Do I do or Do I don't
Let's be Exclusive
Let's Make a Point
Keeping a Beat
Readmission Reduction
100

You would not remove the patient from the Epic RR Patient list when you see this type of change

What would I do if I see the DRG/Principal problem has changed on the RR Patient list

100

All RN's can "Balance" this

What is the call schedule?

100

The .Phrase for populating RR HF flags.

What is .RRHFPathwayFlag?

100

How the "Days to Readmit Date" is calculated in the Readmission Spreadsheet

What is the number of days from the ANCHOR date to readmission?

100

An attempt is made in the morning and again in the afternoon.

What is the process for Readmission Reduction 1st calls to help prevent calls from being rolled to the next day?

200
these have priority over RRHF visits

What are BPCI visits in the hospital?

200

The cadence to follow when an RR patient is admitted to the hospital for a problem not associated with heart failure

What is Continue the call cadence on discharge?

200

The .phrase to enter the HF zone tool into Epic AVS

What is .HFZoneTool?

200

"RX#1/RRHF"

What is the process for altering a RX call note to show that Pharmacy should make the call a priority for the day?

200

The 3 Home health companies TTCC will begin sending emails to during 1st call

What are VNA (TGH Home Care), Centerwell, and Pinnacle?

300

Hospice Refusals, Deceased patients, Patients that fall off of bundle

What are patient types that do not need to be added to the Refusal Spreadsheet?

300

When a patient receives a VAD implant

What is exclude a patient from the Readmission Reduction Patient List?

300

The .phrase to use when conducting Readmission Reduction DC evaluations

What is .RRHFGREETINGCOMPLETED

300

"Nicole to review readmission"

What do you update the TC Sticky Note to say if Nicole or Kristy are not available to review a readmission not related to HF?

300

Attempt to speak to the patient. If you are not able to speak to the patient and assess the ideations, provide the person you are speaking to with the hotlines for help and advise them that they can also call the police for assistance as well.

What are the beginning steps for dealing with a patient with suicidal ideations?

400

Update the flag and TC Note stating the patient is going to a facility/Hospice

What you should do when you see a CM note stating the patient is going to a facility/Hospice

400

When filtering the Readmission Reduction Patient List, these are the 3 primary groups we will follow

What are 

1. They have a RED HF severity score (no matter the diagnosis

2. They have a HF DRG or HF primary problem

3. A previous nurse documented in the TC sticky that they added the flag

400

The .phrase for all RR HF calls.

What is .TTCCHeartFailure

400

At readmission you message Nicole or Kristy

Who do you contact if a patient readmits for something other than HF s/s or Complications of HF?

400

This appears in the Patient information tile when a patient is being followed by USF Care Management

What is "Caravan MSSP ACO Roster"?

500

This appears in the Patient information tile when a patient is being followed by TGMG Population Health

What is "This patient is enrolled in CCM"?

500

These are the 5 exclusions from Readmission Reduction

DC anywhere but home or home with HH, VAD, HD, Actively Managed by Transplant, previous nurse has documented "will not follow"

500

When assisting Pharmacy, the .Phrase used to conduct an Rx RRHF call.

.TTCCHFRRrxEducationCall

500

The cadence when an RR patient is admitted to the hospital and discharges during the 30 day follow period

What is Restart call cadence at day 1?

500

Epic "Primary Problems" related to HF DRG

What are A. fib with RVR, Hypertensive Urgency and Acute CHF

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