HIS
Where do you look for the primary dx?
The CTI
When and how do I check when a pt is commercial?
Cortext from intake will give insurance. You call also look at payor source
Please note that intake HIS for payor- will include all insurances. Please note that all are not primary insurance
What do you do when oxygen is not in use?
Order for oxygen to be picked up
When in the certification period, do we evaluate a patient for appropriateness to remain on service or dc?
all the time
What orders do you put on DME if pt has portable O2 at home? ( in remote client)
Oxygen , supplemental O2, and portable O2
What are the components of a pain assessment?
Locations
Severity
Character
Duration
Frequency
Exacerbated and relieved by?
Effects on quality of life?
What is a notice of financial responsibility? and process?
It is a form for commercial members that have a high deductible plan. High detuclitble plan is ….
Process is to check the first box ( a detucltible or )
What is a M tank?
A huge oxygen tanks. Great for safety during power outages
What is the role of the CM in the DC Process?
Review with IDT prior to dc
Discuss with pt and loved ones
Discuss at IDG meeting and place order
Give NONMC letter
Coordinate dc plan with team (MD, pharmacist, secretaries, MSW, SCC, HHA, and leadership team) and update PCP of DC.
DC visit or TC DC visit
What does AHEART mean?
Apologize, Hear, Empathize, Acknowledge, Resolution, and Thank you
How many pain assessment criteria are required?
5
What box on the consent do I check when a patient is commercial?
Health Plan
When is the Oxygen checklist started?
On the day oxygen is ordered
When is the Attestation form for NONMC needed?
When a patient is being dc from hospice and we are unable to obtain a signature for any reasons. This may include refusal to sign, unable to reach or connection by phone only
If I order DME, when should a RN follow up?
Next day
What is the dot phrase for patient wishes?
.hhhpatientwishes
If a patient insurance changes to Medicare after admitted to service?
New consents and new SOC are done
How do you care for oxygen equipment? Oxygen tubing and concentrator?
Tubing- clear replaced every 2 weeks, green extension every 3 months. Do not use alcohol or oil based products
Concentrator: Clean filters every at least weekly- remove the filter- wash in a non lotion liquid soap with water. rinse , squeeze and pat dry with towel. Replace
What are the reasons for DC?
Death, Moving out of service area, Cause and revocation
When do we conduct fall risk assessment?
SOC, Recertification and after a fall
Where do you find the information for (A1802) Admitted From - Immediately preceding this admission, where was the patient?
Intake note
If is a patient is unable to sign their own consent, how is that document?
Clinician will chart clinical justification on consents and EMR about why patient cannot sign consents.
The appointed agent signs consents and indicate relationship for appointed agent.
What is the purpose of humidifier bottle and do you clean it?
Humidifier bottle is used to add moisture to the oxygen.
Cleaning: Wash Hands. Remove the bottle and wash it in soap and water. Rinse thoroughly and shake off excess water. Soak humidifier bottle for 30 min in mixture of one part white vinegar to one part water. Rinse and allow the bottle to air dry. Replace the bottle after filing with distilled water. Discard the vinegar solution.
What is needs to be done prior to giving the NONMC letter?
DC order from MD in remote client
What is HHA supervision visit requirement?
every 14 days but local workflow is every visit