Interdisciplinary Rehabilitation for Stroke
|
|
- Allison Scott
- 6 years ago
- Views:
Transcription
1 Interdisciplinary Rehabilitation for Stroke Jessica Berry, MD Natasa Miljkovic, MD, PhD Antonette Murphy, RN, BSN, Clinician Kelly Vitti, PT, GCS, NCS
2 Role of the PM&R Physician Consultation in acute care Inpatient rehabilitation Transition to home/community Outpatient clinic and follow-up care
3 PM&R Consultation in Acute Care Aid in determining most appropriate post-acute disposition Recommendations to assist with acute management Delirium/agitation Spasticity Neuropathic pain Arousal/neuro-stimulation Bracing/equipment
4 Inpatient Rehabilitation (IPR) Criteria Need for at least 2 rehab disciplines (PT, OT and/or SLP) Able to tolerate >3 hours of therapy (5 days a week) Medical Necessity (PMR Physician and nurse available 24/7) Rehab diagnoses
5 IPR Criteria: additional considerations Family support Home setting Discharge plan Long-term prognosis Insurance
6 Alternative Post-acute Care Settings Skilled Nursing Facility (SNF) Transitional Rehab Unit (TRU) PT/OT per week Less (1-2 hr/day) More (2+ hr/day) PMR Physician oversight No Yes NP oversight daily Varies Yes MD weekly Yes Yes Nurse 24/7 Yes Yes
7 Inpatient Rehabilitation Interdisciplinary approach PT, OT, SLP Neuropsychology Orthotics/custom bracing Rehabilitation Case Manager Stroke Education
8 Rehabilitation Nursing In Stroke Recovery Antonette Murphy RN, BSN, Clinician 8
9 The Rehabilitation Staff Nurse The primary focus for the rehab nurse is to: Assist the patient to obtain and maintain maximum function with their new disability and/or chronic disease Assist patients and their families to adapt to an altered lifestyle 9
10 Nursing Responsibilities Managing Medical Necessities Tracheostomies Feeding tubes Chronic diseases ( HTN, HLD, DM etc.) Infections Incision care Skin issues Bowel and Bladder 10
11 Nursing Responsibilities Educating patient and family is a key component of discharge planning The key topics we focus include: Medications Assistive equipment Managing chronic diseases Promoting safe independent functioning Fall risk/harm preventative measures Encouraging/celebrating each patient accomplishment 11
12 Barriers to Positive Patient Outcomes Lack of understanding of diagnosis Unexpected loss of control Feelings of being overwhelmed Frustration/anger Fear of the unknown 12
13 Team Approach.. Nursing Therapy Patient Neuropsych Physiatrist
14 The Team Approach Formal Communication Team huddles Occur twice a week Brief discussion with the team Focus is on day to day issues Weekly staffings Mandatory weekly meetings to discuss patient s progress towards their goals and discharge disposition 14
15 The Team Approach Informal Communication Transfer signage in rooms and bathrooms Post fall huddle forms Mod I green dots on door frames Team Hand off 15 This Photo by Unknown Author is licensed under CC BY-SA
16 Team Approach Stroke education group Prayer Group Stroke Camp 16
17 STROKE CHAMPS! ONE STEP AT A TIME ONE WORD AT A TIME ONE TASK AT A TIME 17 FOR A HEALTHIER YOU
18 PT, OT and SLP in Stroke Recovery Kelly Vitti PT, GCS, NCS 18
19 Common Deficits Hemiparesis Balance Neglect or Inattention Ataxia Apraxia Distractibility Swallowing impairment Cognitive changes Mobility issues Visual field cuts Aphasia
20 Team work Real time communication Formal communication Treatments in rooms, hallways and gym Co treatments 20
21 Dysphagia Instrumental assessment Modified Barium Swallow Study Fiberoptic Endoscopic Evaluation of Swallowing Diet recommendations Modify consistencies Treatment recommendations Modify size of bolus/rate of intake Positioning Strategies (cough-swallow, controlled/effortful swallow, head turn)
22 Aphasia A language impairment that encompasses both input and output modalities. Working together to improve functional communication of basic wants, needs and ideas using multiple modalities Gestures Visual aides Writing/Reading Establish context Manipulate environment to reduced internal/external distractions Communication strategies
23 Visual and Hemi-body Neglect Ignoring one side of the body Reduced awareness of deficits Postural changes
24 Visual and Hemi-body Neglect
25 BITS Visual Perceptual Technology used for Visual field loss Visual-spatial neglect Cognitive challenges Eye hand coordination
26 Occupational Therapy ADLs IADLs Upper limb strengthening and ROM Splints Taping Neuro-facilitation 26
