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MDS Coordinator

Company: Mee Memorial Hospital
Location: King City
Posted on: May 3, 2021

Job Description:

JOB SUMMARY: The MDS coordinator is responsible for coordinating, implementing and evaluating the specific meeting/documentation required bye the Omnibus Reconciliation Budge Act (OBRA) specific to the skilled nursing facility under the supervision and license of the Skilled Nursing Long Term Care Coordinator. The MDS coordinator also has the responsibility of maintaining current documentation in the Long Term Care computer program (WinCare), transmitting required data at appropriate times, writing care plans generated from the Resident Assessment Protocols (RAPS), chairing the weekly interdisciplinary team (IDT) meeting, and recapping monthly data. She/he will individualize patient care based upon age appropriate and developmental needs. Performs other duties as assigned.

PERFORMANCE DIMENSIONS AND TASKS

Essential Function

* Coordinates, implements and evaluates the specific documentation required by OBRA specific to Skilled Nursing unit under the license and supervision of the Long Term Care Coordinator to include the MDS 2.0 Admission Assessment, the Annual, Quarterly and Changes of Condition Assessments for all patients admitted to the Skilled Nursing Unit * Accurately and timely coordinates MDS data collection from each IDT member involved in care of the patient on admission, quarterly, annually and on change of condition. * Be thoroughly familiar with documentation and time line expectations of OBRA, specific to skilled nursing. * Maintain accurate calendar of all required patient review dates. Assure all patients reviewed within appropriate time frame. * Gather data (MDS) and ensure other disciplines assessments on new admissions are completed within the appropriate OBRA or PPS time frames. * Enter the initial assessment of all disciplines into the LTC computer program and transmit data electronically per protocol * Generate MDS 2.0 to take to IDT meeting for appropriate discussion and signatures. * Generate suggested care plans and personalize to the individual patient. * Assure completed comprehensive interdisciplinary care plans are in the patient record no later tan the 21st day after admission. * Randomly audit patient records to assure care plans are updated as necessary * Complete Quarterly, Annual and Change of Condition Assessments with RN using appropriate forms per protocol and enter into computer. * At regular intervals evaluate the effectiveness and efficiency of the current process and in conjunction with the Long

Term Care Coordinator and interdisciplinary team make improvements.

*

  • * Maintains all OBRA documentation in the WinCare Long Term Care computer program & be prepared to provide specific files (antibiotic use, psychotropic use, restraint use etc.) to management. * Maintain required records in the WinCare long term care computer system. * Interface with the WinCare support service as necessary using the 800 number * Be thoroughly familiar with the WinCare long term care software program manual * Maintain system security by assuring computer room doors locked when on one present in room and by not disclosing software protection passwords to unnecessary staff. * Maintain system security and integrity by backing up system on a regular basis (not less than weekly) and storing backup tapes in a secure, fireproof place. * Update file (facility profile, use of ABS, restraints, psychotropic medications, catheters etc.) on a regular basis and be prepared to provide current files to management as needed.

*

  • *
  • * Under the supervision of the Long Term Care Coordinator, prepare a comprehensive plan of care to include problems, goals, interventions, and responsible disciplines with appropriate time frames. Incorporate the long term care plan and the acute care plan into the patient's record. * After entering necessary information during the admission process, and as soon as possible after admission, generate a suggested plan of care for every patient admitted to the skilled nursing unit.

Essential Function

* The final interdisciplinary plan of care must include all elements identified by the RAP triggers, unless a decision NOT to care plan for a particular element has bee made. In the event that a RAP identified area is not care planned, a note stating the reason for the decision not to care plan must be recorded on the RAP summary. * Each care plan must identify problem area, goals, interventions, disciplines responsible for the intervention and appropriate time frames for review. Care plans are reviewed no less than quarterly. Care plans with time frames of less than 90 days are reviewed when indicated by the date written in the POC * The computer generated care plan will have any changes/updates handwritten until the quarterly review, at which time a fresh computer care plan will be generated * Care plan goals are interdisciplinary. If more than one discipline is working toward the same goal then only one entry is made with all the responsible disciplines outlined under the "responsible discipline" column. * Randomly audit the records periodically to assure that they are stored in the appropriate section of the chart and are updated as necessary * Chair the weekly interdisciplinary team meeting. Be prepared to present all new admissions, quarterly reviews, problem patients and pending admissions and c=discharges to the team for review. Have available for review the patient's admit diagnosis, the short and long term goals established on admit and updated prn and progress made/not made toward goals. * Effectively chair the weekly interdisciplinary meeting * Be responsible for reserving the conference room notifying interdisciplinary team members of the date, time and place of meeting and the names of the patients to be reviewed, and the reasons for review. (initial, quarterly, problem etc.). * Bring to the meeting the following: the patient's medical records, MDS 2.0 completed by appropriate discipline, the patient's care plan and IDT blank notes to record proceedings. * Have the patient/family/significant other participate in the process either by inviting them to the meeting or if that is inconvenient for them, meet with them prior to the meeting and allow an opportunity for understanding of and participation in the process. * When the IIDT meeting discusses has been completed have in mind a clear set of both long and short-term goals and time frames and interdisciplinary team participation required to continue to meet goals. Document in the IDT notes. * As time permits after the weekly IDT meeting, update records as suggested at the meeting, calling MD's when necessary for order changes. * Assure that each discipline has updated notes to reflect current plan of care - do not write their notes but coordinate an opportunity for them to complete their documentation. If any discipline is delinquent in updating their care plan entries, notify the Long Term Care Coordinator.

