SBAR
PFOC
OASIS E
CAHPS
MISC
100

"Wound Care" is an appropriate PFOC

No. PFOC should include the etiology of the wound/dx - for example:

PFOC: Diabetic Ulcer of right foot - SN for wound care

100

A client is observed ambulating with a walker throughout her home, she requires reminders to keep the walker close to her body for safety. What is the most appropriate response for OASIS M1860 Ambulation?

3 - requires supervision - remember, verbal cues are considered supervision

100

TRUE or FALSE - CAHPS surveys follow scientific principles in survey design and development. The surveys are designed to reliably assess the experiences of a large sample of patients. They use standardized questions and data collection protocols to ensure that information can be compared across healthcare settings 

True

100
In which city does April Klar live?

Rush City

200

'Weakness' is an acceptable PFOC

No. The cause of the weakness should be the PFOC i.e. CHF, COPD, Sepsis etc.

200

What does OASIS stand for?

Outcome and ASsessment Information Set

200

TRUE or FALSE - The CAHPS is a short, 2 paged survey sent to clients for feedback regarding their care and measure performance of the home care company.

False - The CAHPS survey is very in depth and is 33 pages long - it is sent to clients for feedback regarding their care and measure performance of the home care company. 

200

Correctly spell the name of the clinical supervisor that is not April.

Christal

300

TRUE or FALSE - It is important to list out all possible billable diagnosis as the PFOC in the SBAR narrative.

FALSE. The PFOC should be clearly identified/listed as a stand alone diagnosis within the SBAR. It is best practice to have a separate heading of 'PFOC' and to list the diagnosis that requires the most intensive services.

EXAMPLE:

SBAR - blah blah blah blah

PFOC: Wound care r/t diabetic ulcer of right foot

300

Client was discharged on 1/1 and the SOC occurred on 1/3 - A Physician ordered SOC/ROC date is required - true or false?

False. Because the admission occurred within 48 hours of the discharge/most recent referral date - Physician Referral Date should be 1/1

Physician ordered SOC/ROC Date - *blank*

Referral Date - 1/1

Discharge Date- 1/1

300

TRUE or FALSE - When admitting or discharging a client, it is not necessary to mention the CAHPS survey to them as it is not pertinent to their care.

False. Client education regarding the CAHPS survey and its importance to home care should be provided at admission and prior to discharging.

300

What are the names of Nicky's dogs?

Gator and Nova

400

The following is an acceptable form for the 'R' of the SBAR:

R:  PLAN IS FOR PT AND OT FOR GAIT TRAINING, STRENGTHENING, ENDURANCE, ENERGY CONSERVATION AND ADAPTIVE EQUIPMENT- CLIENT IS INTERESTED IN OBTAINING A WHEELCHAIR FOR USE IN THE HOME. SKILLED NURSE FOR EDUCATION RELATED TO PAIN MANAGEMENT AND CURRENT MEDICATION REGIMEN. HHA TO ASSIST WITH PERSONAL CARES. NEXT NURSE VISIT IS SCHEDULED FOR TUESDAY, 1/3/23.

This is acceptable so long as the PFOC is noted below the 'R'. If no PFOC is noted, this chart will be put on hold to query which dx requires most intensive services.

EXAMPLE:

R:  PLAN IS FOR PT AND OT FOR GAIT TRAINING, STRENGTHENING, ENDURANCE, ENERGY CONSERVATION AND ADAPTIVE EQUIPMENT- CLIENT IS INTERESTED IN OBTAINING A WHEELCHAIR FOR USE IN THE HOME. SKILLED NURSE FOR EDUCATION RELATED TO PAIN MANAGEMENT AND CURRENT MEDICATION REGIMEN. HHA TO ASSIST WITH PERSONAL CARES. NEXT NURSE VISIT IS SCHEDULED FOR TUESDAY, 1/3/23.

PFOC: Left Ilium Fx r/t fall in home

400

A client was discharged from the hospital on 4/1, due to an influx of recent admits, the admission nurse is unable to see the client for admission until 4/5. The PCP faxes the referral with a signed note "OK to admit on 4/5". How should this be noted in OASIS in the following fields - 

Physician ordered SOC/ROC Date - 

Referral Date - 

Discharge Date-

Appropriate response in OASIS should be:

Physician ordered SOC/ROC Date - 4/5

Referral Date - *blank*

Discharge Date- 4/1

400

What does CAHPS stand for?

Consumer Assessment of Healthcare Providers and Systems

400

Which county does Emily Vang live in?

Morrison County

500

Explain why OASIS is important to home health care and how it is used.

OASIS is important because the responses/outcomes from each company are transmitted to CMS and can affect reimbursement for service. OASIS outcomes also drive start rating.
500

Explain why CAHPS survey results are frequently used for payment programs and performance measures.

CAHPS surveys measure patient experience, which is an important factor in quality of care that can only be measured by patient surveys. Good patient experience is correlated with good clinical outcomes, and is the reason CAHPS surveys are used for payment programs and performance measures.

500

How many properties are on a monopoly board?

28