Long-term care is provided in a variety of settings and offers a broad spectrum of services.
|
|
- Cori Harvey
- 5 years ago
- Views:
Transcription
1 Long-Term Care Long-term care is defined by the American Nurses Association (ANA) as the provision of physical, psychologic, spiritual, social, and economic services to help people attain, maintain, and regain their optimum level of functioning. Long-term care is provided in a variety of settings and offers a broad spectrum of services. The Home Most older adults live in a home setting, with only a small percentage of those aged 65 or older residing in an institutional setting. Care of the older adult at home may involve a great deal of participation from loved ones. It costs approximately half as much to care for an older adult at home as it would cost in a long-term care facility. Home patients may require only minimal assistance, or they might receive complex medical therapies. Figure 38-1 Hospice Provides services to patients and families as the end of life approaches. The philosophy of maintaining comfort as death approaches is central to hospice care. Provide nursing interventions to meet basic needs; ADLs; pain and symptom management; and spiritual and psychosocial support for the patient, family, and significant others. Care providers include CNAs, HHAs, LPN/LVNs, and RNs. Adult Daycare Community-based programs are designed to meet the needs of functionally or cognitively impaired adults through an individualized plan of care. These structured, comprehensive programs provide a variety of services, including physical care, mental stimulation, socialization, assistance with health maintenance,
2 and health referrals, during any part of the day but providing less than 24 hours care. They are designed to serve adults who require supervision, social opportunities, or assistance due to a physical or cognitive impairment. Figure 38-2 Residential Care Settings Primarily an older adult population, offering a wide variety of services Assisted living A type of residential care setting whereby the adult patient rents a small onebedroom or studio-type apartment and can receive several personal care services Continuing care retirement communities Offer a complete range of housing and health care accommodations, from independent living to 24-hour skilled nursing care Institutional Settings Subacute unit This type of institutional setting provides a less expensive alternative to acute care when patients have high-acuity medical and nursing intervention needs. Most are located in freestanding skilled nursing facilities; others are former hospital units that have been reclassified to provide subacute care. They provide a stronger rehabilitative focus and shorter length of stay than a long-term care facility. Institutional Settings Long-term care facility Most dominant setting for long-term care services Commonly known as a nursing home or extended care facility Provides services to primarily older adults
3 Provides 24-hour care to individuals who do not require inpatient hospital services but who do not have options for care at home or by other community agencies/services Because the long-term care facility becomes a home for the older adult, the adults are referred to as residents rather than as patients. Most residents have more than one health disorder when they are admitted, and more than half have three or more medical diagnoses. The most common disorders on admission are as follows: Cardiovascular disease, including hypertension and cerebrovascular accident Mental and cognitive disorders, including depression, anxiety, and dementia Endocrine disorders, including type 2 diabetes mellitus and hypothyroidism Two categories of residents Short-term: transferred from an acute care facility to which he or she had been admitted for an acute illness or worsening of a chronic illness; admitted primarily for rehabilitation and expected to be discharged within 6 months Long-term: usually stays in the facility until he or she dies or is transferred to an acute care facility. Most residents are long term.
4 Interdisciplinary setting Health care professionals work together as an interdisciplinary team to meet the needs of the older adult. Facility is managed by an administrator and has a director of nursing (DON). These facilities are highly regulated by state and federal agencies to ensure quality services to a potentially vulnerable population. Restorative nursing care Basic concepts of physical therapy for maintenance of functional mobility and physical activity; care is provided by CNAs who have completed an educational program for restorative care Omnibus Budget Reconciliation Act (OBRA) Defines requirements for the quality of care given to residents of longterm care facilities Medicare A federally funded national health insurance program in the United States for people over age 65 Provide funding to long-term care facilities by adhering to the HCFA guidelines for reimbursement Medicaid
5 A federally funded, state-operated program of medical assistance to people with low incomes A large source of revenue for the long-term care facility Several different types of nursing can be seen in this setting Team nursing Functional nursing Total resident care Combination of the above The interdisciplinary functional assessment of the resident is the cornerstone of clinical practice. Resident Assessment Instrument (RAI) OBRA-prescribed method of resident assessment and care plan development Consists of three parts o Minimum Data Set (MDS) o Resident Assessment Protocols (RAP) o Utilization Guidelines Documentation of the resident s condition, including vital signs and weights, is required only on a monthly basis. The exception to this charting is a condition change, acute illness, or incident reporting, which must be documented at or soon after the time of occurrence. Nursing Process Nursing Diagnoses
6 Aspiration, risk for Airway clearance, ineffective Gas exchange, impaired Cardiac output, decreased Nutrition: less than body requirements Fluid volume, risk for deficient Incontinence Thought process, disturbed Confusion, chronic Nursing Process Nursing Diagnoses (continued) Self-care deficit Injury, risk for Mobility, impaired physical Skin integrity, risk for impairment Self-esteem, chronic low Grieving Anxiety Social isolation
Chapter 36 8/23/2016. Home Health Nursing. Home Health Nursing. Home Health Care Defined. Four different perspectives
Chapter 36 Home Health Nursing All items and derived items 2015, 2011, 2006 by Mosby, Inc., an imprint of Elsevier Inc. All rights reserved. Home Health Nursing Enable individuals to remain in the comfort
More informationMDS 3.0: What Leadership Needs to Know
MDS 3.0: What Leadership Needs to Know especially prepared for CANPFA Ann Spenard RN, MSN History of the MDS and RAI Process The Resident Assessment Instrument (RAI) was part of a set of reforms enacted
More informationMONTANA STATE UNIVERSITY COLLEGE OF NURSING Master Resource Outline
N330: Nursing Care of the Aging Adult Credits: 3 Lecture Semesters Offered: F, S Prerequisites: N215, N228, N229 or RN Status MONTANA STATE UNIVERSITY COLLEGE OF NURSING Master Resource Outline Course
More informationWakeMed 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 informationHospice and End of Life Care and Services Critical Element Pathway
Use this pathway for a resident identified as receiving end of life care (e.g., palliative care, comfort care, or terminal care) or receiving hospice care from a Medicare-certified hospice. Review the
More informationCritical Thinking Steps
CAA s = Critical Thinking CAROL SIEM, MSN, RN, BC, GNP Clinical Educator/Team Leader for QIPMO Critical Thinking Steps Recognition/Assessment Gather essential information about the individual Problem definition
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 informationWHERE DO WE GO FROM HERE?
