Regulations
Education to both client and caregiver must be present in the _______________
Plan of Care
Where can you locate the documents and forms needed for visits?
Zendesk
Learning and training support -- IN-- Clinical Forms & Training
How many days do providers have to sign an order and/or POC?
60 days
Which 2 entities are ALWAYS part of care coordination?
PCP and HHA (or agency nurse if skilled)
**must document date/time and state that POC was reviewed
Name your Administrator, Alternate Administrator, and AQ Nurse
Lydia Gadd – Indianapolis Administrator
Nichole Speer – Indianapolis Alternate Administrator
Mindy Bundy – Columbus and Evansville Administrator
Ann Naylor – Columbus and Evansville Alternate Administrator
Ann Naylor – AQ Nurse : Columbus, Bedford, Jasper, New Albany, Evansville, Seymour, Greenwood, Indy Avon
Ashley Patton – AQ Nurse: Muncie, Anderson, Winchester, Terre Haute, Bloomington, Lafayette, Indy East, Richmond
How often must you perform a supervisory visit for HHA clients?
Daily Double
How often is a sup visit required for dual discipline? LPN staffed skilled case? RN staffed skilled case?
at least every 60 days for HHA only
every 14 days for dual discipline (HHA and Skilled)
every 30 days for LPN skilled case
RNs do not require supervision
Where must you upload updated consents, patient signature form, BAA, legal forms, etc?
Original cert period attachments
Who needs to be notified if your client and/or caregiver has a complaint?
Branch Manager and Administrator/Alternate
True of False ?
BAA are required for outpatient agencies
False --
BAA are required for any other agency providing care in the home (ex: skilled provider, waiver provider, group home, hospice, etc)
Aside from falls and ER/hospitalizations, name 3 other reasons you would complete an IR?
new or worsening wound, communicable disease, abuse, neglect, exploitation, missing medications, death, infestations, fire, injury, theft, etc
In what timeframe should ALL documents be uploaded to the EMR?
14 days -- this includes skilled nursing flowsheets and MARS
What is the purpose of the patient signature form and when should you complete it?
The form is intended to provide alternate confirmation when unable to provide full signature on DVS and consent forms (ex: unable to sign full name due to CP)
At admission and when change of condition warrants.
When must a caregiver complete competency evaluation?
Name 3 ways to prove that Care Coordination was completed.
upload fax success
communication note for phone call before/after visit
on comprehensive assessment when completed during visit (ex: HHA present, group home staff present, etc)
DNR cannot be listed for code status until what 2 things are on file?
Physican order and DNR paperwork from patient (out of hospital DNR, POST form, etc)
How often is a home observation required? And what tasks are eligible for observation?
Twice per year (best practice every 6 months). Bathing, hair care, toileting, skin care
Name 3 non-eligible tasks for the home observation form
light housekeeping, meal prep, laundry, ambulation, repositioning, med reminders
Who is allowed to modify a communication note?
The original writer
How do you distinguish who is the primary provider on the BAA form?
The primary provider should always be the agency providing the higher level of care (ex: HHA primary over waiver; skilled nursing/PT primary over HHA)
Which service line must you select in Riskonnect when entering an IR for a PA patient?
Skilled
What forms must be completed for a pseudo patient prior to their first class?
Pseudo patient job description and pseudo patient orientation
Where will you keep the completed Individualized Emergency Action Plan?
Daily Double
What are the 3 disaster code plan/colors and give an example scenario for each code
Original POC attachments, home chart, binder in office
Red/Level 1
Yellow/Level 2
Green/Level 3
How often must QA be completed for HHA documentation (DVS/telephony review)? AND......name 3 reasons that follow up would be required?
QA must be completed and documented every 30 days.
Follow up is required for unusual findings, not following service plan, missing client and/or caregiver signature, blank timesheets
Explain what you must do if your client is placed on hospice?
Confirm payer source for hospice, confirm primary diagnosis for hospice, confirm PCP willing to continue to sign HHA orders
Confirm visit frequency in order to send decrease order to MD, send POC to hospice and request theirs in return, complete BAA
When should you check your diagnosis codes to confirm if they are still current? AND........where do you need to update it if your primary code changed?
At admission and recertification. AND......... UBO4-2, box #66 and in the Admission --> admission tab (primary diagnosis)