HHCAPS ALWAYS BEHAVIORS
OASIS & OTHER
ICC
COMMUNICATION & QUALITY CARE
TEAM MENA GOALS
100

Review the plan of care, coordination notes, therapy SOAP notes, medication list and all supplemental orders prior to entering the patient’s home to ensure full understanding of the treatment to be performed during the visit.  TRUE OR FALSE

TRUE

One of the survey questions is, Was the clinican up to date on treatment plan being provided in the home......

100

True or False: Per CMS the patient should be scored "Safely" in each funcitonal area on SOC/ROC. 

TRUE

Oasis Clinian should be sure to score the patient safely on SOC/ROC, it's not if the patient can perform, CAN THEY PERFORM IT SAFELY. 

100

What does ICC stand for? 

Integumentary Command Center

100

Per Policy each Clinican is expected to call their patients BEFORE 10:00. 

True or False

TRUE: 

The expectation is that all patients will be called as early as possible, but no later than 10:00 each day. The earlier you start the earlier you complete your day. Scheduling time with the patient shows respect for their time, and helps drive up our HHCAPS scores. 

100

What is Team Mena's Hospitalization rate goal? 

Goal for Hospitalization is <8%. 

Being proactive and keeping the paient out of the Hospital is always a priority focus. Stay vigilant and let's get it done!! 

200

Use empathetic phrases and empathetic body language such as gentle touch or hand holding.  TRUE OR FALSE

TRUE

The care and empathy you provide shows the patient how much you care. Mistakes are usually overlook when a clinican has been caring and showed true empathy prior to a mistake. Professional yet caring relationships matter a great deal. 

200

Where do you locate the accurate DFS when discharging a pateint so that you know that you have met the measure? 

TCC email. 

PCMs update the DFS expected score after the buddy code is completed. PCMs provide the most updated score in the TCC Email.  

200

What is documented in the ICC? 

Wound care documentation.

Like...Is the patient on ABX, How did the patient tolerate the care, does the patient see wound clinic, and caregiver situation, etc. 

NOT...."TOLERATED WELL"

200

Call the patient if there will be a change in the pre-arranged visit time greater than 30 minutes, ask the patient if the new time is acceptable, and offer alternative visit times if the new time is not acceptable.        TRUE OR FALSE

TRUE

THIS IS AN ALWAYS BEHAVIOUR. TREAT THE PATIENTS TIME WITH COURTESY AND RESPECT. If you are behind and not in good cell service text the office to assist with calling the patient for an update. 

200

Team Goal for SOC/ROC reports is 100%. It takes everyone to make this happen. 

TRUE OR FALSE

TRUE

OWN THIS....LET'S MAKE IT HAPPEN. IT'S NOT THE PCMS JOB TO TRACK YOU DOWN! 

300

Visually inspect the medications every visit and use the words, “purpose”, “when”, and “side effects” when teaching about medications.  TRUE OR FALSE

TRUE

Medications should be reconciled each visit in the presence of the patient and use the teach back method. Ask them to name side effects of the medication and what it's for. Med Education is one of the most important things to prepare the patient for discharge so they can manage their DX process well. 

300

What 3 Oasis based Outcomes are part of the VPB measures?

Oral Meds, Dyspnea, DFS

Again, Accurately scoring the Oasis "saftely" per CMS is so important. It affects our publically reported data.

300

When should pictures be obtained of a wound? 

At SOC or onset and each additional RN visit or SN visit with documented changes. 

300

Our Current Patient Satisfaction score is? 

A. 91.50%

B. 92.75%

C. 93.00%

A. 91.50%

Our Goal is 95% or higher. 

300
What is our VPP Goal? 

0.00% or less

Staying within the Model when initially setting up the patients calendar is important. We can always add visits later in the cert if needed. 

400

During wound care or a painful proceedure, say to the patient, “I want to be as gentle as possible, so please let me know if I need to slow down” while performing procedures.  TRUE OR FALSE

TRUE

This is one of the survey questions. Did the clincian treat you as gentle as possible? By asking how they are doing and taking time to stop for breaks shows the patient you mindful of their needs and you care about their wellbeing. Remember to ask them to take pain medications before painful wound care etc.  

400

What is our current Oasis team score this week? 

What is our agency Oasis goal? 

Current team score 91%

Team Oasis goal 93% or greater. 

400

To remain compliant with CMS, when should the RN be scheduled Weekly? 

Daily wound care, with an infected wound, Stage III or greater, Wound Vac's. 

400

What is the purpose of our Medalogix Bridge Program? 

To identify patients that might benefit from a higher level of care. To provide the patient with the right care at the right time like the right time to transition the patient to Hospice. 

400

The Team Goal for Q3 is for all teams to have NO RED on the clinical Score Card? 

                          

                                TRUE/FALSE

   TRUE

500

Before leaving the home, set the device down, make eye contact with the patient and ask if there is anything else that can be done for the patient today. Ask the Patient to rate your visit today, if not a 9 or 10 asked them what you can do better. TRUE OR FALSE

TRUE

THIS IS THE EXPECTATION TO HELP DRIVE OUR SURVEY RETURNS IN A POSITIVE WAY. 

500

What are the two HHCAHPs Based measures for 2026 that are reflected in our publically reported data? 

% who Rated Agency 9 or 10 AND

 % who would Recommend (Definatly YES)

Scoring extremley high in these to areas is vital to our VBP score. That's why education on what we need on the Surveys is so important. 

500

When should the wound care orders be updated in the chart? 

When orders are obtained,every RN visit and with any changes in wound care status, or when the WAT score is greater or less than 5 points. 

500

It is very important, Prior to taking a Vacation that you eductate the Patients about your upcoming absence and encourage them with the depths of our strong clinical team.  TRUE/FALSE

TRUE

Patients refusing care when needed just because you're not available puts the patient at risk. It is important to ensure the patient that other members of your team are committed to providing the same excellent care you provide despite their preference.

500

What is our Agency's Turnover rate? 

What is the goal? 

Current Turn Over Rate is 42.9%

Agency Turn Over Rate Goal is 10% or less. 

Together, we can create an environment where people feel supported, valued, and motivated to stay and grow. By communicating openly and addressing concerns early, we strengthen not only our team but the care we provide to our patients.

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