It's an EPIC tale
What's up,
DOC?
DOC?
WRITE ON! WRITE ON!
GOTTA HAND IT TO YOU,
Hand off
Communication & Care
Hand off
Communication & Care
GRAB BAG
100
What is the method for using the EHR to communicate urgent and routine concerns regarding your patient to the psychiatrist?
In the "Dear Doctor" note
100
What is the continuity of care protocol and list 2 ways we provide continuity in treatment for our patients?
Continuity in Practice
-Maintain same primary therapist and nurse for patient Los
-Provide detailed hand off communication for covering therapist re: pt. treatment
100
How are staff educated about Wellness and Prevention that can be used for patient education?
-Staff wellness module
-Wellness Post test
100
How does the team know if the patient has special needs such as dialysis, diet level, diet restrictions, skin integrity issues, etc PRIOR to admission?
Intake team provides a voicemail to the entire staff to describe special needs PRIOR to admission AND includes information on the intake assessment in EHR
100
Match the topic with the committee most likely to discuss and tackle the topic as a team committees include Partnership, EOW, & Operations?
A) Procedures, collaborations with Ancillary departments ...... ?
B) Working as a team, dieting, patient sensitivity, and infectional control issues ......?
C)Areas of Interest for staff education ......?
200
How do we collect information about our patients preferences, mode of learning, and barriers to learning?
Where do we document this information?
-During intake and admission process
-During initial evaluations including surs
*Areas documented on the individualized Team Care Plan
200
Describe the methods therapists use to communicate patient treatment focus for another therapist who is covering during the primary therapists absence
-Discipline specific treatment cards
-"Sott Charts" which include patient treatment activities
-Voicemail
200
Where is patient education about medical management documented by nursing in the EHR?
How is the patient's response to education recieved documented?
*In the patient education section of the EHR
-VU = Verbal Understanding
-D = Demonstration
-NR = No response
200
Besides special needs to arrange medical management, list 5 other pieces of information provided in the admission voicemail from Intake that assists us with coordination of care to prepare for the patients admission?
-Patients internist for medical managemnt needs
-Patients height/weight for wheelchair procurement
-Date of Birth
-Behavioral considerations and/or need to pre-admit conference
-Social/Family concerns effecting D/C
-Interpreter Needs
200
How do we obtain input from our referral sources, case managers, physicians, and patients to determine if we are meeting patients current needs, offering appropriate services, identification areas of grow?
*Intake and leadership meets with referral sources to present our program services, our outcomes, and solicit input about satisfaction with our services/focus.
*We have also used survey monkey with our stoke population and invited patients to focus groups to discuss satisfaction with program.
300
Provide examples of problem areas on the Team Care Plan that the entire team may focus on during patients length of stay
-Patient safety
-Patient pain
-Behavioral concerns
-Endurance
-Nutritional Intake
-Discharge plan and necessary resources
300
How do the nursing staff provide hand off communication about their patients shift to shift?
-Verbal report at change of shift
-Nursing Care Plan
-Voicemail to Charge Nurse across all shifts
300
Where is the patient education regarding Wellness topics, Prevention, or Discipline specific training documented?
What should be documented?
-In the daily and weekly Therapy Notes
-Patient education section of the EHR
-The topic, discussion, and specific training should be documented AND the patient family response to the education and training. i.e. "Patient expressed clear VU of transfer technique and demonstrated ability to perform a safe squat pivot transfer with ModA."
300
When a patient is D/C home or to a non institutional setting, how do we follow up with the patient and family to insure their needs are met?
Our administrative assistant calls patients within first week of discharge to ask if patient has:
-Recieved any outstanding equipment orders
-Made an appointment with their PCP
-Picked up medications prescribed by psychiatrist at D/C at designated pharmacy
-Started Home Health/OP
*Patient concerns are directed to the appropriate team member for follow up
300
Up until January 2015, what hospital wide tool was used to meausre patient satisfaction AND list specific areas that the tool measured?
Press Ganey
Areas of satisfaction include:
-Medical care from Physician/Nursing
-Therapy Care
-Cleanliness of Environment
-Food
-Communication regarding concerns, goals, and D/C plans
-Concern for patient comfort and privacy
400
How does the Team Care reflect which members of the team are working on the specific problems?
Designated team members are documented in the Team Care Plan by discipline
400
What is a Code Lime?
How do we document information during a code lime?
-EHR is down
-Downtime documents are scanned and placed in -Media section of the EHR
400
What are the key pieces of the information covered in the OT, PT, ST, & SW discharge summaries?
-Equipment at D/C including vendor information/phone number.
-Current functional status in ALL AREAS
-Treatment strategies and recommendations for OP/Home Health
-Information on referral sources/agencies
-Other?
400
What is the process to arrange after care services, referrals, and placement of D/C? Who is responsible for this follow up?
*Patient needs at dishcarge are discussed with the patient and family during team conferences.
*The social worker is the point of accountability for follow up given all recommendation and available resources
400
Name 3 major accomplishments for Partnership Council in the past 3 years?
-Revision of the Partnership Education Binder
-Creation of a quiet zone to reduce noice level based on patients input
-Coordination of nursing and therapy activity times to avoid morning rush congestion, i.e. meal times, med times, additional times
500
Provide 2 examples of how the team would modify a treatment intervention for a patient not making progress and how would this be documented?
-Examples 1 & 2: Participants include identification of change in condition or lack of progress , change in treatment intervention, review of results.
500
Relevant patient care documents that are not part of EHR can be scanned and placed where in the EHR?
Media Tab of the EHR
500
What is an AVS
What information is covered by the physiatrist in the AVS given to the patient?
After Visit Summary
-Pt Diagnonsis
-Allergies
-Name, number, and address of Pharmacy
-List of Medications that patient will continue taking after discharge and any treatment recommendations for medical management
500
Name 5 of the After Care services that patients may receive at Discharge
1. IHSS
2. Assignment of a PCP if a patient does not already have one
3. Outpatient Rehab
4. Home Health Services (RN & Therapy)
5. Dialysis
6. Paratransit
7. Referral for housing (CIL)
8. Other?
500
Decribe one memorable patient care experience that demonstrates your ability to "Go the Extra Mile" to help your patient succeed
*Thank you for all you do for each of your patients and families everyday!!!!
