Miscellaneous
Why do we have monthly team meetings?
In addition to clinical collaboration and support as a home health regulation we are required to be meeting monthly.
If there is a dosage change in the medication, do you have to update this at every visit?
Yes. As a clinician you must review the medication profile at each visit. This means you are reviewing the medication, dosage and frequency not just have there been any med changes or updates.
What two steps are clinicians required to do if an initial evaluation is not completed at the original day/time scheduled?
Enter a comm note with a family driven reason and complete eval change request form.
What is required in every discharge visit note?
A comprehensive patient assessment.
Is the medication profile always in chronological order?
No, make sure you scroll through the whole medication profile to recognize changes/updates that occurred.
Why do we now need to report on the POC if a patient is taking 5+ medications?
To report risk for hospitalization.
Where can you locate the initial evaluation change request form?
Spreading Solace in the quick resources folder.
What is the required timeline for discharge summaries to be sent to the PCP?
Within 5 business days. As a clinician you are required to complete this process within 48 hours to ensure the admin team can notify the PCP.
Case Study: Cert Period: 7/31 - 9/30
Client has had one medication listed in profile from May-Sept 2024. If this med has been discontinued by the end of the certification period (effective 9/5), what do we indicate on the POC?
“Patient is not taking any medications” as this is accurate at the time of POC submission
If a medication dose changes in the last 60 days but medication doesn’t change, do you still need to list interaction on POC?
No, because the interactions were previously reported. Dosage does not impact med/med interactions
How soon should you enter a communication note when the evaluation is requested to be rescheduled?
What steps are required in the discharge process?
1.add a comm note
2. Email/notify other clinicians in the home
3. Complete DC visit note
4. Resolve/remove problems, goals, and interventions from care plan & discontinue orders
5. Generate discharge summary in clinical documents
For the Children’s Hospital Visit challenge in the month of October each region team is aiming to complete how many visits?
8,500 or more
If a client had medications in the first 30 days of the certification period and then no meds at the end of the certification period, can you indicate patient not taking any meds even though it is a med change in the last 60 days?
Use the statement from the medication interaction flow chart, “patient not currently taking medications”.
What type of note should be used for an initial Evaluation?
A pediatric initial evaluation note.
What note type should be used when completing a discharge?
Visit note: Pediatric FUVN
COFK currently has locations in Arizona, Colorado, Delaware, Florida, Nevada, New Jersey, Pennsylvania, Oregon, Texas, Washington, and what other US state?
Idaho
What type of communication note should be used when you update the medication profile?
Miscellaneous
True or False
Caregiver education does not need to be included in the initial evaluation
False. You need to include caregiver education in all notes.
Do I still need to complete a comprehensive patient assessment even if the client is not present for the last visit at time of discharge?
Yes. Use your best judgement/info from the last session you did see the patient.