This process occurs when a grievance resolution cannot be achieved.
What is the staff develops a written report which is sent to the ED/Medical Director for review. The report must be approved within 5 days and the participant has 30 days of receiving the report to request a review by the advisory committee.
The four types of vaccinations currently being tracked are:
1. Pneumococcal
2. Shingles
3. TB
4. COVID
5. Flu
This is a service request that is approved in real time, while in the field, by the appropriate discipline
What is an immediate SDR?
This is the most common reason fall's occur at SLW
What is loss of balance?
This is the color code for a fire emergency
What is code red?
These people should be alerted immediately, or at least by the next business day, of a possible grievance.
Who is the supervisor, the program director, the ED and/or the QAPI?
PPD tests are required this often for participants
Yearly
This note includes notification to the participant that an SDR has been approved, what specifically has been approved, and when they can expect to receive the service.
What is an SDR notification?
This type of therapy assessment evaluates mobility level and other functional abilities including, but not limited to, the need for assistive ambulation devices
What is physical therapy evaluation
This is the color code for a medical emergency
What is code blue?
The IDT should be alerted to a grievance within this time frame?
What is the next business day or within a period of five working days (whichever is shorter)
True or False: SLW has a TB isolation room
False
This is the number of days any staff member has to notify the IDT of a SDR
What is 3 calendar days?
This type of therapy assessment evaluates the participant's ability to perform personal care and other activities of daily living and may include, but not limited to, need for adaptive equipment.
What is occupational therapy
This is the color code for a disaster, natural or man-made
What is code brown?
A grievance must be resolved in this time frame.
What is 5 business days?
This is required by an RN before any vaccination can be given?
What is a signed consent
This is the number of days the IDT has to reach a decision on the SDR
What is 3 days?
This type of therapy assessment evaluates baseline functional capacity, auditory tasks, visual tasks, language intelligibility and expression tasks.
What is speech therapy evaluation?
It is within this many days within an IDT care plan review must a discipline's assessment be completed?
What is 30 days?
The grievance is documented here (hint there are 2 places)?
Where is
1. Grievance Investigation Report
2. Grievance Log
This is defined as 3 or more cases of the same illness resulting from the same source or infectious agent impacting PACE participants
What is an infectious disease outbreak
This information must be provided to the participant on any SDR denial notification
1. specific reason for the denial
2. information about the right to appeal
3. the right of the participant to continue to receive any disrupted service during the appeals process
When a participant passes away, this happens in regards to DME
The DME that is reusable is picked up, disinfected, and used for other participants. SLW maintains ownership of all DME.
LIFE stands for...
Living
Independence
For the
Elderly