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The Final Rule revising the Medicare/Medicaid conditions of participation (aka the Mega Rule) requires that a nursing assistant who has responsibility for the resident participate on the interdisciplinary team that develops the comprehensive person-centered care plan, including the discharge plan, for each resident. “Industry leaders have been trying to get nursing assistants involved in care plan meetings since the early ‘80s,” notes Anna Ortigara, RN, MS, FAAN, organizational change consultant for the Paraprofessional Health Institute (PHI) in the Bronx, NY. “Now we have the actual regulatory language that that has to happen.”
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