FOC/F2F
How should clinician completing the SOC, identify the FOC? What does the FOC have to match up with?
The F2F and what diagnosis where identified or addressed during F2F encounter.
new or exacerbated diagnosis requiring a change in treatment
two parts:
1.To what type of patients are NOMNCs issued?
2.When is the earliest a NOMNC can be issued?
1.ALL MCR patients including MCR advantage plans
2. up to seven days prior to expected discharge date
When must high-risk consent form be signed by patient that has a PICC line?
1. admission
2. removal of PICC line
Idenitify or name two types of potential avoidable events.
falls, emergent care for med issue, UTI, increase in number pressure ulcers, dc to community with unhealed pressure ulcers/wounds, substantial decline
How many days notice must a PTO request be submitted for?
14 days
How are the F2F and home health initial assessment related?
clinician documentation that supports the reason for home health and why now
diagnosis addressed during the F2F encounter and aligns with clinician assessment
If a NOMNC is issued at the discharge visit, when will the DC visit and the DC summary need to be completed?
DC visit can be completed the day of discharge, but DC summary can't be completed until 48 hours after the DC visit
What care/documentation should be performed/documented weekly?
1. dressing change
2. mid arm circumference measurement
3. length catheter is exposed
List one measure addressed on the patient survey mailed to patients home.
care of patients, communication between providers and patients, specific care issues, overall rating of agency, recommend agency
Identify one concept from our mission statement.
1. improve the quality of life
2. clinical excellence
3. exceptional service
4. compassionate care
muscle weakness, pain, pressure ulcer unspecified, arthritis, falls....
Name all three pieces of information that must be included on page one of the NOMNC form?
1. patient name
2. office name/information
3. effective coverage end date
When can a PICC line catheter be used by clinicians for blood draws according to 3HC policy?
NEVER!!! unless an MD order is obtained
Name two specific measures that impact VBP score.
hospitalization rate, TIOC rate, OASIS measures
Who is our current CEO?
Jennifer Whitley
On SOC assessment/documentation-what two things must be documented in the narrative in order for Wellsky to be able to code the visit/episode appropriately?
skilled need and FOC
What should be included in the plan contact information and where is this located?
insurance provider and phone number on the back page
What must a RN have to remove a PICC line catheter in the home? including the proper dressing
1. MD order
2. initial measurements of PICC
3. HR consent
4. lubricating jelly gauze
List two OASIS outcome measures that are reviewed/impact VBP.
2020-MANAGEMENT OF ORAL MEDS
1400-DYSPNEA
AMBUALATION
BED TRANSFERRING
BATHING
Name one concept of our vision.
1. Be compassionate
2. Be innovative
3. Be excellent
What additional information is requested and should be included in initial assessment documentation related to unspecified conditions such as CVA, fractures, pressure ulcers, wounds, etc?
laterality, specific site/location, late effect of, etiology if a wound
List two reasons a patient wouldn't require a NOMNC according to 3HC policy.
1. MD order to DC
2. Patient request to dc
3. patient moves to higher level of care-rehab/hospice
4.agency dc due to business reasons-non-compliance/safety
Name two important factors while performing PICC dressing change?
use sterile technique, wear mask, patient wear a mask, do not fan or blow dry aseptic solution, label dressing with date/initials
When assigned a SOC and scheduling your visit with the patient, the patient states they're unavailable and request to move the visit to another date.
List all the steps to stay in compliance with TIOC
1. call MD to obtain new POSOC and document in the communication notes
2. let Tina know!
How many years has 3HC agency been established?
43 years