MED REC
WHERE DO WE DOCUMENT CURRENT MEDICATIONS?
WHAT IS MEDICATION PROFILE?
HEART FAILURE MAX WEIGHT PARAMETERS SHOULD BE THE PATIENT'S CURRENT WEIGHT PLUS?
WHAT IS 5 LBS?
WHEN SHOULD A CLINICIAN CALL SOC/ROC REPORT?
IN THE PATIENT'S DRIVEWAY, IMMEDIATELY FOLLOWING THE VISIT.
BY THE END OF THE SOC/ROC DAY AT THE LATEST.
CLINICIANS WILL UTILIZE SVP 2.0 ON WHICH TYPES OF PAYORS?
WHAT IS PDGM/EPISODIC PAYORS?
IF AN ORDER REQUIRES A CALENDAR CHANGE, WHO SHOULD PLOT THE CALENDAR CORRECTION?
THE CLINICIAN THAT RECEIVED/WROTE THE ORDER.
TRUE OR FALSE
IT IS POSSIBLE TO OBTAIN A BP ON A LVAD PATIENT?
WHAT IS FALSE?
LVAD PATIENTS DON'T HAVE ENOUGH PULSATILE BLOOD FLOW FOR A REGULAR BO CUFF TO WORK. THE FOCUS ON THE MAP.
IF A PATIENT NOTIFIES THE CLINCIAN THAT THEY HAD A CHANGE IN PAYOR, WHAT NOTE SHOULD THE CLINICIAN COMPLETE?
WHAT IS INCOMPLETE INSURANCE VERIFICATION COORDINATION NOTE.
HOW OFTEN SHOULD A MED REC BE PERFORMED AND WHO IS RESPONSIBLE FOR PERFORMING MED RECS?
HEART FAILURE MAX ANKLE PARAMETERS SHOULD BE THE PATIENT'S CURRENT ANKLE CIRCUMFERENCE PLUS?
WHAT IS 3 CM?
TRUE OR FALSE:
CLINICIANS CAN ADD OTHER DISCIPLINES TO THE 485 WITHOUT AN ORDER?
WHAT IS FALSE?
YOU MUST HAVE AN ORDER FOR ALL DISCIPLINES IN THE HOME.
WHAT NOTE SHOULD BE ENTERED ON PDGM/EPISODIC PAYORS?
WHAT IS CARE OPTIMIZATION COORDINATION NOTE?
TRUE OR FALSE
IF A DISCHARGE ORDER CHANGES THE POC THE ORDER IS SENT TO THE PROVIDER?
WHAT IS TRUE?
IF A PATIENT IS STARTED ON A NEW ANTIBIOTIC DURING THE EPISODE, THE CLINICIAN MUST COMPLETE THIS FORM?
WHAT IS INFECTION CONTROL REPORT?
(CURRENTLY SENT VIA TEAMS TO PCM AND PCMA)
WHEN SHOULD PATIENT'S BE CONTACTED TO SCHEDULE VISIT?
WHAT IS EVENING BEFORE THE VISIT IS SCHEDULED?
CAN MEDICATIONS THAT ARE NOT IN THE HOME BE ADDED TO THE MED REC?
YES (IE: CHEMO MEDS, ABX ADMINISTERED AT DIALYSIS)
SHOULD ALWAYS INCLUDE CHEMO AND ALL ANTIBIOTICS.
HOW FREQUENTLY SHOULD CLINICIANS MEASURE ANKLES AND WHO PERFORMS ANKLE MEASUREMENTS?
EVERY VISIT, EVERY CLINICIAN
IF A PATIENT REQUESTS ADDITIONAL DISCIPLINES THAT ARE NOT ORDERED, WHO SHOULD THE CLINICIAN NOTIFY?
WHO IS THE PROVIDER?
TO REQUEST ADDITIONAL DISCIPLINES.
WHAT IS THE NAME OF THE CODE THAT IS NEEDED FOR SVP 2.0 TOOL?
WHAT IS HIPPS CODE?
WHAT SHOULD BE INCLUDED IN A VERBAL ORDER?
WHAT IS THE VERBAL ORDER PATHWAY/SIGNATURE LINE?
(VORBC: MD/PERSON GIVING ORDER/CLINICIAN RECEIVING ORDER)
TRUE OR FALSE
WHEELCHAIRS, WALKERS, BSCS, WOUND CARE SUPPLIES ARE LISTED UNDER PATIENT SUPPLIES AT SOC/ROC?
WHAT IS TRUE?
FUN FACT: IF DME IS NOT LISTED, QR WILL CHANGE YOUR SCORES. IF WOUND CARE SUPPLIES ARE NOT LISTED, MEDLINE WILL NOT SHIP THE SUPPLY ORDER AND WILL DECLINE THE ORDER WITHOUT NOTIFICATION TO THE AGENCY/CLINICIAN.
