What do you get when you ask two academics, one geriatrician, one reimbursement specialist, and an analyst to define average length of stay? Five different answers.
From the Medicare Benefit Policy Manual Chapter 8, we know rehabilitation skilled level of care requires the delivery of skilled therapy five distinct days a week. While this requirement is usually easy to meet with more than one therapy discipline treating the resident, the MDS does not currently capture how many calendar days therapy was provided in the seven-day look-back period.
On the heels of American Health Care Association announcing the adoption of PointRight's OnPoint-30 rehospitalization metric, you may be wondering what it means exactly and what's at stake. The answer is: plenty.
I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. "Five-Star" was the reply. Was I surprised? Not at all. Once again, it demonstrates just how far this Centers for Medicare & Medicaid Services consumer initiative reaches.
There's a familiar saying in the industry that "If it's not documented, then it's not done." But what if it is documented, but just not documented correctly?