CMS SOM App. J, Tag W332

individual program plan as part of the interdisciplinary team process;

Guidance §483.460(c)(1)

For those clients who have had an uneventful year medically and have no medical/health

concerns at the time of the IPP meeting the facility nurse may submit a summary report to the

IDT unless the IDT determines that his/her attendance is necessary. An eventful year medically

would include a year which required unplanned hospital admissions or in which medical issues

necessitated treatment for a prolonged or continuing period. However when a client has had an

eventful year medically or current medical/health concerns, this could have an impact on their

objectives and accordingly the nurse should participate in the IDT discussion directly.