MDS Alert
Don't Let Coding Discharge Potential Throw You Off
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Try your hand at this scenario.
How would you code this situation in Section Q1?
Mr. S is a 70-year-old married gentleman who was admitted to the facility two weeks ago from the hospital following surgical repair of a left hip fracture. Mr. S has a long history of alcoholism and cirrhosis of the liver.
His daughter reports that when he is drinking, he is abusive toward his wife of 40 years. Though he has a strong wish to return home, his wife states she can't take it anymore and doesn't want him to return home. He has basically worn out all his family options. Other social support options are being explored. At this time, plans for discharge remain uncertain.
Discharge Potential Coding Options
a. Resident Expresses/Indicates Preference to Return to the Community - Enter "0" for No or "1" for Yes.
b. Resident has a Support Person who is Positive Toward Discharge - Enter "0" for No or "1" for Yes.
c. Stay Projected to be of a Short Duration - Discharge projected within 90 days (do not include expected discharge due to death). Enter "0" for No, "1" for within 30 days, "2" for within 31-90 days, or "3" for discharge status uncertain.
Answer:
a. Resident expresses/indicates preference to return to the community: 1 (Yes)
b. Resident has a support person who is positive toward discharge: 0 (No)
c. Stay projected to be of a short duration -- Discharge projected within 90 days (do not include expected discharge due to death): 3 (Uncertain)
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