Handouts are here! Click on this link. - Selman-Holman & Associates

More documents

Recommendations

Info

4/20/2009 1. What would happen to this patient if the plan of c<strong>are</strong> is not implemented correctly? Would the patient be a risk for: • Hospitalization? • Exacerbation? • Premature placement in a LTC facility? 2. What makes the ‘unskilled’ part of the patient’s plan of c<strong>are</strong> so complex that oversight by an RN or therapist is necessary? Multiple physicians involved with POC and no one physician is taking the lead responsibility Many unskilled tasks necessary to ensure good outcome(s) for the patient GT Feedings Frequent Turning Titration of Medications Skin inspections Pro active in general!!! Multiple family members assisting with c<strong>are</strong> Multiple unskilled providers/aides assisting with c<strong>are</strong>. Patient does not have stable living conditions 6
4/20/2009 OASIS assessment M0340 Patient Lives With ( Mark all that apply) 0350-Assisting Person(s) Other than Home C<strong>are</strong> Agency Staff (Mark all that apply) 360 Primary C<strong>are</strong>giver taking lead responsibility for providing or managing the patient's c<strong>are</strong>, providing the most frequent assistance, etc. (other than home c<strong>are</strong> agency staff) Just to name a few Patient has history of multiple re hospitalizations---Define multiple… C<strong>are</strong>giver Behaviors that may be a concern… M0360 Primary C<strong>are</strong>giver M0380 Community Services involved M0520 Urinary Incontinence M0540 Bowel Incontinence Frequency M0780, 790, Management of Oral / Inhalant Meds M0810 Patient management of equipment … Functional Score M0800 Management of Injectable Medications: Patient's ability to prep<strong>are</strong> and take all prescribed injectable medications reliably and safely, including administration of correct dosage at the appropriate times/intervals. Excludes IV medications. If this is a concern the patient would qualify for home health under the medication administration benefit. 7
Page 1 and 2: 4/20/2009 Medicare
Page 3 and 4: 4/20/2009 Medically reasonable and
Page 5: 4/20/2009 1. Plan of Care</
Page 9 and 10: 4/20/2009 The entire OASIS assessme
Page 11 and 12: 4/20/2009 Date of Last Inpatient S
Page 13 and 14: 4/20/2009 There i
Page 15 and 16: 4/20/2009 Unable to coordinate the
Page 17 and 18: 4/20/2009 M0110 M0230 M0240 M0250 M
Page 19 and 20: 4/20/2009 Current Residence: □1 -
Page 21 and 22: 4/20/2009 1—ADL assistance 2—IA
Page 23 and 24: 4/20/2009 M0790 Management of Inhal

Handouts are here! Click on this link. - Selman-Holman & Associates

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?