V0200: CAAs and Care Planning

V0200: CAAs and Care Planning

Item Rationale

Items V0200A 01 through 20 document which triggered care areas require further assessment, decision as to whether or not a triggered care area is addressed in the resident care plan, and the location and date of CAA documentation. The CAA Summary documents the interdisciplinary team’s and the resident, resident’s family or representative’s final decision(s) on which triggered care areas will be addressed in the care plan.

Coding Instructions for V0200A, CAAs

Facility staff are to use the RAI triggering mechanism to determine which care areas require review and additional assessment. The triggered care areas are checked in Column A “Care Area Triggered” in the CAAs section. For each triggered care area, use the CAA process and current standard of practice, evidence-based or expert-endorsed clinical guidelines and resources to conduct further assessment of the care area. Document relevant assessment information regarding the resident’s status. Chapter 4 of this manual provides detailed instructions on the CAA process, care planning, and documentation.

For each triggered care area, Column B “Care Planning Decision” is checked to indicate that a new care plan, care plan revision, or continuation of the current care plan is necessary to address the issue(s) identified in the assessment of that care area. The “Care Planning Decision” column must be completed within 7 days of completing the RAI, as indicated by the date in V0200C2, which is the date that the care planning decision(s) were completed and that the resident’s care plan was completed. For each triggered care area, indicate the date and location of the CAA documentation in the “Location and Date of CAA Documentation” column. Chapter 4 of this manual provides detailed instructions on the CAA process, care planning, and documentation.

Coding Instructions for V0200B, Signature of RN Coordinator for CAA Process and Date Signed

V0200B1, Signature

Signature of the RN coordinating the CAA process.

V0200B2, Date

Date that the RN coordinating the CAA process certifies that the CAAs have been completed. The CAA review must be completed no later than the 14^th day of admission (admission date + 13 calendar days) for an Admission assessment and within 14 days of the Assessment Reference Date (A2300) for an Annual assessment, Significant Change in Status Assessment, or a Significant Correction to Prior Comprehensive Assessment. This date is considered the date of completion for the RAI.

Coding Instructions for V0200C, Signature of Person Completing Care Plan Decision and Date Signed

V0200C1, Signature

Signature of the staff person facilitating the care planning decision-making. Person signing does not have to be an RN.

V0200C2, Date

The date on which a staff member completes the Care Planning Decision column (V0200A, Column B), which is done after the care plan is completed. The care plan must be completed within 7 days of the completion of the comprehensive assessment (MDS and CAAs), as indicated by the date in V0200B2.

Following completion of the MDS, CAAs (V0200A, Columns A and B) and the care plan, the MDS 3.0 comprehensive assessment record must be transmitted to iQIES within 14 days of the V0200C2 date.

Clarifications:

The signatures at V0200B1 and V0200C1 can be provided by the same person, if the person actually completed both functions. However, it is not a requirement that the same person complete both functions.

If a resident is discharged prior to the completion of Section V, a comprehensive assessment may be in progress when a resident is discharged. Although the resident has been discharged, the facility may complete and submit the assessment. The following guidelines apply to completing a comprehensive assessment* when the resident has been discharged:

Complete all required MDS items from Section A through Section Z and indicate the date of completion in Z0500B. Encode and verify these items.

Complete the care area triggering process by checking all triggered care areas in V0200A, Column A.

Sign and enter the date the CAAs were completed at V0200B1 and V0200B2.

Dash fill all of the “Care Planning Decision” items in V0200A, Column B, which indicates that the decisions are unknown.

Sign and enter the date that care planning decisions were completed at V0200C1 and V0200C2. Use the same date used in V0200B2.

Submit the record.

*Please see Chapter 2 for additional detailed instructions regarding options for when residents are discharged prior to completion of the RAI.