Minnesota Administrative Rules
Agency 196 - Human Services Department
Chapter 9549 - NURSING FACILITY PAYMENT RATES
Part 9549.0051 - DEFINITIONS

Subpart 1. Applicability.

As used in parts 9549.0050 to 9549.0059, the following terms have the meanings given them.

Subp. 2. Assessment form.

"Assessment form" means the form developed by the Department of Health Quality Assurance and Review Program under parts 4656.0010 to 4656.0090 and used for performing resident assessments.

Subp. 3. Base year.

"Base year" means the reporting year ending September 30, 1984.

Subp. 4. Case mix operating costs.

"Case mix operating costs" means the operating costs listed in part 9549.0040, subpart 5, and the portion of fringe benefits and payroll taxes allocated to the nursing services cost category under part 9549.0053.

Subp. 5. Discharge.

"Discharge" means a termination of placement in the nursing facility that is documented in the discharge summary signed by the physician. For the purposes of this definition, discharge does not include:

Subp. 6. Medical plan of care.

"Medical plan of care" means documentation signed by the resident's physician which includes the resident's primary diagnoses, secondary diagnoses, orders for treatment and medications, rehabilitation potential, rehabilitation procedures if ordered, clinical monitoring procedures, and discharge potential.

Subp. 7. Other care-related operating costs.

"Other care-related operating costs" means the operating costs listed in part 9549.0040, subpart 6, and the portion of fringe benefits and payroll taxes allocated to the other care related cost category, the cost of food, and the dietitian consulting fees calculated under part 9549.0053.

Subp. 8. Other operating costs.

"Other operating costs" means the operating costs listed in part 9549.0040, subparts 1, 2, 3, 4, and 7, excluding the cost of food and dietitian consulting fees, and the portion of fringe benefits and payroll taxes allocated to each of these operating costs categories under part 9549.0053.

Subp. 9. Productive nursing hours.

"Productive nursing hours" means all on duty hours of nurses, aides, orderlies, and attendants. The on duty hours of the director of nursing for facilities with more than 60 licensed beds and the on duty hours of any medical records personnel are not included. Vacation, holidays, sick leave, classroom training, and lunches are not included in productive nursing hours.

Subp. 10. Quality assurance and review or QA&R.

"Quality assurance and review" or "QA&R" means the program established under Minnesota Statutes, sections 144.072 and 144.0721.

Subp. 11. Resident class.

"Resident class" means each of the 11 categories established in part 9549.0058.

Subp. 12. Resident plan of care.

"Resident plan of care" for residents of nursing facilities means the comprehensive care plan as set forth in Code of Federal Regulations, title 42, section 483.20, paragraph (d), as amended through October 1, 1992.

Subp. 13. Short length of stay facility.

"Short length of stay facility" means a nursing facility that is certified to provide a skilled level of care and has an average length of stay of 180 days or less in its skilled level of care. For the purpose of this definition the commissioner shall calculate average length of stay for the nursing facility by dividing actual resident days in the skilled level of care for which the nursing facility can bill, by the total number of discharges from the skilled level of care during the reporting year.

Subp. 14. Standardized resident days.

"Standardized resident days" means the sum of the number of resident days in the nursing facility in each resident class multiplied by the weight for that resident class listed in part 9549.0058. Standardized resident days must be determined under part 9549.0054, subpart 2.