a resident suddenly leaves the facility?

MDS 3.0 Insider, September 6, 2010

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Q: My question is related to the discharge tracking forms now with clinical subset items. My understanding is that a discharge tracking form MUST be completed within seven days for any resident who is discharged from the facility with return not anticipated, and for resident’s with discharge return anticipated. This includes discharges to hospitals. How is one to interview and complete an assessment on a resident that is ill enough to be transferred out to the hospital via ambulance or 911? On weekends at our facility the MDS staff are off and made aware on their return Monday of any discharges to the hospital. Even with the MDS 2.0 OBRA assessments, if a resident is in the window for their quarterly or annual and go out to the hospital and are admitted, you do not have to complete the assessment. You have the option of completing within a certain time frame on return to the facility. Is my understanding correct? How can you accurately complete the assessment when the resident is not available? The manual does not differentiate between return not anticipated, and return anticipated. Do you anticipate any changes to this requirement?

To read Regulatory Specialist Diane Brown's response or ask a question of your own, visit MDSCentral.



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