MDS Alert
Incorporate Speech Therapy Interventions and Recommendations in the Care Plan
Expert shares strategy for providing feeding and swallowing instructions in the dining room. An ongoing dialogue between the speech language pathologist and care staff can help them stay on the same page in helping residents achieve therapy and safety goals. If a resident is receiving speech language pathology services, the SLP should communicate specific information to all staff to "carry over from therapy" for daily routines, advises Robert Serianni, MS, CCC-SLP, VP of clinical services at Nyman Associates Inc. in Fort Washington, Pa. For example, "the facility may have to adjust staffing on certain units if a particularly high number of residents require assistance with feeding." The SLP might share the following specific information with staff, advises Serianni: Dietary recommendations Swallowing techniques/exercises/modalities Dental status Feeding/positioning recommendations Prognosis for returning to "normal" diet Real-world tips: When providing therapy in nursing homes, Serianni develops a single sheet with feeding and swallowing instructions for each patient. Staff maintains the list in a binder in the dining room, he says, stressing that you have to follow HIPAA privacy requirements when using that approach. In addition, Serianni observes patients in conjunction with the MDS cycle to identify significant changes. He also works with restorative aides to develop feeding programs designed to help residents hold onto the skills they acquired during therapy.
MDS Alert
- MDS Management:
Home In On These 3 Problem Areas of the MDS 3.0
Clarity of Section O instructions for coding isolation is on the list. Facilities and residents [...] - Coding Instructions for Isolation at O0100M
Here's what CMS says to do. The RAI User's Manual provides the following instructions for [...] - MDS Assessments:
Efficiency Is Key When Dealing With Discharge Assessments
Make sure you're not doing more than required. Most people agree that discharge assessments have [...] - Quality of Care:
Preempt Aspiration With This Admission Checklist
There are more ways to detect swallowing problems than included in Section K. Completing Section [...] - Clinical Care:
Incorporate Speech Therapy Interventions and Recommendations in the Care Plan
Expert shares strategy for providing feeding and swallowing instructions in the dining room. An ongoing [...] - CODING QUIZZER:
How would you code the following scenario from the RAI User's Manual?
Calculation for Average Daily Fluid Intake Mrs. G. received 1 liter of IV fluids during [...] - WHAT DO YOU THINK?:
When Would the RUG Rate Change in This Scenario?
Question: When you combine a 5-day assessment with a significant change in status assessment, when [...] - WHAT DO YOU THINK?:
What Kind of Support Documentation Do You Need for This Service Coded on the MDS?
Question: When we have a resident who receives IV fluids to prevent dehydration in the [...] - WHAT DO YOU THINK?
Question: What support documentation would a nursing facility need to code IV fluids provided in [...] - Case Study:
Bringing On an MD + NP Hospitalist Team Proves to Be a Smart Move for This SNF Provider
The approach achieved several goals at once, including reducing rehospitalization. SNFs looking to reduce emergency [...] - Diagnosis Coding:
Most Organizations 'Surprised' By How All-Encompassing ICD-10 Transition Is
Best bet: Establish your initial plan for conversion immediately so you can project your facility's [...] - Tool:
Use This Form to Stay on Top of Community Referrals for Section Q
This way you can track where each resident is with the process. - Billing & Survey News to Use
SNFs will have their Part A claims readjusted but not by much. CMS recently reported [...]
