Documentation
This needs to be signed prior to the 2nd visit of care
What is the Patient Authorization and Consent form?
Infection, increased pain, polypharmacy, shortness of breath
What are some reasons that may make a patient a high risk for rehospitalization?
Patient needs to have this to qualify for hospice
What is a terminal diagnosis of 6 months or less?
This dressing is not appropriate for daily wound care
What is Optifoam?
Medication Understanding Section in PointCare
What is where you can document medication teaching?
This is how often a home health aide must be supervised
What is at least every 14 days?
RNPC visit type
What is a phone call visit to assess patient response to interventions and assess additional needs in addition to scheduled visits
What is a portable medical form that documents the patient's wishes for end-of-life care?
What is a POLST?
This is when a wound should be measured
What is weekly at the first nursing visit of the week?
Medication teaching should include
What is dose, frequency, purpose and potential side effects?
These are acceptable times to leave the home to still be considered homebound
What is to attend religious services, medical appointments, adult day care, dialysis, wound care center, infrequent trips for personal care?
These items should be discussed and highlighted in the Patient Caregiver Guide to help prevent unnecessary rehospitalizations
What is the On Call Guidelines and VNA 24-hour number (1-800-We-Visit)?
Medications for comfort and related to the terminal illness, durable medical equipment, supplies, nursing, home health aide, social work, chaplain and therapy as indicated
What are items covered under the Medicare Hospice benefit?
This is how many catheters Medicare will pay for per month
What is 2?
Medications should be reconciled at
What is SOC, Recertification, Discharge and any time a new medication is added?
This is when a NOMNC should be given
What is at least 48 hours from planned agency discharge date?
Number of visits CMS expects the agency to make in a 30-day payment period for quality patient care
What is the LUPA threshold?
Routine, General Inpatient, Respite, Continuous Care
What are Hospice levels of care?
Wound care orders must include the following
What is location, type of wound, care of wound and frequency of wound care?
Anticoagulants, insulin, opioids, chemotherapy
What are high risk medications?
These should be confirmed by the physician and documented in the admission narrative
What is all diagnoses for medications, wounds, and listed comorbidities?
This is where one can find the LUPA threshold in Point Care
What is the Point Care visit alert section in the client snapshot?
Manages the patient's overall care following admission to Hospice
Who are the patient's attending physician, hospice medical director and IDG?
Managed Medicare / Commercial Client Supplies
(1) Who are patients you should not order supplies through Medline for?
(2) Who are patients you should order supplies through Cardinal at Home for?
Patient's management of oral medication ability if unable to ambulate but the medications are next to patient, and they are able to take their medications without assistance?
What is independent in management of oral medications (M2020 = 0)