THIS HAS 3 SECTIONS
1. OUTCOMES
2. ACH
3. HHCAHPS
WHAT IS VBP
BOTTLES
MEDICATION LIST
ELECTRONIC MED REC
THIS PERSON IS NOTIFIED IF VITAL SIGNS ARE OUT OF PARAMETERS?
WHO IS THE PROVIDER?
!!!DAILY DOUBLE!!!
WHAT IS REQUIRED TO ADJUST VISIT FREQUENCY AND/OR MOVING EVALS FROM ONE WEEK TO THE NEXT?
WHAT IS A PHYSICIAN'S ORDER?
RESPONSIBLILITY OF THE CLINICIAN MOVING THE VISIT.
IT IS EXTREMELY IMPORTANT TO ANSWER THESE OASIS ITEMS CORRECTLY ON SOC/ROC TO ENSURE THE PATIENT GETS THE MAX BENEFITS FROM THE SVP MODEL.
1. ACCURATE PFOC (CLINICAL GROUPING)
2. M1033 (RISK FOR HOSPITALIZATION)
3. M1800-M1860 (GROOMING, UPPER BODY DRESSING, LOWER BODY DRESSING, BATHING, TOILET TRANSFER, TOILETING HYGIENE, TRANSFERRING, AMBULATION/LOCOMOTION)
4. WOUND, DYSPNEA, PAIN, BOWEL/OSTOMY ITEMS
TRUE OR FALSE
IF A VISIT NEEDS TO BE MOVED FROM ONE WEEK TO ANOTHER YOU DO NOT NEED AN ORDER?
WHAT IS FALSE?
TRUE OR FALSE
A SCHEDULER IS ABLE TO ADD A 66/PT19N/PT18N/RN19N/RN18N TO THE PATIENT'S CALENDAR AT THE CLINICIAN'S REQUEST?
WHAT IS FALSE?
ALL DESK DISCHARGES, NON-BILLABLE VISITS MUST BE APPROVED BY A SUPERVISOR.
NAME 3 HIGH RISK MEDICATION CLASSIFICATIONS
1. ANTICOAGULANTS
2. ANTIPLATELETS
3. ANTIPSYCHOTICS
4. HYPOGLYCEMICS
5. OPIOIDS
6. IV MEDICATIONS
WHY IS IT IMPORTANT TO COMPLETE A THOROUGH MED REC EVERY VISIT?
MEDICATIONS ARE THE NUMBER ONE REASON PATIENT'S ARE HOSPITALIZED.
WHAT WEIGHT SHOULD BE DOCUMENTED ON SOC/ROC?
PHSYICAL WEIGHT FOR BASELINE. CAN'T USE STATED WEIGHTS OR FACILILITY/CLINIC WEIGHTS.
WHO DO YOU NOTIFY TO REPORT NEGATIVE ASSESSMENT FINDINGS?
WHO IS THE PROVIDER - OBTAIN AND ENTER ANY NEW ORDER RECEIVED.
FOLLOW UP WITH A CLINICAL NOTE TO PCM.
!!!DAILY DOUBLE!!!
WHAT ARE THE 4 QUESTIONS ASKED IN THE SVP TOOL THAT THE CLINICIAN MUST ANSWER TO GET THE CORRECT RECOMMENDED FREQUENCY?
1. SN OR PT ADMIT
2. DOES THE PATIENT REQUIRE WOUND CARE?
3. DOES THE PATIENT HAVE AN IV?
4. IS THE PATIENT ON THE CONTINENCE CONTROL PROGRAM.
WHO IS RESPONSIBLE FOR ENTERING VERBAL ORDERS RECEIVED?
CLINICIAN WHO RECEIVED THE VERBAL ORDER.
ORDER SHOULD BE ENTERED IMMEDIATELY UPON OBTAINING. IF THE MD FAXES A SIGNED ORDER TO THE OFFICE, THE PCM WILL MARK THE VERBAL ORDER DO NOT SEND.
TRUE OR FALSE
NON-ADMITS CAN BE COMPLETED BY THE FIELD CLINICIAN?
WHAT IS FALSE?
ALL NON-ADMITS HAVE TO BE DISCUSSED WITH SUPERVISOR AND COMPLETED BY THE OFFICE UNLESS SUPERVISOR DIRECTS CLINICIAN TO COMPLETE FROM THE DEVICE.
!!!DAILY DOUBLE!!!
1. WHEN DOES THE VISIT START COSTING THE AGENCY 3% PER DAY?
2. WHAT IS THE MOST CRUCIAL DAY AND TIME TO COMPLETE AND SYNC BACK SOC/ROC.
1. DAY 4 - SOC NOT TURNED IN BY DAY 3 WILL COST THE AGENCY 3% PER DAY AND HAS THE POTENTIAL TO MOVE FROM EPISODIC PAYMENT TO PER VISIT PAYMENT.
2. THURSDAY BY 2 PM - CMS IS CLOSED ON THE WEEKEND. SOC DAY IS DAY 1. DAY 3 FALLS ON SATURDAY, AGENCY AUTOMATICALLY STARTS LOSING 3% PER DAY ON SUNDAY.