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  • * Work coop0eratively with the Interdisciplinary Team and the Skilled Nursing Unit manager to assure an appropriate level of patient focused continuum of care for each patient. * In conjunction with the IDT, ECU LT Coordinator and Discharge Planner work toward the goal of having every patient receiving the appropriate level of care from the appropriate discipline & the appropriate time using a patient focused philosophy and seamless provision of care from the patient/family perception. * Regular communication and coordination with all disciplines is required to assure satisfactory delivery for patient focused care.

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  • *
  • * In a timely manner print the Physician's Orders, Medication Administration Records (MAR's) treatment sheets to be available for use at midnight on the first day of every month. Review all records for accuracy before making available to the staff. * Regularly update the physician's orders using only MMH approved medication codes. * Allow sufficient time at the end of each month (4-5 days) to do final update entry of MD orders. When orders have correctly been entered in the computer print the final MD order page(s). Check the newly printed orders against the current chart for accuracy. When you are sure that all orders have been captured and are correct, place them in the patient's medical record for the physicians review and signature. The orders can be placed in the patient's record a few days before the end of the month. Any new orders generated after the newly printed order form has been placed in the record can be recorded on/after the new order sheet. Be sure and draw a red line across the page to indicate where the new orders begin. Place a signature arrow at the place the physician needs to sign. * For any patient currently receiving psychotropic medications, place a medication use evaluation sticker at the end of the physician's order form with all data completed for the doctor's review. The data used to complete the sticker is obtained form the behavior monitor form. Each patient receiving psychotropic meds will have a behavior monitoring form completed each shift by the LVN/RN caring for the patient each shift. The behavior monitoring form is maintained in the MAR. The hatchmarks are tabulated by the OBRA coordinator at the time the information is entered on the medication use evaluation form that is placed in the physician's order. * Print out and corrects all MAR's treatment records and place in the appropriate binders.

Essential Function

* Interact and Communicate with patients, families and hospital staff in a manner that is perceived as professional, positive and supportive * Accept work direction from the RN/Long Term Care Coordinator * Support a professional and collaborative relationship with co-workers, physicians, and other departmental staff in the coordination of the interdisciplinary meetings and care. * Greet the patient by preferred name, and speak to the patient and family members in a respectful, king and thoughtful manner. * Willingly accept and provide constructive feedback. * Participate in patient care coordination following hospital and unit specific policies. * Set priorities and organize work to complete assignments within required time frames. * Utilize problem solving skills to resolve identified problems or clarify discrepancies. * Report nursing unit, personnel, or patient related problems/concerns using the appropriate chain of command or hospital policy. * Actively participates in Quality Improvement activities and facilitate planned changes. * Participate cooperatively in unit activities to promote smooth and consistent operations of the unit including scheduling and daily assignments. * Use a calm, direct, non-threatening, non-retalitive approach. * Act as patient advocate when necessary. * Listen to patient complaints/concerns attentively and report problems to the charge nurse or nursing manager.

QUALIFICATIONS

Education: Graduate of an Accredited school of Vocational Nursing or Registered Nursing.

Work Experience: MDS coordinator experience preferred

Previous acute care experience preferred

Previous long term care experience preferred

Skills Requirements: None

Licensing Requirements: Current California RN or LVN

Current CPR and IV certification or certification in next available class

Language Requirements:

Physical Demands: Must be able to sit for 4 hours or more and stand/walk for 6 hours or more per day. Must be able to bend reach overhead and kneel. Must be able to push/pull and lift up to 100 pounds. Must be able to keyboard at the station for six (6) or more hours per day.

Special Demands: Willing to perform repetitive tasks. Ability to work with others and to perform a variety of assigned duties. Ability to prioritize multiple tasks

Special Considerations: Will be dealing with patients ages 18- geriatric. Must understand special needs of long term care patients (such as activities, restraint protocols,., OBRA, Title 22 and JCAHO standards) relating to skilled nursing.

DISCLAIMER: The preceding job description has been designed to indicate the general nature and level of work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.

Keywords: Mee Memorial Hospital, Salinas , MDS Coordinator, Other , King City, California

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