CHA Discrepancy
True or False. An IP should status a PO as “pending CHA discrepancy” once they realize there are multiple differences from the CHA.
False. A status of Pending CHA discrepancy should only be done after discussing the case with the Clinical manager.
During a CA the IC calls their CM for a psychiatric emergency, the family and consumer refuse the emergency room and 911, what action does the CM take
What is continue to call and /or advise IC to call 911?
Call the Clinical Manager to discuss the next steps if mental/medical instability is discovered during appointment.
What is first step IP should take after discovering mental/medical instability during clinical Appointment (CA)?
Consumer reports receiving physical therapy twice weekly which section is this documented in?
What is question #5
Which Trends has the greatest impact on healthcare in the last 10 to 20 years?
Technological advances
Aging population
Economic globalization
Educated consumers
What is Technological Advances
If a CHA discrepancy is overturned who is responsible for signing the PO.
The Clinical Manager
The IP that completed the PO
Any IP on shift can sign off the PO
None of the above
What is the IP that completed the PO
“A mental health crisis is any situation in which a person’s behavior puts them at risk of hurting themselves or others and/or prevents them from being able to care for themselves or function effectively in the community.
What is a mental health crisis definition per National Alliance on Mental Illness (NAMI) ?
Irritability, Anxiety, Saying they feel “unsafe”, Rapidly pacing or odd fidgeting, concern for abuse, intoxication or suspected drug abuse
Which behaviors/symptoms constitutes instability or safety concerns?
VNS visits weekly and administers an IV medication to the consumer, where would this be documented?
What is section 6 and section 9
One of the most effective ways to network as leaders is to:
email colleagues
utilize LinkedIn or Facebook
Meet regularly with colleagues
Become involved in national organizations and conferences
What is Become involved in national organizations and conferences
Who receives the CHA discrepancy form once completed and reviewed my the Clinical manager?
IPPOSU@maximus.com
IPPchadiscrepancy@maximus.com
Ed@maximus.com
IPPsrclinicalmanagers@maximus.com
What is IPPchadiscrepancy@maximus.com
Irritability, Anxiety, Feeling actively depressed or hopeless, Verbalizing suicidal or homicidal ideations, Intoxication, Active substance use and Verbalizing wanting to hurt themselves/self-harm or someone else
What are symptoms that may seem unstable or safety concerns?
A group of behavioral health professionals who provide care and short-term management for people who are experiencing severe behavioral crisis
Who is the Mobile Crisis Unit?
Do you limit your diet to foods that are soft or liquids?
Do you thicken your liquids?
Do you use any supplements like Ensure or Boost to make sure you get enough nutrition?
Do you have any problems eating? Can you chew and swallow food easily?
These are questions asked to get a better understanding for which section?
What is question 7 Nutrition section?
Which is the most critical element in creating a culture of staff accountability?
Performance Measures
Leadership
Infrastructure support
Resources
What is Leadership
If the Clinical Manager and IP agrees that there is a CHA discrepancy, then.
The IP will interrupt the visit and have OSU reschedule the appointment.
The IP will leave the chart open until the Nurse assessor corrects the CHA.
The IP will complete documentation and status the PO as pending CHA discrepancy, a CHA discrepancy form will be completed.
The Clinical manager will get the Senior involved to complete a guidance form on the Nurse Assessor.
The IP will complete documentation and status the PO as pending CHA discrepancy, a CHA discrepancy form will be completed.
Please secure your personal safety first! Stay on or with the consumer and reach out to your Clinical Manager. Do not leave your appointment until you contact your clinical manager. **As long as your safety is maintained. Contact your Clinical Manager to discuss case and to deem if consumer is unstable
What steps should IC take when they encounter a mentally unstable consumer
Email safety form to Sr. Manager, Clinical Director, Medical Director, and Director of Business Operations?
What is next step after completing the safety form for unstable consumer?
For anything other than ____________, please include a brief note in comments supporting your choice of assistance.
What is Self Administer?
In SWOT analysis, the S represents strengths, the W represents weaknesses, and the O opportunities. What does the T represent
What are Threats
How many days will the UAS remain open for modifications of the CHA after completion?
7 days
14 days
21 days
15 days
15 days
Consumer complains of acute chest pain at the end of a CA and reassures IC that they will go to their doctor tomorrow.
What is call your CM to discuss next steps
True or False
The IP can notify the Clinical Manager of a possible mental/medical instability case at the end of the day.
All safety issues need to be reported immediately to Clinical Managers
Bathing, toileting, dressing, eating, and mobility
what are activities that require personal care?
Maximus has six core values that moves us forward. Which are missing below:
Compassion, Innovation, Collaboration
What is Accountability, Customer Service and Respect