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Creating the comprehensive person-centered care plan required by the Final Rule revising the Medicare/Medicaid conditions of participation (aka the Mega Rule) is different than creating a traditional comprehensive care plan, says Anna Ortigara, RN, MS, FAAN, organizational change consultant for the Paraprofessional Health Institute (PHI) in the Bronx, NY. “Incorporatinmegag person-centered care into the care plan requires a shift in the way you look at what your team does.”
Here are the key steps that directors of nursing services (DNSs) and their interdisciplinary teams should take to ensure the end result of a truly person-centered comprehensive care plan that balances a resident’s rights with their clinical care needs:
Phase 2 of the Mega-Rule is set to go into effect on November 28, 2017—and with it, the new federally mandated process of baseline care planning.
Many components of the Mega-Rule have proved, or will prove, to be complex and difficult to implement. But not to worry: the baseline care plan should not be one of them.
If anything, this particular aspect of the Mega-Rule should be a fairly straightforward update to your facility’s current interim care plan process—and a simple box to check off on your Phase 2 to-do list.
So take the time to meet with your staff members on baseline care planning, update the aspects of your process that need updating, and delegate the separate components of this regulation. Then move on to the next item on your checklist.
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