27 Physical Therapy Strengthening Balance Assessments and Interventions Gait training Analysis and Intervention Technology Orthotics 27
28 Gait Training Body weight supported treadmill Lite Gait Andago
29 Gait Rounds Weekly evaluation Progress with ambulation Need for bracing Adaptive equipment Combined approach PT PM&R physician Orthotist patient
30 30 Gait Training
31 31 Follow up
32 32 Gait Analysis
33 33 Three Weeks Post
34 Interdisciplinary Team Meetings Patient progress updates (use of FIM) Team goal setting Determination of estimated rehab length of stay Functional status at admission Functional goals/time to reach goals Ultimate discharge destination (home vs SNF) Medical comorbidities/barriers insurance
35 Neuropsychology Services in IPR Counseling adjustment to disability Mood (depression/anxiety) Stroke education Cognitive testing Available daily
36 Transition to Home/Community after IPR Home health services Outpatient therapy services Adaptive equipment Office of Vocational Rehab (OVR) Outpatient PM&R Stroke clinic follow-up Outpatient neuropsychology services Stroke support group
37 Outpatient PM&R follow-up Continue to address functional status/needs Assist with coordination of care Spasticity management Medications Botulinum toxin injections Intrathecal baclofen pumps Pain Neuro-stimulation/attention Orthotics/bracing Additional needs Adaptive driving evaluation Referral for community education
38 38 Thank You!!
WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service
WakeMed Rehab Hospital Stroke Rehabilitation Scope of Service WakeMed Rehab Hospital provides an integrated, comprehensive delivery of rehabilitation services utilizing evidenced-based practice directed
More informationSTROKE REHAB PROGRAM
STROKE REHAB PROGRAM Allied Rehab Hospital is part of Allied Services Integrated Health System, the premier post-acute health-care system in Northeast Pennsylvania, and is the region s leading provider
More informationLevels of Rehabilitation Care. Objectives
Levels of Rehabilitation Care R. Samuel Mayer, MD Vice Chair, Education Department of Physical Medicine and Rehabilitation Johns Hopkins University School of Medicine Objectives List various levels of
More informationWakeMed Rehab Spinal Cord Injury Scope of Service
WakeMed Rehab Spinal Cord Injury Scope of Service The WakeMed Rehab Continuum provides an integrated, comprehensive delivery of rehabilitation services utilizing evidence-based practice directed toward
More informationPhysicians Who Care for People with MS
Physicians Who Care for People with MS Neurologists: Specialize in the diagnosis and treatment of conditions related to the nervous system including the brain, spinal cord, and nerves. Many neurologists
More informationAcute Care to Rehab & Complex Continuing Care (CCC) Referral
o General Rehabilitation Low Intensity Rehabilitation (GRH, SJHCG) o (CMH, GRH, SJHCG) o Chronic Assisted Ventilator (GRH only) o o Ischemic o Hemorrhagic Stroke Rehab: Program Readiness Date: Complex
More information6/12/2017. The Rumor is True: A New PPS Payment System is on the Horizon Presented by: RKL, LLP Senior Living Services Consulting Group
The Rumor is True: A New PPS Payment System is on the Horizon Presented by: RKL, LLP Senior Living Services Consulting Group 1 Speaker Introductions Stephanie Kessler, RAC-CT Partner 717.885-5724 skessler@rklcpa.com
More informationDetermining the Appropriate Inpatient Rehabilitation Candidate
Determining the Appropriate Inpatient Rehabilitation Candidate Brandi Damron, OTR/L, MBA Program Director Norton Community Hospital Inpatient Rehab Unit Objectives Discuss the preadmission process limitations
More informationDepartment of Veterans Affairs VHA DIRECTIVE Veterans Health Administration Washington, DC December 7, 2005
Department of Veterans Affairs VHA DIRECTIVE 2005-061 Veterans Health Administration Washington, DC 20420 VA NURSING HOME CARE UNIT (NHCU) ADMISSION CRITERIA, SERVICE CODES, AND DISCHARGE CRITERIA 1. PURPOSE:
More informationGuidelines for Physiatric Practice and Inpatient Review Criteria
Guidelines for Physiatric Practice and Inpatient Review Criteria Table of Contents PART I: GUIDELINES Guidelines for Physiatric Practice PART II: INPATIENT REVIEW Instructions: Pre-admission or Admission
More informationPost Title: Clinical Nurse Specialist, Multiple Sclerosis (CNM 2)
Job Description Post Title: Clinical Nurse Specialist, Multiple Sclerosis (CNM 2) Post Status: Permanent Contract Department Neurocent Department Location: Beaumont Hospital, Dublin 9 Reports to: Directorate
