Section GG, Functional Abilities and Goals, will expand to all OBRA assessments starting Oct. 1, 2023, with the retirement of the section G activities of daily living (ADL) items. This change disrupts the long-standing practices and policies facilities have developed to capture episode-level-of-care information from nurse aides on the section …
Several new items added or revised on the Minimum Data Set (MDS) this October are considered social determinants of health (SDOHs): ethnicity, race, language, transportation, health literacy, and social isolation. SDOHs are nonmedical factors that can affect health outcomes. On the MDS, these items are collected directly from the resident. …
The draft Long-Term Care Resident Assessment Instrument (RAI) 3.0 User’s Manual v1.18.11, released in early April, presents revised care area triggers (CATs) in chapter 4 and care area assessment (CAA) worksheets in appendix C. To prepare for the implementation of the RAI changes coming this October, nurse assessment coordinators (NACs) …
Restorative nursing programs are effective interventions to maintain or improve a resident’s independence in tasks of daily living. According to the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual, on page O-42, “Restorative nursing program refers to nursing interventions that promote the resident’s ability to adapt and adjust …
Mrs. Elderberry is ready to go home. It’s been five long weeks of rehabilitation following a broken hip from that clumsy slip on a rug. Home. She’s wondering if her son actually watered her house plants that she proudly kept vibrant for years. Home. The nurse called her attention back …
Planning for time off over the holidays often takes coordination across the entire interdisciplinary team (IDT) to ensure processes and systems continue to operate smoothly while key players are missing. The nurse assessment coordinator (NAC) must ensure MDS assessments are in place, skilled Medicare decisions are being made appropriately, significant …
In today’s fast-paced world, we often try to solve problems by simply “googling” the answer. However, when it comes to ICD-10-CM coding, using the Internet or a cheat sheet to determine diagnosis codes can be detrimental to the process and result in selecting the wrong codes. As we begin preparing …
