The items in this section are intended to record the participation and expectations of the resident, family members, or significant other(s) in the assessment, and to understand the resident’s overall goals. Discharge planning follow-up is already a regulatory requirement (CFR 483.21(c)(1)). Section Q of the MDS uses a person-centered approach to ensure that all individuals have the opportunity to learn about home and community based services and to receive long term care in the least restrictive setting possible. This is also a civil right for all residents. Interviewing the resident or designated individuals places the resident or their family at the center of decision-making.
Note: This course has been updated to reflect the RAI changes effective 10/1/2023.
The items in this section are intended to record the participation and expectations of the resident, family members, or significant other(s) in the assessment, and to understand the resident’s overall goals. Discharge planning follow-up is already a regulatory requirement (CFR 483.21(c)(1)). Section Q of the MDS uses a person-centered approach to ensure that all individuals have the opportunity to learn about home and community based services and to receive long term care in the least restrictive setting possible. This is also a civil right for all residents. Interviewing the resident or designated individuals places the resident or their family at the center of decision-making. Note: This course has been updated to reflect the RAI changes effective 10/1/2023.
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Georgia Board of Nursing (CEBroker Provider #50-290)
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 0.75 contact hours for participating in this course.
Mississippi Board of Nursing (CEBroker Provider #50-290)
New Mexico Board of Nursing (CEBroker Provider #50-290)
North Dakota Board of Nursing (CEBroker Provider #50-290)
South Carolina Board of Nursing (CEBroker Provider #50-290)
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Q0110 - Participation in Assessment and Goal Setting
Rationale
Assessment
Instructions
Coding Tips
Definitions
Section 3: Q0310 - Resident’s Overall Goal
Rationale
Assessment
Instructions
Coding Tips
Examples
Definitions
Section 4: Q0400 - Discharge Plan
Rationale
Assessment
Instructions
Definitions
Section 5: Q0490 - Resident’s Preference to Avoid Being Asked Question Q0500B
Rationale
Instructions
Coding Tips
Examples
Section 6: Q0500 - Return to Community
Rationale
Assessment
Instructions
Coding Tips
Examples
Section 7: Q0550 - Resident’s Preference to Avoid Being Asked Question Q0500B
Rationale
Instructions
Example
Section 8: Q0610 - Referral
Rationale
Instructions
Coding
Tips
Examples
Section 9: Q0620 – Reason Referral to Local Contact Agency (LCA) Not Made
Rationale
Assessment
Instructions
Examples
Section 10: Conclusion
Course Contributors
References
Reviewer: Laura Anderson, MSN RN, WCCRon Orth obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Director of Curriculum Design for the Acute and Post-acute Care verticals at Relias. Ron has also successfully completed the Infection Control Officer training through the AHCA.
Laura Anderson is currently a Curriculum Designer for Post-Acute Care at Relias and manages a team of subject matter expert writers. Previously, she was a Director of Nursing, Clinical Informatics Nurse, Senior Clinical Consultant, Nurse Auditor, Business Office Manager, Clinical Author, and Wound Care Nurse. Laura has dedicated more than 20 years of professional practice to the skilled nursing and long-term care industry. After receiving her Masters of Science in nursing with an emphasis in geriatrics, mental health, and education from the University of Wisconsin-Madison, she continued to pursue additional training in wound care. Laura is passionate about providing quality, resident-centered care that encompasses the whole person.
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