More informationTherapy STARS Project: Medical Necessity
Therapy STARS Project: Medical Necessity Presented By: Cindy Krafft MS PT President Home Health Section APTA Director of Rehabilitation Consulting Services and Nancy Buseth PT, RN Senior Rehabilitation
More informationToday s educational presentation is provided by. The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE
Today s educational presentation is provided by The software that powers HOME HEALTH. THERAPY. PRIVATE DUTY. HOSPICE At Kinnser, we believe post-acute care businesses need the right software solution for
More informationA Nurse Leader s guide to a successful Restorative Nursing Program PRESENTER: AMY FRANKLIN RN, DNS MT, QCP MT, RAC MT
A Nurse Leader s guide to a successful Restorative Nursing Program PRESENTER: AMY FRANKLIN RN, DNS MT, QCP MT, RAC MT Requirements for Successful Completion 1. 2.0 contact hours will be awarded for this
More informationGreater Manchester Neuro-Rehabilitation Services information for patients and carers
THIS BOOKLET IS BEING TRIALLED Greater Manchester Neuro-Rehabilitation Services information for patients and carers Greater Manchester Neuro-Rehabilitation Services gmnrodn@srft.nhs.uk All Rights Reserved
More informationDocumentation & Communication in Adult/Medical Settings. Devina Acharya, MA, CCC/SLP, CSUSM
Documentation & Communication in Adult/Medical Settings Devina Acharya, MA, CCC/SLP, CSUSM When in Rome. do as your facility does 2 Who s the Boss? Doctor makes decisions and bears ultimate responsibility
More informationPhysician documentation Tips. Lisa Werner, MBA, MS, CCC-SLP
Physician documentation Tips Lisa Werner, MBA, MS, CCC-SLP Setting the Stage We must prove that an inpatient rehabilitation stay is reasonable and necessary. What does that mean? That patient s needs could
More informationUNIT DESCRIPTIONS. 2 North Musculoskeletal Rehabilitative Care
UNIT DESCRIPTIONS 2 North Musculoskeletal Rehabilitative Care Musculoskeletal Rehabilitation The Musculoskeletal Service provides rehabilitation following multiple trauma, or orthopaedic surgery (primarily
More informationHome Health Eligibility Requirements
Presented By: Melinda A. Gaboury, COS-C Chief Executive Officer Healthcare Provider Solutions, Inc. healthcareprovidersolutions.com Home Health Eligibility Requirements Meets eligibility for home health
More informationGoodbye PPS: Hello RCS!
Disclosure of Commercial Interests I consult for the following organizations: Celtic Consulting LLC President, CEO Celtic Consulting is a Long-Term Care advisory firm, focused on providing one-on-one oversight
More informationSW LHIN Complex Continuing Care Eligibility Guidelines
SW LHIN Complex Continuing Care Eligibility Guidelines Name: Referring site: HIN: Date: Definition: OHA defines Complex Continuing Care as a specialized program of care providing programs for medically
More information2/20/2018. Resident Classification System RCS-1. CMS Proposal
Resident Classification System RCS-1 CMS Proposal Resident Classification System I (RCS-I) Complete overhaul of the Medicare A payment system (replacing RUGs-IV) On April 27, 2017 CMS released an Advance
More informationInpatient Rehabilitation Program Information
Inpatient Rehabilitation Program Information The Inpatient Rehabilitation Program at TIRR Memorial Hermann The Woodlands has a team of physicians, therapists, nurses, a case manager, neuropsychologist,
More informationRhode Island Hospital Inpatient Rehab Unit (IRU)
Rhode Island Hospital Inpatient Rehab Unit (IRU) We are located on the 7 th floor of the Main Building. The unit phone number is (401) 444-2217 Within this packet, you will find answers to some commonly
More informationFlorida Health Care Association 2013 Annual Conference
Florida Health Care Association 2013 Annual Conference The Westin Diplomat Resort & Spa Session #29 Therapy and the MDS Coordinator: Collaboration = Improved Outcomes Tuesday, August 6 4:45 to 6:15 p.m.
More informationThe Royal Hospital Donnybrook Referral Form
The Royal Hospital Donnybrook Referral Form Admissions Office Ph: (01) 406 6742 E-mail: admissions@rhd.ie Fax: (01) 496 7571 Each section must be completed by the treating health professional and goals
More informationTABLE OF CONTENTS. Medicare Charting Guidelines... Section 3 Documentation Guideline Procedures...1 Medicare Documentation Guidelines...
