Process Review

Intake Process

100

Intake just finished entering in patient Jon Smith and has completed the Take Referral task. What tasks should appear on the task list to complete the rest of the preparation for the admission visit?

Coordinate Care: Diagnosis Input Coordinate Care: Start Care

200

1.) You just received a call from the hospital indicating that a patient is expected to be discharged to home health 3 days from now. How can you plan for the patient's discharge to home health? 2.)What task will generate for follow up with the facility prior to discharge?

1.) Begin the Take Referral task and select "Pre-Admit, Facility" as the patient's status 2.) Coordinate Care: Facility Follow Up

300

1.) Nurse Nancy is performing her admission visit and realizes that the patient does not qualify for home health services. How can she indicate this information? 2.) What will happen once the admission visit has been completed?

1.) She would have selected "No" to the 'Admit to Agency Services' question 2.)The "Coordinate Care: Verify Cancel" task will appear on the task list to cancel the patient with a 'Cancel, Non-Admit' status

400

The admission visit has been scheduled, but you receive notification that the patient has decided to move in with a family member that lives outside of the service area. How can you cancel the patient at this point?

Create the Change Patient Status task and change the patient's status to "Cancel, Referral"

500

You are trying to enter the 1w1 order for the admission visit with a start date of today. However, when you try to enter a start date of today, you receive a message that you cannot have a start date outside of the plan period dates. What probably caused this and how can you fix it?

The anticipated start of care date field was entered for a date in the future, therefore the anticipated plan period dates cannot start until the anticipated start of care date. Change the anticipated start of care date and then write the order.

Admission Process

100

You are finishing your admission visit, but need to finish OASIS documentation after you get back to the office. How would you indicate this from the Perform Visit task?

Answer "yes" to 'Complete Documentation Later' question. This would generate a Complete Visit Documentation task for you to finish up on your documentation.

200

1.) Physical Therapy just admitted a patient to their services, but did not admit the patient to the agency. What task are they now going to use to complete their initial care planning? 2.) What would PT do in this task?

1.) Contribute to Service Plan 2.) Update orders, add in appropriate protocols, apply their signature to the PT care plan

300

1.) During your admission visit, you completed a series of overview care steps and clicked on several "go-to" links. These links caused those care steps to appear in additional documentation. How can you indicate you want to add the additional items to the care plan? 2.) What task will generate when you finish your visit?

1.) Select "yes" to the 'Consider for plan?' question 2.) Modify/Review Care Plan

400

You are QA'ing the care plan and need to send a note back to a clinician indicating they need to make changes to the care plan before the 485 is generated. Where can you leave this note and what task will generate for them to review the note and make changes?

Indicate "Yes" that you want that discipline to contribute more and leave a task note below The clinician will receive a "Contribute to Service Plan" task

500

1.) You are in Perform Visit and realize that the working diagnosis that was entered during intake is incorrect. You enter the correct OASIS diagnosis, but need to edit the working diagnosis before signing off on the diagnosis. Where do you do so at? 2.) You are reviewing the diagnoses and realize that the OASIS diagnoses are not correct, but the working diagnoses are correct. How can you fix the OASIS diagnoses?

1.) Edit the diagnosis in the Create Service Plan task before applying your signature 2.) Create the View/Revise Documentation task

Transfer Process

100

1.) You receive notification that Patient Mullens has been admitted to the hospital. What task will you use to initiate the transfer to the hospital? 2.) How would you write the order for transfer?

1.) The Record Non-Visit Documentation task 2.) The Service Order tab

200

You want to follow up on Patient Mullens status in the hospital. What task will you use to do so?

Coordinate Care: Resume Care

300

Patient Mullens has been on service for an extended period of time and you are now going to discharge the patient. How can you initiate the discharge for a patient who is on hold?

Create the Record Non Visit Documentation task and initiate the discharge from the Complete Documentation page.

400

Patient Timberlake is now back in the home from a facility and you need to schedule the resumption visit. What task should you use to do so?

The Coordinate Care: Resume Care task

500

You must do these three things to resume care for a patient that was in a facility

1.) Use the Coordinate Care: Resume Care task to change the patient's status to 'Active, Pending Resumption' 2.) Schedule and complete the resumption visit 3.) Use the Update Service Plan for Resumption task to make any necessary modifications to the patient's care plan

Discharge Process

100

All of your patient's goals have been met and you are now ready to discharge from the agency's service. On your last visit you are performing, how will you initiate the discharge process?

Answer “Yes” to the 'Initiate Discharge?' field on the Complete Visit page

200

On your last ordered PT visit, you are ready to discharge from your discipline, but not from the agency. How will you do so?

Answer "no" to the "Continue Services for PT?" question, which will change the PT's status to discharge

300

Patient Willis has 5 more ordered Aide visits, but Aide services are no longer needed. How can you discharge the Aide without discharging the patient from the agency?

Create Add/Update Orders or Modify/Review Care Plan task, discontinue the orders for aide, update the care plan, and set the resource class status to discharge.

400

1.) You are QA'ing the discharge from the Discharge from Care task. You realize that the discharge date is set to yesterday, but PT performed a visit today. How can you change the discharge date? 2.) The aide has a visit scheduled for tomorrow. How will the aide know that the visit is no longer neede?

1.) Change the discharge date on the Patient Status page of the Discharge from Care task. 2.) All future visits after the discharge date are automatically set to not needed.

500

One of your clinicians accidentally discharged the wrong patient. How can you reverse the discharge for the incorrect patient and initiate the discharge on the correct patient?

Answer "no" to the 'Agree with Planned Discharge' question in the Discharge from Care task for the wrong patient. This will generate the Resolve Discharge Dispute task. Answer "yes" to the 'Agree with Care Coordinator' question in the Resolve Discharge Dispute task.

Miscellaneous

100

During the admission visit, the nurse wants to send a note to the PT and the scheduler notifying them that the patient prefers to be seen before 12 noon. How can she send a note to multiple employees?

By creating a communication note and selecting a method of team

200

This is the number of active orders allowed per resource class (discipline) per credential in the Home Care system.

One

300

You are performing a visit and realize that you need to document on a blood draw procedure. You remember seeing that the procedure was on the patient's schedule, so the scheduler must have forgotten to link it to this visit. How can you link the procedure to the visit you are currently performing?

Go to the Add/Update Orders link > Patient Schedule page and link the procedure to the visit you are currently in

400

How you can modify a patient's care plan from a visit (mark a goal as met, modify goal text, etc.).

Add/Update Orders link found on the top right hand corner of the Perform Visit task.

500

A clinician that is new to the Home Care system comes to you with the following list of issues: 1.) She latered the visit from 2 days ago and the visit times show that she was in the visit for 12 hours 2.) She accidentally selected the wrong visit type when she was changing her visit 3.) She couldn't figure out where to document the urinary catheter change in the system, so she documented on paper. You realize that the procedure wasn't linked to the visit like it was suppose to be.

1.) Create the Revise Activity Log task and change the visit time 2.) Create the Revise Activity Log task and change the visit type 3.) Go to the patient's schedule and find the procedure that was not linked. Click on the "Create Ad Hoc Visit" button in order to document on the procedure. Leave a note in the Ad Hoc visit indicating that it is not actually a visit and that the clinician forgot to link it to the completed visit.