Resident assessment protocols (RAPs) are a component of a Minimum Data Set (MDS), the clinical assessment tool that nursing facilities certified by Medicare and Medicaid use.
MDS
An RN coordinator prepares a MDS for each resident of a certified with input from a care plan team which may consist of additional nursing staff, a social worker, medical director, dietitian and family members. Once completed, it goes to the MDS database maintained by each state. The MDS is also the tool by which nursing homes receive payment for their Medicaid and Medicare patients.
RAPs
RAPs are a record of 18 medical concerns which, when triggered on an MDS, indicate that a patient requires additional medical attention. Triggers may include issues with cognitive function, behavior management, nutrition, wound care or fall prevention.
Regulation
All components of the MDS must be completed and updated in accordance with nursing home regulations. Failure to complete the required documentation, providing inaccurate documentation, or failing to provide the services indicated on the MDS may result in significant fines or denial of payment.
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