TABLE OF CONTENTS Medicare Skilled Nursing Training Handout...Section 1 Post Test...1 Training Content...3 Nursing Documentation Subjective/Objective Statements...22 Supportive Nursing Documentation...23
More informationOASIS-B1 and OASIS-C Items Unchanged, Items Modified, Items Dropped, and New Items Added.
Items Added. OASIS-B1 Items UNCHANGED on OASIS-C OASIS-C Item # M0014 M0016 M0020 M0030 M0032 M0040 M0050 M0060 M0063 M0064 M0065 M0066 M0069 M0080 M0090 M0100 M0110 M0220 M1005 M1030 M1200 M1230 M1324
More informationRegulatory Compliance Risks. September 2009
Rehabilitation Regulatory Compliance Risks September 2009 1 Agenda - Rehabilitation Compliance Risks Understand the basic requirements for Inpatient Rehabilitation Facilities (IRFs) and Outpatient Rehabilitation
More information2017 CRRN Examination Content Outline
2017 CRRN Examination Content Outline Domain I: Rehabilitation Nursing Models and Theories (6%) Task 1: Incorporate evidence-based practice, models, and theories into patient-centered care. a. Evidence-based
More informationCreating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care. Opportunity Statement
Creating a Virtual Continuing Care Hospital (CCH) to Improve Functional Outcomes and Reduce Readmissions and Burden of Care Robert D. Rondinelli, MD, PhD Paulette Niewczyk, MPH, PhD AlphaFIM, FIM, SigmaFIM,
More informationWork In Progress August 24, 2015
Presenter Sarah Wilson MSOTR/L, CHT, CLT 4 th year PhD student at NOVA Southeastern University Practicing OT for 14 years Have worked for Washington Orthopedics and Sports Medicine for the last 8 years
More informationRestorative Nursing: The NHA s Role and Organizational Outcomes
Restorative Nursing: The NHA s Role and Organizational Outcomes SUE LAGRANGE, RN, BSN, NHA, CDONA, CIMT DIRECTOR OF EDUCATION PATHWAY HEALTH 1 Objectives Upon completion of this program, attendees should
More informationSuz s Story. Fairview Acute Rehabilitation Center. Outcomes Report. fairview.org/arc. I loved the nurses, the aides, the PT folks and the OT folks
Suz s Story For Susan Suz Welch, the beauty of nature has always been her inspiration, even during times of great Outcomes Report personal challenge. Whether woodworking or taking photographs, Welch, a
More informationThe Shift is ON! Goodbye PPS, Hello RCS
The Shift is ON! Goodbye PPS, Hello RCS Presented By Maureen McCarthy, RN, BS, RAC-MT, QCP-MT President/CEO Maureen McCarthy, RN, BS, RAC-MT, QCP-MT Maureen is the President of Celtic Consulting, LLC and
More informationNORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS TO BE USED WITH LOC FORM ND
For this section, select which type of LOC screen is to be reviewed Requested Screen Type NORTH DAKOTA LEVEL OF CARE FORM INSTRUCTIONS Nursing Facility Swingbed CMFN PACE MFP Provisional MFP Final Tech.
More informationAOTA FIELDWORK DATA FORM
AOTA FIELDWORK DATA FORM Introduction: The purpose of the Fieldwork Data Form is to facilitate communication between occupational therapy (OT) and academic programs, OT students, and fieldwork educators.
