Annual Reviews
Who are the two groups you should send feedback google forms?
your families and your peers
True or False: I can copy and paste caregiver education across my daily visit notes for a client.
False! Documentation of caregiver education is required in each note and should be individualized and specific to the session. Even if you are working on similar things between sessions, the education should not be exactly the same
True or False: Once I have submitted a transition request form, I am no longer responsible for maintaining chart compliance for this client.
False! As the current clinician, you are responsible for maintaining chart compliance until a transition is confirmed by PA. This means keeping up with missed visits and adding orders during recertification (scheduled under your name)
Name one strategy you use to maintain good work/life balance within home health.
Clinician's choice!
Examples include: maintaining an efficient schedule, setting expectations with families, point of care documentation, reviewing the attendance policy, looking at the school calendars to schedule make up sessions, and utilizing telehealth when appropriate,
True or False: I can bill for a discharge FUVN when I did not see the patient for the discharge visit?
False! If you did not see the patient for a final visit, you complete the discharge FUVN as a non-billable visit
When completing the annual review process, what should you do if you have more than 5 CEU certificates and PayCom will only let you upload 5 documents
There are a couple different ways to complete this process.
1) Take screenshots of each certificate and upload into one Google document, which can then be uploaded to Paycom
2) If courses were completed on ContinuED, you can export a copy of your transcripts into a PDF and upload the PDF to Paycom
3) You can upload them using a .zip file
If there is a new medication interaction that does not fit in the interventions box due to a character limit, what should you do?
A) If it doesn't fit, you can omit the medication interaction statement
B) Only add what is possible and forget about the rest
C) Paste the medication interactions in to the "Notes" section of your POC and write into the interventions comment box, "Major/severe interactions noted. Due to character limit, interactions are included within the recert notes section."
C) Paste the medication interactions in to the "Notes" section of your pediatric POC recert note and write into the interventions comment box, "Major/severe interactions noted. Due to character limit, interactions are included within the recert notes section."
True or False: I can leave the advanced directives page blank when completing a POC.
False! Please ensure you are selecting the correct option for Advanced Directives prior to submitting your POC. If the family does not have a DNR or other documentation of an advanced directive, then please select full resuscitation.
True or False: I need to ask for editing access when utilizing the "view only" Home Exercise Program and Letter of Medical Necessity templates available on the shared drive.
False! When utilizing the HEP or LMN templates provided on the shared drive, please make a copy of the document, save it to your personal drive and then make individualized edits.
True or False: I should discontinue all discipline orders when discharging a patient.
False! You should only discharge your own discipline's orders during this step. If you notice another discipline's orders in the order group, you should return to your discharge FUVN and ensure you have selected 'discipline discharge' and not 'agency discharge'
How many days in advance should I be notified about my annual review
30 days prior to their Annual Review
What statement should be added if a patient is not taking any medications and where do you enter this statements on the POC document?
"Patient not taking any medications" should be entered in the interventions comments box
What is the longest a patient can go without being seen in order to have the chart remain complaint
60 days- if you have had patients who have been on hold for periods longer than 60 days, please reach out to your RCM to determine next steps.
What is the Children's Hospital Challenge?
Solace donates $1 of each visit completed during the month back to Children's Hospital every year- this year this challenge will occur in October!
What type of communication note should you use for discharge when there are no active orders?
TRIAGE communication note
*Remember to use template in drive for discharging without active orders
Who should PTA's/ COTA's have complete their annual review observation?
Their OT or PT supervisor
What types of orders will you use for the following scenarios:
Initial eval (1st clinician in the home)
Initial eval (2nd/3rd clinician in the home)
Recertification
Medication Changes
Initial eval (1st clinician in the home) - POC
Initial eval (2nd/3rd clinician in the home) - VERBAL
Recertification - WRITTEN
Medication Changes - WRITTEN
When is the holiday party?
October 1st at the Denver Zoo!
If you are unable to get a hold of the caregiver, how many days notice should you give before discharging the patient?
5 days
What were the annual gifts for the past three years?
Cooler, Hydroflask and Yeti
Name at least 4 of the required pieces of information that need to be included in the narrative section of a daily visit note.
1) Where the visit occurred
2) Who was present
3) Level of alertness/participation
4) PPE worn if applicable
5) Medication updates, including if there are no changes
6) Specific caregiver coaching/education/strategy
7) Collaboration with a supervisor if an assistant
8) Plan for ongoing services with "Continue with POC"
9) Statement regarding reason if no signature was captured
If a patient is on hold due to awaiting a transition therapist and the recertification is due for that discipline who should you reach out to for orders?
The therapist who submitted the transition if they are still with the company
or
The RCM if the therapist is no longer with the company
What were two topics that were discussed during the 8/30 town hall?
Change of titles for Darcie, Corey, and Shashi
Rebranding to Care Options for Kids (including new colors)
Announcement of new documentation system CubHub
Reminder to complete Employee Satisfaction Survey
Children's Hospital Challenge
Change to open enrollment starting in October
What are the four main steps to completing a discharge?
1. TRIAGE communication note with discharge date
2. Complete a discharge FUVN, either billable or non-billable
3. Discontinue orders (WRITTEN) and resolve goals
4. Complete discharge summary in clinical documents