REWARD FOR TIMELY REVIEW DONE
ONE POINT
ORGAN DONATION
UR SCREEN + 7
NO REVIEW WITHOUT CROSSING 2 MN
MEDICAL OBS UNIT CASES
CAN BE DONE: Q2, Q3, Q4, Q5, Q6, Q7
INPATIENT CONTINUED STAY
ENDPOINTS
IQ CRITERIA REQUIREMENT
IPAS DETERMINATION
SPECIAL CASES
GIP HOSPICE
UR SCREEN +7
URPG#10,11,13 REVIEWS
DAILY REVIEW REQUIRED
UNTIL DISCHARGE, INP STATUS, IPAS DETERMINES
PT LEFT THE UNIT
REASON FOR A LATE REVIEW
CONDITION REMAINS THE SAME
NEXT REVIEW +7
COMMENT IQ REVIEW NOT REQUIRED/NEEDED
DOCUMENT NAME OF PERSON WHO PROVIDED THE INFORMATION TO MAKE THE DETERMINATION
COULD ALSO BE DOCUMENTED IN CHART BY MD
REVIEW DONE ON DISCHARGE
ALL OBS/OPB
FELL OFF TASK LIST
REMEMBER TO DOCUMENT WHAT HAPPENED
CHART SHOWS-- "NO BEDS AVAILABLE"
NEXT REVIEW + 7
MAKE SURE TP HAS NOTES IN THE CHART THAT REFLECT A DISCHARGE DISPOSITION DELAY
DOCUMENT THE "TP" IN REVIEW NOTES
DOCUMENTATION REQUIRED IF DISCHARGE EXPECTED ON OBS CASES
WEEKEND OR HOLIDAY COVERAGE
REASON FOR LATE REVIEW
DOCUMENT
TRANSITION DELAY AND
NO MEDICAL NECESSITY DETERMINED BY IPAS
NEXT REVIEW + 7
NEEDS TO HAPPEN WHEN OPB CASES ARE BEING SCREENED OUT
CANNOT SCREEN OUT UNLESS THERE ARE DISCHARGE ORDERS THAT CONFIRM LOS <2 MN