More informationEVALUATION OF THE POST-ACUTE CARE PATIENT
EVALUATION OF THE POST-ACUTE CARE PATIENT Taylor Bailey, NP-C Jessica Reed, NP-C AGENDA What is Post-Acute Care? Why Post-Acute Care? Post-Acute Care: Who Belongs Where? Overview of Post-Acute Care inpatient
More informationPrior Authorization form for Post-Acute Care Admission and Recertification for SNF,LTAC and Rehab
Prior Authorization form for Post-Acute Care Admission and Recertification for SNF,LTAC and Rehab (Required for all Rehab, SNF, LTAC admits) Providers must request authorization for initial admissions
More informationLong-Term Care Division
Long-Term Care Division Eligibility Criteria for Nursing Facility B (NF-B) Level of Care (LOC) PRESENTERS Christine King-Broomfield, RN Nurse Evaluator IV Chief, In-Home Operations, Northern Section Christine.King@dhcs.ca.gov
More informationHospice Education Network. PATIENT CARE CoPs: INTERDISCIPLINARY GROUP, CARE PLANNING, AND COORDINATION OF SERVICES - HOW TO PREPARE
PATIENT CARE CoPs: INTERDISCIPLINARY GROUP, CARE PLANNING, AND COORDINATION OF SERVICES HOW TO PREPARE HOSPICE REGULATORY BOOT CAMP Joy Barry, RN, MEd, CLNC Principal Weatherbee Resources, Inc Hospice
More informationCare Coordination in the New CoP s. Teresa Northcutt BSN RN COS-C HCS-D HCS-H WiAHC June 2017
Care Coordination in the New CoP s Teresa Northcutt BSN RN COS-C HCS-D HCS-H WiAHC June 2017 Selman-Holman & Associates, LLC Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C Home Health Insight Consulting,
More informationDocumentation. The learner will be able to :
Functional Decline in Hospice Assessment, Intervention, & Objectives The learner will be able to : Assess functional decline utilizing appropriate evidence based tools Document functional indicators and
More informationSpeech and Language Therapy Service Inpatient services
Speech and Language Therapy Service Inpatient services Management of Dysphagia in individuals on inpatient wards (excluding adults with acquired brain injury) Author(s) Joanna Brackley Amy Foster V03 Issue
More informationActivities of Daily Living (ADL) Critical Element Pathway
Use this pathway for a resident who requires assistance with or is unable to perform ADLs (Hygiene bathing, dressing, grooming, and oral care; Elimination toileting; Dining eating, including meals and
More informationInterprofessional Rounding Presentations
Interprofessional Rounding Presentations Sue Kelly & Diana Williamson, Grey Bruce Health Services Sandi Pincombe, St. Thomas Elgin General Hospital Sheila Hunt, London Health Sciences Centre INTER-PROFESSIONAL
More informationProposed RCS-1 & It s Impact on Therapy Services- Will it Happen? Krista Olson, MS,CCC-SLP
Proposed RCS-1 & It s Impact on Therapy Services- Will it Happen? Krista Olson, MS,CCC-SLP Objectives: What is RCS-1? Why the proposed change in payment system? Differences between RCS-1 and current PPS
More informationEuclid Hospital CMS BPCI Episode
Euclid Hospital CMS BPCI Episode Two Paradigms in Health Care Reform Managing population 1 health, 2 PCMH Managing episodes of care, Bundled payments Health Status Baseline Episode Total Spend: Commercial
More informationSNF proposed rule revisions to case-mix methodology
SNF proposed rule revisions to case-mix methodology Comments due: August 25, 2017 CMS intent to propose case-mix refinements in the FY 2019 SNF PPS proposed rule Summary of changes Goals of the change:
More informationACE PROGRAM Dysphagia Management
ACE PROGRAM Dysphagia Management Purpose: The purpose of this program is to address dysphagia in the clients we serve. Dysphagia has far-reaching consequences to the overall health, medical condition,
More informationINCLUSION CRITERIA. REMINDER: Please ensure all stroke and TIA patients admitted to hospital are designated as "Stroke Service" in Cerner.
ACUTE STROKE CLINICAL PATHWAY The clinical pathway is based on evidence informed practice and is designed to promote timely treatment, enhance quality of care, optimize patient outcomes and support effective
More informationPPS Therapy. Medicare 2/28/ year Home Health clinician/contractor. 30 years Geriatric Rehab. Home Health consultant, author, speaker
PPS Therapy Changes 30 year Home Health clinician/contractor 30 years Geriatric Rehab Home Health consultant, author, speaker Progressive programming/clinical delivery Progressive management systems Home
More informationMedication Management: Therapy Scope Versus Comfort Level
Medication Management: Therapy Scope Versus Comfort Level Presented By: Cindy Krafft MS PT President Home Health Section APTA Director of Rehabilitation Consulting Services August 17, 2011 243 King Street,
More informationChildren with Medical Complexity: A Unique Population with Unique Needs
Children with Medical Complexity: A Unique Population with Unique Needs Nancy Murphy MD, Professor and Chief, Division of Pediatric PM&R, University of Utah School of Medicine Rishi Agrawal MD, MPH, Lurie
More informationSharing Our 2017 Outcomes. Average Length of Stay (days) Discharge Rate to Home or Community Setting
Sharing Our 2017 Outcomes We are extremely proud of the number of our patients who have increased their independence in our inpatient rehabilitation program. Changes in independence are measured using
More informationACUTE REHABILITATION 427 W. MAIN STREET GARDNER, KS SKILLED NURSING TBI PHONE FAX
427 W. MAIN STREET GARDNER, KS 66030 PHONE 913.856.8339 FAX 913.856.8747 WWW.MEADOWBROOKREHAB.COM ACUTE REHABILITATION SKILLED NURSING TBI Welcome to Meadowbrook Meadowbrook Rehabilitation Hospital is
More informationInpatient Rehabilitation. Scope of Services
Inpatient Rehabilitation Scope of Services Inpatient Rehabilitation is a 12-bed inpatient unit located within Nationwide Children s Hospital. Nationwide Children s is a 451-bed, Level I Trauma Center.
