Compliance
Dysphagia
Grievance
ODP Principles
Billing
100
It is EVERYONE'S responsibility
Who is responsible for TLC compliance?
100
The difficulty chewing, swallowing, or moving food or fluid from the mouth to stomach.
What is DYSPHAGIA?
100
Document, respond to and resolve grievances reported by individuals, families or advocates.
What is the purpose of the grievance procedure?
100
14 principles
How many principles are there in the MR service system?
100
12-24 hours of continuous absence within a 24 hour period between 12am and 11:59pm
What is therapeutic leave?
200
Ever 7-10 days
How often does the compliance officer check the compliance line?
200
~13%-14% of all hospitalized individuals ~40% -50% of individuals in nursing homes ~33% of people in rehab centers
What is the percetage of people affected by dysphagia?
200
immediately
When should concerns/grievances be reported?
200
They provide standards for policy development, service design and decision-making.
What is the purpose for the principles of the MR bulletin?
200
Daily unit basis
How are residential services billed
300
Paul Stanalonis
Who is TLC'S compliance officer?
300
Two main types ~ Silent Aspiration ~ Aspiration Pneumonia
How many types of aspiration are there?
300
21 days
How long does TLC have to resolve a grievance?
300
Choice, Control, Quailty, Stability, Safety, Individuality, Relationships, Freedom, Success, Contributing to the community, Accountability, Mentoring, Collaboration, Community Integration
What are the 14 principles of the MR system service?
300
15 minute unit
How are day program services billed?
400
206
What extension is used to reach the compliance officer?
400
100 hundred muscles in the head & neck
How many muscles are used for swallowing?
400
Program Manager TDM Program Specialist or Director of Services
Who should grievances be reported to?
400
Everyday Lives
What is the framework for planning, policy development, service design, and all related activities in the mental retardation service system?
400
The 16th and last day of the month
When is residential billing submitted?
500
1) Discuss the issue with supervisory staff 2) Discuss the issue with a member of managment 3) Call the TLC compliancve hotline
What are the three channels for reporting compliance concerns?
500
600-1000 times a day
How many times a day does someone swallow?
500
TLC will arrange for either a case management or independent advocate to hear the concern and make a recommendation.
What happens if no satisfactory resolution can be agreed upon by the provider and participant or the person filing the grievance?
500
November 2011
When was the publication Everyday Lives: Making it happen released?
500
Specific information that must be maintained to document the provision of services and service units to validate invoices/billing submissions
What is a progress note?