What day should you start contacting your 2 day ToC patient?
Day 0
What needs to be specific and measurable?
Goals and activities
Gives specifics about patient, tx data, and care plan
Patient Care Summary
Where do you track Tier 1 and Tier 2 patients?
CKD Transition Readiness Patient List
Patient is above TW.
Educate on renal diet and attending all dialysis treatments and collaborate with DKC
True or False: If you miss the 2 day contact but complete the one week, a 2 day pathway is not needed.
false
What is the target date for goals and activities?
30 days
Who you are allowed to speak to on the patient's behalf
PTD
What percentage of CTMs are IKRN's expected to attend?
100%
Patient needs help getting a blood pressure machine
Task CC
When should you start contacting your RRCs?
Beginning of the month
True or False: Each goal must have 5 activities included
False
TW, BP, and missed txs
How many contact attempts does it take to make a patient a UTR?
4
Patient has been hospitalized this month
Complete 2 day and 1 week ToC pathway. RRC with the patient every month for 3 months
How many days do you have to complete NTDs?
30
How many care plans should each patient have?
One
Documenting 2 day and 1 week ToCs
Pathways
True or False: Making a patient CMR DOES NOT require ROM or ROS permission
False
Patient yells at you to never call them again or else?
Escalate to ROM for CMR permission
When should the med review be completed?
True or False--Every patient should have a care plan
True
Reviewing medications that are not listed on the med review
Outside records
What is the 2025 goal for Optimal Starts?
65%
DKC tells you that there is no point in asking a patient to attend an extra treatment because the patient is non-compliant
Document and advocate