Long-Term Care Survey Alert
Use the MDS to Identify Hospice Candidates
These qualify indicators/measures provide a major clue. Having a goal of offering hospice to dying residents is a good start, but you also need to identify who might benefit from a shift to palliative care. MDS to the rescue: To identify hospice candidates, Cherry Meier, RN, MSN, tells nursing facilities to look at the three chronic care QIs/QMs that exclude residents on hospice: weight loss, ADL decline, and worsening ability to move in and about the room. "Likewise, many of the QIs/QMs will start being triggered when someone is in the dying process," says Meier, with VITAS Innovative Hospice Care in Flat Rock, N.C. Also: Short-stay residents receiving hospice are excluded from the post-acute delirium measure on the 14-day PPS assessment.
Long-Term Care Survey Alert
- Medication Management:
6 Ways to Keep Coumadin Therapy in the Safety Zone
This plan will help you get the best of this tricky medication. Coumadin can quickly [...] - Survey Trends:
Know the Score: CMS Unveils Its Algorithm for Selecting Special Focus Facilities
Questions and inconsistencies remain -- here's what you need to know. Ending up on the government's [...] - Dietary Management:
Get Dietary Involved When Patients Are Taking Coumadin
Eating more or less of certain foods can affect cogulation. Aagulant effect of Coumadin, which [...] - Tool:
Deficiencies Add Up: Check Out How CMS Calculates the Survey Deficiency Score to Identify SFF Candidates
The shaded cells in Table 1 denote deficiency scope/severity levels that constitute substandard quality of [...] - Quality Assurance:
These Dos and Don'ts Can Prevent Documentation From Becoming Your Facility's Undoing
The basis for F tags or worse are often found in the medical record. Documentation [...] - Quality of Care:
Tap This Great Risk Management Strategy: Get Hospice On the Case for End-of-Life Care
These quality indicators/measures provide a major clue. Identifying residents who may be ready for hospice [...] - MDS Corner:
Use the MDS to Identify Hospice Candidates
These qualify indicators/measures provide a major clue. Having a goal of offering hospice to dying [...] - Test Yourself (Answer):
What Does the Revised F325 Surveyor Guidance Say About Swallowing Disorders?
The answer to last month's question should be item 1 below: 1. Various direct and [...]
