What is Mission Care (2 miles), Santa Anita (4 miles), Huntington Drive (5 miles), GEM (5 miles)?
100
List a skilled nursing need that qualifies for Medicare Part A Skilled Nursing benefit
What is: Wound care, IV therapy, NG or G-tube, Rehab (PT/OT)?
200
Which of the following pts wound NOT be appropriate for direct SNF admission from the office:
a) Patient with severe back pain from a new compression fracture
b) Patient seeing you for post-hospital discharge and too weak to be at home
c) Patient with evolving neuro symptoms of unclear etiology r/o TIA
d) Patient at home with a burned out caregiver who is contemplating dropping off the patient at the ER
What is "Option C"?
Patients with evolving symptoms or unclear diagnosis where further work-up and specialist input needed should be directed to the hospital.
200
Number of days that Medicare pays for skilled services
What is up to 100 days?
300
Medication reconciliation at care transitions is important. Our inpatient team will list medications in SCAN format. What does SCAN stand for?
What is
Stop
Continue
Adjust
New
300
Number of days a FFS Medicare patient needs to be hospitalized in order to qualify for a SNF as part of the post-acute benefit.
What is 3 days?
Medicare Advantage patients do not need a qualifying hospital stay and can be directly admitted to a SNF.
Review direct admission process
400
The place you will call to reach a SNF clinician who is caring for your patient.
What is the Pasadena UCC triage number? 626-795-2244,extension 3 or 626-405-7260
400
One of your patients has progressive dementia requiring more care for ADLs. The patient has MediCal. The family can no longer take care of him at home and want him to be placed in a nursing home. Name this type of care and who pays.
What is custodial care?
Financed by Medi-cal, Private pay, Long-term care insurance
500
Percentage of 2015 SGV SNF patients who land in core SNFs in the North region for post-acute care (Medicare Part A)
What is 93-94%?
This includes core LA and San Fernando valley SNFs
500
List a factor contributing to long SNF length of stay.
What are:
--legitimate skilled needs (G-tube, wound, IV therapy)
--tough disposition (custodial placement, unable to afford caregivers)
--progressive or new medical issues during SNF stay