More information1st Annual CRRN Review Course October 2-3, 2014
Overview of Rehabilitation Legislative Issues, Rehab Nursing Beth Hudson MS, RN, CRRN, Chief Nurse Executive for BIR JV What is the role of rehabilitation nursing within the regulatory environment The
More informationRhode Island HEALTH. Continuity of Care Form. Referral to: Phone:
0 Specific Discharging Agency: Rhode Island HEALTH Continuity of Care Form Home Address: Referral to: Being Discharged to: Address: Contact Person @ Discharging Facility: Phone/Beeper #: The following
More informationSubject: Skilled Nursing Facilities (Page 1 of 6)
Subject: Skilled Nursing Facilities (Page 1 of 6) Objective: I. To ensure that Tuality Health Alliance (THA) and delegated Providence Health Plan Medicare members are appropriately placed in skilled nursing
More informationReturn to independent living Self manage breathing techniques, secretion clearance Recognize early symptoms of COPD exacerbation
CLINICAL PATHWAY Chronic Obstructive Pulmonary Disease Exacerbation (COPD-E) Civic General Clinical Frailty Scale (At baseline, at least 2 weeks before hospitalization) Init. Diagram Frailty Scale Description
More information11/23/2011. Identify Residents risks for decline to establish programs to stave off decline unless it is clinically unavoidable.
Robin A. Bleier, RN, HCRM-FACDONA Clinical Risk & Operations Consultant R B Health Partners, Inc. 210 So. Pinellas Ave. Suite 260 Tarpon Springs, FL 34689 robin@rbhealthpartners.com 727-744-2021 Restorative
More informationAmputee Care Pathway Questions and Answers
Amputee Care Pathway Questions and Answers 1. Question: Can there be one referral form to SAT clinic (both clinics on same form) that is filled out in acute care post-op so that no matter where the client
More informationUnderstanding Levels of Rehab for Effective Discharge Planning
Understanding Levels of Rehab for Effective Discharge Planning Rose M. Turner, RN, BSN, ACM Thursday, January 22 nd, 2015 The information provided in AHC Media Webinars does not, and is not intended to
More informationThe Royal Free neurological rehabilitation centre in-patient service. Information for patients, relatives and carers
The Royal Free neurological rehabilitation centre in-patient service Information for patients, relatives and carers 1 2 The Royal Free neurological rehabilitation centre (NRC) at Edgware Community Hospital
More informationSpinal Cord Injury T10-L2
Patient and Family Education Spinal Cord Injury T10-L2 A Guide for Families You are an important member of your child s recovery team. Use this checklist to monitor your child s progress. Our goal is to
More informationMedical Review Criteria Skilled Nursing Facility & Subacute Care
Medical Review Criteria Skilled Nursing Facility & Care Subject: Skilled Nursing Facility and Care Background: Skilled nursing facilities () provide facility-based skilled nursing care and related services
More informationINCIDENCE OF PRESSURE ULCERS IN THE ELDERLY:
WOUND CARE L O N G T E R M C A R E Q U A L I T Y NURSING I N I T I A T I V E INCIDENCE OF PRESSURE ULCERS IN THE ELDERLY: FURQAN ALEX KHAN, APRN ACNS-BC MSN CWCN WCN-C ADVANCED PRACTICE NURSE ADULT CLINICAL
More informationObjectives 9/18/2018. Patient Driven Payment Model(PDPM) Janine Finck Boyle, MBA/HCA, LNHA Vice President of Regulatory Affairs Fall 2018
Patient Driven Payment Model(PDPM) Janine Finck Boyle, MBA/HCA, LNHA Vice President of Regulatory Affairs Fall 2018 Mission: The trusted voice for aging. Objectives List the five(5) case mix components
More informationMedical Policy Definition of Skilled Care
Medical Policy Definition of Skilled Care Document Number: 015 Authorization required for skilled care and shortterm rehab Notification within 24 hours or next business day No notification or authorization
More informationADMISSION CARE PLAN. Orient PRN to person, place, & time
ADMISSION DATE: CODE STATUS: ADMISSION CARE PLAN ADMISSION DIAGNOSIS: 1. DELIRIUM 2. COGNITIVE LOSS Resident will be as alert and oriented as possible Resident will be as alert and oriented as comfortable
More informationSkilled Nursing Facility Level of Payment Guidelines for Tufts Health Plan Senior Care Options Members
