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Ask Proactive – Your MDS Coordinator could come to you at any time needing an emergency medical leave, giving notice, or simply deciding that the role is no longer a good fit. What potential challenges could arise if you don’t have an experienced person to fill the position, and what can you do to prevent issues?

Q: Your MDS Coordinator could come to you at any time needing an emergency medical leave, giving notice, or simply deciding that the role is no longer a good fit. What potential challenges could arise if you don’t have an experienced person to fill the position, and...

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Ask Proactive – I have recently been directed, when completing the PHQ-2 to 9, that if a resident acknowledges a symptom, but is unable to give a frequency, I should dash both questions (column 1 and 2). Is this correct?

Q: I have recently been directed, when completing the PHQ-2 to 9, that if a resident acknowledges a symptom, but is unable to give a frequency, I should dash both questions (column 1 and 2). Is this correct?   A: No, this is incorrect. If a resident answers “yes”...

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Ask Proactive – We’ve been receiving complaints from residents and families about slow call light response times. What are some simple interventions we can put in place to improve this?

Q: We’ve been receiving complaints from residents and families about slow call light response times. What are some simple interventions we can put in place to improve this?   A: A few practical steps can make a big difference: Acknowledge quickly: If you can’t...

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Ask Proactive – When completing an MDS, how do we know which diagnosis should be coded as the primary diagnosis for a resident with multiple conditions (for example, CHF, diabetes, and pressure ulcer)?

Q: When completing an MDS, how do we know which diagnosis should be coded as the primary diagnosis for a resident with multiple conditions (for example, CHF, diabetes, and pressure ulcer)?   A: This question comes up often in SNFs. The primary diagnosis should be...

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Ask Proactive – When does the state survey agency or CMS usually apply the remedy of a Directed Plan of Correction?

Q: When does the state survey agency or CMS usually apply the remedy of a Directed Plan of Correction?   A: A Directed Plan of Correction (DPoC) is a remedy that provides for directed action(s) from either the State or CMS Regional Office (RO) that the facility...

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