In: Nursing
Skilled Nursing Facilities (SNFs) play a vital role in the care of our most vulnerable populations. Maintaining accurate medical records in the SNF setting is important for both quality of patient care, as well as compliance with regulatory bodies. For this week’s assignment, you will demonstrate your knowledge of medical record management in the SNF environment.
A local assisted living facility has decided to expand, with the addition of a skilled nursing facility adjacent to their current residential structure. You have been hired as a consultant to oversee the planning and implementation of medical records compliance. The facility owners and managers have a business background and are not familiar with the rules and restrictions that are applicable to SNFs.
A skilled nursing facility is an inpatient treatment and rehabilitation center featuring licensed nurses and other medical professionals. Medical record have major role inproviding the quality of care to the patient. In SNF's the nurse or medical professional should look for the following
1.ensure medical records are accurate and complete.
2.organizes and maintains the fascility legal document of care provided.
3.coordinates, regulations thinnig and storage of legal documents.
4.Copies of the documents to support medicare and claims
Skilled nursing facility coverage includes the services generally available in a SNF: nursing care provided by registered professional nurses, bed and board, physical therapy, occupational therapy, speech therapy, social services, medications, supplies, equipment, and other services necessary to the health of the patient.
SFNs care needed for a patient sfter a stay of acute care hospital. This is one type of rehabilitation. The staffs assesa the conditions and prepare a plan of care according to the health conditions of the patient. Proper plan of care and use of medical professional to provide care is important for the rehabilitation of the patient. Proper maintaing of medical record are more important one. The goal for a rehabilitation center and skilled nursing facility is to develop a care plan that helps patients reach their health goals and to return home, if possible.