General Processes
The person who completes a HHPOC
What is the Case Manager
5 days of the end of the certification period
A clinician is encourage to wear a mask if
- They want to
- a patient is immunocompromised
- a patient has a respiratory infection
- the family requests
Two reasons to discharge a patient
- Met goals
- Family moving
- Family declined services
-Insurance hold/ denial
- Can’t get ahold of family after 3+ attempts
Order type completed at recertification
What is “Plan of Care” Order
Who monitors the 5 day window
EVERYONE! All clinicians (Evaluating clinicians and PTAs/COTAs)
True or false: Signatures can be obtained at any point during the session
False: signatures must be obtained within 5 minutes of the visit end time.
Visit type for all discharge notes
FUVN billable or non-billable
FUVN
Completed by 2nd and 3rd clinicians at recertification and used for CPA note
Visit type
Must be a billable visit
FUVN type
The minimum length required for a billable session is
30 minutes for all in person, virtual and supervisory sessions
After discharge note and summary are complete make sure to
- Remove patient from Skedulo
- Ensure goals were deleted
Order types at initial evaluations
Plan Of Care: Case Manager
Verbal : Second and Third clinicians in the home
Coordination of CPA is due by
What is 14 days prior to the end of the certification period
True or false: Manually adding the times in and out for your session satisfy the EVV
False: you must click now for in and out to satisfy EVV
Who should you notify of discharge
All the clinicians in the home via email
HHPOC ”additional notes” section includes
Medication Interaction Statement
# of Missed Visits for Each Discipline
Any significant changes during the last 60 days (hospitalization, regression, etc)?
What does the case manager do if they cannot complete the CPA within the 5 day window
- Reach out to the team and assign someone to complete (if possible) and submit a comm note
- If completed outside of window submit comm note within window with patient first explanation
- always submit a comm note when CPA was completed.
EVV is obtained by
Clicking Now and the start and end of session AND obtaining a signature from an adult in the home
This should be rare however utilize the template in drive and enter in as a Triage comm note