Nursing and Therapy: A Collaborative Approach to Documentation, Quality, and Payment Reform

With all of the regulatory changes taking effect in the past few years, including PDPM, communication across disciplines has become even more crucial. Facilities must work to align resident documentation across multiple departments, such as nursing and therapy, to not only improve quality of care but protect themselves from an audit.Most SNFs provide the care the resident needs at the appropriate time but struggle with communicating and recording the care on the MDS to trigger a higher case-mix level and corresponding reimbursement. Nursing and Therapy Documentation: Optimizing SNF Regulatory Compliance and Quality Resident Outcomes highlights key areas of collaboration and communication that can ensure the full scope of resident care is documented and identified, letting the facility receive the payment it deserves. This resource also provides access to downloadable tools and example documentation scenarios to help SNFs create an interdisciplinary team approach to their documentation