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HOMECARE 101
OBJECTIVES : Understand the flow process for interventions and goals from the SOC to Discharge Define what a skilled need is and use that concept to plan appropriate visit patterns for patients Understand how different disciplines work together to provide care.
MEDICAL NECESSARY 485
SKILLED NEED •Hospitalization/ER visit/ Rehab or Nursing Home Discharge •Recent new or exacerbated diagnosis •Change in medications in the last 60 days/New medication in the last 30 days •Change in primary caregiver providing care with a knowledgeable deficiency •Medication administration (other than oral) • Wound care •Urinary catheter care • Mental status changes • Diabetic care •Depression which may cause decreased physical activity
DME • HOSPICE • SPECIALIZED • CARE • HIGHESTLEVELCARE • PRIVATE SERVICES • HOME HEALTH • IV/PICC
Are we required to complete a transfer OASIS • assessment on a patient who went to the emergency room, was then put into an observation bed for two days, and then admitted for less than 24 hours? 1. Be admitted to the inpatient facility (not the ER, not an observation bed in the ER) 2. Reside as an inpatient for 24 hours or longer (does not include time spent in the ER) 3. Be admitted for reasons other than diagnostic testing only NO.
When to refer PT/OT/SP/HHA High Fall Risk Assessment RECENT FALL SOB/O2/COPD PAIN/ WEAKNESS NEW DME CHANGE IN FUNCTION TROUBLE WALKING TROUBLE WITH ADL’S TROUBLE SWALLOWING OA/CVA/NEW JOINT COGNITIVE DEFICITS
WHO DOES D/C
HOW MANY VISITS?
WHERE’S MY PATIENT
Why call your numbers in? CARY CARY
Your discharge must be approved
HAS THE PATIENT BEEN INSTRUCTED ON PAIN/MEDS? THE ANSWER IS ALWAYS YES. Our goal is to keep patients out of the hospital! SIDE EFFECTS Med/ symptoms changes
Who is Peggy Elmore Message: Advise of skilled need Decrease Medicare visits increase blues