Skilled Nursing Facility Level of Payment Guidelines for Tufts Health Plan Senior Care Options Members For level of payment guidelines for Tufts Medicare Preferred HMO members, click here. LEVEL 1A - SKILLED
More informationObservations: Observe the resident at a minimum of two meals:
Use this pathway for a resident who is not maintaining acceptable parameters of nutritional status or is at risk for impaired nutrition to determine if facility practices are in place to identify, evaluate,
More informationINPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE
INPATIENT ACUTE REHABILITATION HOSPITAL LIMITATIONS, SCOPE AND INTENSITY OF CARE Bacharach Institute for Rehabilitation offers a number of in and outpatient rehabilitation programs and services designed
More informationWRHA Constant Care Guidelines for Acute Care 2018
WRHA Constant Care Guidelines for Acute Care 8. PURPOSE To establish standardized guidelines and support appropriate use of constant care in acute care settings. Separate guidelines apply to residents
More informationTable of Contents. Foundation: Understand the Basics 4. Tools: Put the Pieces Together 21. Solve: Learn by Example 38. Printable Tools 56
Foundation: Understand the Basics 4 Restorative Overview and Quick Facts 5 Restorative Nursing Programs 6 Tools: Put the Pieces Together 21 Common Barriers (and Solutions) to Successful Programs 22 Potential
More informationCalgary Foothills Medical Center Early Supported Discharge Program
Calgary Foothills Medical Center Early Supported Discharge Program This is a summary of responses from our meeting with Darren Knox on Tuesday July 16th, 2013; Individuals attending this meeting were Donna
More informationWhat Every Administrator Needs to Know About the PROPOSED Patient Driven Payment Model (PDPM)
What Every Administrator Needs to Know About the PROPOSED Patient Driven Payment Model (PDPM) Presented by: Robin L. Hillier, CPA, STNA, LNHA, RAC-MT robin@rlh-consulting.com (330) 807-2850 PDPM Overview
More informationUpdates to the erehabdata PAS Tool & Referrals Outcomes Reports
Updates to the erehabdata PAS Tool & Referrals Outcomes Reports Teresa Hayes Management Consultant Melissa Berkoff erehabdata Project Manager Pre-Admission Screening Why do we conduct a pre-admission screening?
More informationKey points. Home Care agency structures. Introduction to Physical Therapy in the Home Care Setting. Home care industry
Introduction to Physical Therapy in the Home Care Setting Home Health Section of APTA Key points Home care industry Client populations Prospective Payment System (PPS) Physical therapy services Assessment
More informationNM Adult SAFE Clinic: An Extension of DDSD s Mission to Manage Aspiration Risk. Continuum of care conference February 3, 2017
NM Adult SAFE Clinic: An Extension of DDSD s Mission to Manage Aspiration Risk Continuum of care conference February 3, 2017 A History Lesson NM Institutions closed for individuals with I/DD 1997 Individuals
More informationRehabilitation Readiness. Lane Brown, PhD Magee Rehabilitation at Jefferson March 1,2018
Rehabilitation Readiness Lane Brown, PhD Magee Rehabilitation at Jefferson March 1,2018 Today s Rehabilitation Readiness Discussion: Rehabilitation settings Characteristics of inpatient settings Characteristics
More informationext. SCU. Today s Date: (Fecha): Telephone #: (# de Telefono): Room#: (# de Cuarto): Nurse Assistant: (Ayudante de la Enfermera):
A1116r5.ai 2/16/2007 2:32:50 PM Today s Date: (Fecha): Room#: (# de Cuarto): SCU Nurse: (Enfermera): Telephone #: (# de Telefono): 713-473-9700 ext. Nurse Assistant: (Ayudante de la Enfermera): Physician:
More informationNM DDSD Intensive Medical Living Services Eligibility Parameter Tool A. MEDICATION ADMINISTRATION SEVERE 4 SIGNIFICANT 3 MODERATE 2 LOW 1 NONE - 0
FACT Scheduled Medications: Note: Any injections provided by Home Health, Hospice or other clinical providers may not be included in these totals for the agency nursing time. Do not include delivery of
More informationEDUCATIONAL RESOURCES. Uniform Data System for Medical Rehabilitation
EDUCATIONAL RESOURCES Uniform Data System for Medical Rehabilitation Educational Resources Workshops* UDSmr offers subscribers and nonsubscribers a large array of educational services and products: Workshops
