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Certification and Recertification
Quick Flip Excellence
Clinical Excellence: The assessment
Clinical Excellence: Pharmaceuticals
Grab Bag
100
A medical doctor or doctor of osteopathy .
What are the only two patient care providers who can provide a certification of terminal illness?
100
Type of cancer patients possibly eligible without distant metastases at presentation
Patients with types of cancer with a poor prognoses (small cell lung cancer, brain cancer and pancreatic cancer).
100
Within in 48 hours of the notice of election
When is the initial nursing assessment due?
100
May only be used if needed to improve the patient's well-being or to protect him/her or others from harm, and only when less restrictive interventions have been determined ineffective.
When can medications that are considered chemical restraints be used?
100
The FAST and MAC
What should be documented weekly in the nursing assessment of the Alzheimers and dementia patient?
200
Must be signed by the medical director of the hospice and by the individual's attending physician.
What is the certificate of terminal illness?
200
New York Heart Association class IV (patients with cardiac disease resulting in inability to carry on any physical activity without discomfort, symptoms of heart failure or anginal syndrome present even at rest. Discomfort is increased with any physical activity.)
What should every patient with heart disease be classified as?
200
Within 5 calendar days of the notice of election
The deadline for the IDG to complete the comprehensive assessment.
200
Tracking and disposal of narcotics
What must every patient and family be notified of at admission?
200
12 hours of training every 12 months
What must the hospice aide receive?
300
Up to 15 days before the start of the new benefit period.
When can the recertification be completed?
300
disabling dyspnea at rest, poor or unresponsive to bronchodilators, decreased functional capacity, bed to chair existence, fatigue, and cough.
What symptoms should patients admitted with pulmonary disease demonstrate?
300
Physical, psychosocial, emotional and spiritual needs related to the terminal illness and related conditions; nature and condition causing admission; Complications and risk factors; Functional status; Imminence of death;Symptom severity; Medication profile (including effectiveness, side effects, interactions, duplication, requiring lab monitoring and identify ineffective medication therapies);Initial bereavement assessment of patient’s family or caregiver;Referrals; and Military checklist (when indicated)
What is required in the comprehensive assessment?
300
at the occurrence of every medication error.
When should a medication error report be completed?
300
With Every patient and staff infection including pt. upper respiratory infections and bladder infections
When should an Infection Control Report be submitted at Harrisons Hope?
400
The third benefit period and every subsequent recertification
What is the face to face encounter requirement for recertification of terminal illnes?
400
Stage 7 or beyond according to the FAST, unable to ambulate without assistance, unable to dress without assistance, unable to bathe without assistance, urinary or fecal incontinece, intermittent or constant, no consistently meaninful verbal communication.
What symtpoms must every dementia admit demonstrate?
400
Patient/family educational materials include information about the psychological aspects of a terminal illness.
What must be incorporated into patient care?
400
24 hours a day and 7 days a week
What is the requirement for patient access to pharmaceuticals?
400
Within 1-5 days post death.
When should the first bereavement call be made?
500
Within 2 days after the first day of each period.
What is the timeframe for obtaining written or oral recertification from the physicians?
500
local coverage determinations
What does the acronym LCD stand for?
500
1. Access to adequate and accurate information; 2. Change in family roles; 3. Communication abilities; 4. Ability to fulfill desired sexual expression; 5. Suicide ideation; and 6. Signs of abuse or neglect.
What must be included in the psychsocial assessment?
500
Medications related to the terminal diagnosis
What does medicare required to pay for?
500
A way to check in with the family, patient and facility at the end of the first day of admission
What is a supper club call?