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AANAC RAC-CT NY, Wyoming and now VEGAS!!
MDS 3.0 Intensive Training
SEPT 21-23
To Register:
Contact Sue Pellegrini
1-800-530-4413,
Ext. 21
To Find More MDS 3.0 Training
Near You:
*Annual Customers Ask About Our Education SAVINGS Program*
NYAHSA,
Verona, NY September 13-15, 2010
Hilton Eugene & Conference Center
September 20-21, 2010
Kris Mastrangelo Presenting
October 7, 2010
Delmar Gardens, Missouri
October 8th, 2010
AHCA-NCAL
Long Beach CA
October 10-13, 2010
Atlantic City, NJ
October 26-28, 2010
Palm Springs, CA
November 14-17, 2010
NYSHFA
Saratoga Springs, NY
Kris Mastrangelo Presenting
November 17, 2010
Las Vegas, Nevada
Kris Mastrangelo Presenting
December 10-12, 2010
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From the desk of our CEO Kris Mastrangelo:
MDS 3.0 Section I: Active Diagnosis
The items in this section are intended to code diseases that have a relationship to the resident's current functional status, cognitive status, mood or behavior status, medical treatments, nursing monitoring, or risk of death. One of the important functions of the MDS assessment is to generate an updated, accurate picture of the resident's health status. This section identifies active diseases and infections that drive the current plan of care. There are two look back periods for this section:
- Diagnosis identification (Step 1) is a 60 day look back period.
- Diagnosis status: Active or Inactive (Step 2) is a 7 day look back period (except for Item I2300 UTI, which does not use the active 7 day look back period).
Identify diagnoses: The disease conditions in this section require a physician-documented diagnosis (or by a nurse practitioner, physician assistant, or clinical nurse specialist if allowable under state licensure laws) in the last 60 days.
Determine whether diagnoses are active: Once a diagnosis is identified, it must be determined if the diagnosis is active. Do not include conditions that have been resolved or have no longer affected the resident's functioning or plan of care during the last 7 days.
The assessor must check the following information sources in the medical record for the last 7 days to identify "active" diagnoses: transfer documents, physician progress notes, recent history and physical, recent discharge summaries, nursing assessments, nursing care plans, medication sheets, doctor's orders, consults and official diagnostic reports, and other sources as available.
Examples of diseases are included for some disease categories. Diseases to be coded in these categories are not meant to be limited to only those listed in the examples. For example, I0200, Anemia, includes anemia of any etiology, including those listed (e.g., aplastic, iron deficiency, pernicious, sickle cell).
Item I2300 Urinary tract infection (UTI): The UTI has a look back period of 30 days for active disease instead of 7 days. The RAI manual instructs: Code only if ALL the following are met:
- Physician, nurse practitioner, physician assistant, or clinical nurse specialist or other authorized licensed staff as permitted by state law diagnosis of a UTI in last 30 days,
- Sign or symptom attributed to UTI, which may or may not include but not be limited to: fever, urinary symptoms (e.g., peri-urethral site burning sensation, frequent urination of small amounts), pain or tenderness in flank, confusion or change in mental status, change in character of urine (e.g. pyuria),
- "Significant laboratory findings" (The attending physician should determine the level of significant laboratory findings and whether or not a culture should be obtained), AND
- Current medication or treatment for a UTI in the last 30 days.
It is expected that nurses monitor all medications for adverse effects as part of usual nursing practice. For coding purposes, this monitoring relates to management of pharmacotherapy and not to management or monitoring of the underlying disease.
A copy of MDS 3.0 RAI Manual can be downloaded from the CMS website at:
Harmony Healthcare Presents
AANAC MDS 3.0 Certification Course
Casper, Wyoming
September 28-30, 2010
Las Vegas, NV
October 5-7, 2010
Certified Nurse Executive Course
Baltimore, MD
October 18-20, 2010
Okemos, Michigan
November 9-11, 2010 Jennifer Pettis RN, RAC-MT a Master Trainer for AANAC is now a member of the Harmony team. She will be presenting the above courses in addition to select locations throughout the country. MDS 3.0 Intensive Training Course
Harmony University
Topsfield, MA
SUMMER WEBINAR SERIES
MDS 3.0: Prepare and Conquer September 16, 2010
1:00PM - 2:00PM EST
Contact us for details.
For a Complete Brochure or to Register
Contact Sue Pellegrini x21 |
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Sincerely,
Elisa Bovee
Director of Education and Training
Harmony Healthcare
1-800-530-4413 x20
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