MDS Essentials: Tracking /Discharge MDS: Discharge assessments: Discharge (return anticipated)

The Discharge (Return Anticipated) tracking form within the Minimum Data Set (MDS) 3.0 framework is designed to capture essential information when a resident leaves the facility temporarily, with the expectation of returning. This form plays a pivotal role in the resident's care continuum, ensuring that their temporary exit and anticipated return are well-documented and planned for within the nursing facility's care management processes. Here is an overview focusing on the purpose, components, and significance of the Discharge (Return Anticipated) tracking form.

Purpose of the Discharge (Return Anticipated) Tracking Form:

• Documentation of Temporary Discharge: Records the event of a resident's temporary discharge from the facility when there is an expectation of their return.
• Facilitates Care Continuity: Helps in planning for the resident's return to the facility by documenting the anticipated needs and coordinating necessary services or adjustments in care plans.
• Regulatory Compliance: Ensures compliance with federal and state regulations that require tracking of all discharges and reentries to maintain accurate and up-to-date resident records.

Components of the Discharge (Return Anticipated) Tracking Form:

The form includes several key pieces of information:

1. Resident Identification: Basic demographic details for accurate identification of the resident.
2. Discharge Information: Details about the discharge, including the date and reason for leaving (e.g., hospitalization, family visit, therapeutic leave), and the anticipated date of return, if known.
3. Care Plan Considerations: Notes any specific instructions or care considerations that need to be addressed upon the resident’s return, facilitating a seamless transition back into the facility.
4. Documentation of the Discharge Process: Includes fields to document the process and any communications with the resident, their family, or other healthcare providers regarding the discharge and anticipated return.

Implementation and Timing:

• At the Time of Discharge: The Discharge (Return Anticipated) tracking form should be completed as part of the discharge process, capturing the relevant details before the resident leaves the facility.
• Coordination with Care Planning: Information from this form should be used to review and, if necessary, adjust the resident's care plan in anticipation of their return, ensuring that their needs will be met.

Integration with MDS Assessments:

• Impact on Subsequent Assessments: The discharge and anticipated return information may impact the scheduling and focus of future MDS assessments, particularly if the resident experiences changes in health status or care needs while away from the facility.
• Reentry Documentation: Upon the resident's return, the facility must complete a Reentry Tracking form and conduct any necessary assessments to update the resident’s care plan based on their current status and needs.

Significance:

• Continuity of Care: Accurate documentation of temporary discharges with an anticipated return supports continuity of care by ensuring that the facility is prepared for the resident’s return, both in terms of care planning and resource allocation.
• Quality and Safety: The process helps maintain the quality and safety of care by outlining specific care needs and considerations for residents during their temporary absence and upon their return.
• Regulatory and Reporting Requirements: Fulfilling federal and state requirements for tracking resident movements, the Discharge (Return Anticipated) tracking form contributes to the facility's compliance with regulations and supports accurate reporting for quality measures and reimbursement purposes.

In conclusion, the Discharge (Return Anticipated) tracking form is a crucial component of the MDS 3.0, ensuring that nursing facilities effectively manage and document temporary discharges where a resident is expected to return. This form facilitates the continuity and quality of care by enabling facilities to anticipate and plan for the resident’s care needs both during their absence and upon their return.