More informationSkilled Nursing Facility Admission Orders
Diagnosis Allergies SNF Admission- Required SNF Regulatory Admit to Skilled Nursing Facility Date: All orders good for 45 days unless otherwise indicated Follow Up Appointment Follow up appointment(s):
More informationCLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities
COMMERCIAL CLINICAL CRITERIA FOR UM DECISIONS Skilled Nursing Facilities Capital Health Plan (CHP) will provide coverage for care in a skilled nursing facility, subject to the benefit limitations of the
More informationDriving After Stroke: Decision Making Approaches in Northwestern Ontario
Driving After Stroke: Decision Making Approaches in Northwestern Ontario January 24, 2017 Sharon Jaspers NP, TBRHSC Stroke Prevention Clinic Driving and Stroke Post Stroke 2 Possible Approaches Voluntary
More information2/13/2017. SNF Requirements for Participation. Facility Wide Resource Assessment
Objectives SNF Requirements for Participation Facility Wide Resource Assessment Recognize the key concepts of the new facility wide resource assessment in the new regulations for skilled nursing facilities
More informationINPATIENT PROGRAM ENVIRONMENT Brain Injury Specialty Program
INPATIENT PROGRAM ENVIRONMENT Brain Injury Specialty Program INPATIENT PROGRAM ENVIRONMENT Upon admission, patients and families are oriented to the Rehabilitation Program, and are involved in an evaluation
More informationCHF Education March Courtney Reaves, BSN, RN-BC Amy Taylor, BSN, RN Corey Paris, BSN, RN, CCRN
CHF Education March 2015 Courtney Reaves, BSN, RN-BC Amy Taylor, BSN, RN Corey Paris, BSN, RN, CCRN Objectives To improve patient outcomes Decrease CHF readmissions Improve patient and family compliance
More informationWEST PARK HEALTHCARE CENTRE CHRONIC ASSISTED VENTILATORY CARE
WEST PARK HEALTHCARE CENTRE CHRONIC ASSISTED VENTILATORY CARE PRE-ASSESSMENT REFERRAL Contact: Long-Term Ventilation Strategy Coordinator 416-243-3600 x2309; Fax: 416-243-3739 Please complete an electronic
More informationExhibit A. Part 1 Statement of Work
Exhibit A Part 1 Statement of Work Contractor shall provide Basic Neurological services as described herein to Medicaid eligible Clients who are authorized to receive services at the Contractor s owned
More informationBackground. Stroke patients constituted 17% of in-patients in Geriatric Ward in OLMH in 2010
Background Stroke patients constituted 17% of in-patients in Geriatric Ward in OLMH in 2010 Overwhelmed with the unexpected demand in daily caring issues with limited support (Cecil, Parahoo, Thompson,
More informationMichigan Medicaid Nursing Facility Level of Care Determination
Michigan Department of Health and Human Services Michigan Medicaid Nursing Facility Level of Care Determination Applicant's Name: Medicaid ID: Field 1 (Last) (First) (M.I.) Field 2 Date of Birth: Field
More informationBGS Spring Conference 2015
Feeding at Risk (FAR) Project at Heart of England NHS Foundation Trust Jodi Allen Dysphagia Specialist Speech & Language Therapist jodi.allen@heartofengland.nhs.uk Suzanne Wong Specialist Dietitian suzanne.wong@heartofengland.nhs.uk
More informationMEDICARE PART A SNF PROSPECTIVE PAYMENT SYSTEM
MEDICARE PART A SNF PROSPECTIVE PAYMENT SYSTEM MDS 3.0 Captured Services as Qualifiers for Medicare Part A RUG-IV Grouper REHABILITATION Base Rates Urban Unadjusted AWI = 1.0000 ADL END 10/1/2017 INDEX
More informationSkilled Nursing Facility Level of Payment Guidelines for Tufts Medicare Preferred HMO Members
Skilled Nursing Facility Level of Payment Guidelines for Tufts Medicare Preferred HMO Members For level of payment guidelines for Tufts Health Plan Senior Care Options members, click here. LEVEL 1A SKILLED
More informationLooking at Patient Flow in Hours and Days
This presenter has nothing to disclose Looking at Patient Flow in Hours and Days Getting Patients to the Right Level of Care at the Right Time October 23, 2014 Session Objectives Understand the differences
More informationInpatient Rehabilitation Program Information
Inpatient Rehabilitation Program Information The Inpatient Rehabilitation Program at TIRR Memorial Hermann-Greater Heights has a team of physicians, therapists, nurses, a case manager, neuropsychologist,
More information