Q&A: When would it be appropriate for the resident not to attend the care plan meeting according to the new regulations?

Carol Maher, RN-BC, CPC, RAC-CT

Question: Considering the new regulations that took effect in November 2016, as well as the upcoming regulations in November 2017 and 2018, when is it appropriate for the resident not to attend the care plan meeting? I am sure that if the resident refused, that would be okay. I would think that being cognitively unable to participate would be another valid reason. Please advise on what else might qualify as a reason for the resident to skip their care plan meeting. 

Answer: The resident should be invited to the care plan meeting. If the resident declines to attend, it would be appropriate to note that in the medical record. The resident/responsible party does need to be a part of the care planning process, however, so the resident's goals for his/her care is considered during care plan development. By November 28, 2017 there must be a baseline care plan developed within 48 hours of the admission and shared with the resident/responsible party in language they can understand.

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