INTEGRATING ACUTE TO POST-ACUTE CARE SETTINGS: WHERE DO WE GO FROM HERE? HEALTHCARE LANDSCAPE February 23, 2018 WHAT IS POST-ACUTE CARE? what comes after an acute care stay Goals are to expedite the recovery
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 information# December 29, 2000
#00-53-3 December 29, 2000 Minnesota Department of Human Services 444 Lafayette Rd. St. Paul, MN 55155 OF INTEREST TO! County Social Service Directors/Supervisors! County Designated LMHA for PASRR! County
More informationNational Hospice and Palliative Care OrganizatioN. Facts AND Figures. Hospice Care in America. NHPCO Facts & Figures edition
National Hospice and Palliative Care OrganizatioN Facts AND Figures Hospice Care in America 2017 Edition NHPCO Facts & Figures - 2017 edition Table of Contents 2 Introduction 2 About this report 2 What
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 informationBehavioral Health Services. Division of Nursing Homes
Behavioral Health Services Division of Nursing Homes 483.40 Behavioral Health Services Overview F740 Introduction to Behavioral Health Services F741 Sufficient and Competent Staff F742 Treatment/Services
More informationChapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition
Chapter 01: Professional Nursing Practice Lewis: Medical-Surgical Nursing, 10th Edition MULTIPLE CHOICE 1. The nurse completes an admission database and explains that the plan of care and discharge goals
More informationHEALTH PROMOTION Health awareness Deficient diversional activity Sedentary lifestyle
HEALTH PROMOTION Health awareness Deficient diversional activity Sedentary lifestyle Health management Frail elderly syndrome Risk for frail elderly syndrome Deficient community Risk-prone health behavior
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 informationNursing Home Pearls or
Nursing Home Pearls or How to Enjoy Practicing in Skilled Nursing Facilities Lowell C. Dale, MD November 11, 2016 2016 MFMER slide-1 DISCLOSURE Relevant Financial Relationship Medical Director Golden Living
More informationLONG TERM CARE SETTINGS
LONG TERM CARE SETTINGS Long term care facilities assist aged, ill or disabled persons who can no longer live independently. In this section, we will briefly examine the history of long term care facilities
More informationLONG TERM CARE ASSISTANT Course Syllabus. Mosby's Textbook for Long Term Care Nursing Assistant 7th Ed., Mosby Evolve (2015).
Course Syllabus Course Number: THRP-000A OHLAP Credit: OCAS Code: 9324 Course Length: 75 Hours Career Cluster: Health Science Career Pathway: Therapeutic Services Career Major(s): Practical Nurse No Pre-requisite(s):
More informationAdult Family Homes. Susan L. Lakey, PharmD Pharmacy 492 January 24, 2005
Adult Family Homes Susan L. Lakey, PharmD Pharmacy 492 January 24, 2005 Background 1995 HB 1908 Required a reduction in NH medicaid beds by 1600 over 2 years The number of older adults in nursing homes
More informationHospice Clinical Record Review
Purpose: Surveyors may use this worksheet when conducting clinical record reviews during a hospice survey. Directions: Fill in appropriate data. Table 1. Patient Information Patient Information Residence
More informationPain: Facility Assessment Checklists
Pain: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a critical
More informationNANDA-APPROVED NURSING DIAGNOSES Grand Total: 244 Diagnoses August 2017
NANDA-APPROVED NURSING DIAGNOSES 2018-2020 Grand Total: 244 Diagnoses August 2017 Indicates new diagnosis for 2018-2020--17 total Indicates revised diagnosis for 2018-2020--72 total (Retired Diagnoses
More informationGERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS
GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2
More informationADULT LONG-TERM CARE SERVICES
ADULT LONG-TERM CARE SERVICES Long-term care is a broad range of supportive medical, personal, and social services needed by people who are unable to meet their basic living needs for an extended period
More informationChronic Care Management. Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky
Chronic Care Management Sharon A. Shover, CPC, CEMC 2650 Eastpoint Parkway, Suite 300 Louisville, Kentucky 40223 502.992.3511 sshover@blueandco.com Agenda Chronic Care Management (CCM) History Define Requirements
More informationGuideline scope Intermediate care - including reablement
NATIONAL INSTITUTE FOR HEALTH AND CARE EXCELLENCE Guideline scope Intermediate care - including reablement Topic The Department of Health in England has asked NICE to produce a guideline on intermediate
More informationThe Medicare Hospice Benefit. What Does It Mean to You and Your Patients?
The Medicare Hospice Benefit What Does It Mean to You and Your Patients? The Medicare Hospice Benefit By the time Congress established the Medicare Hospice Benefit in 1982, hundreds of organizations in
More informationNurse Assistant (Certified) OUTLINE
Nurse Assistant (Certified) OUTLINE DESCRIPTION: Nurse Assistant - Certified is designed to prepare students for employment as a Nurse Assistant in a variety of settings. Students will learn patient care,
More informationModel of Care Scoring Guidelines CY October 8, 2015
Model of Care Guidelines CY 2017 October 8, 2015 Table of Contents Model of Care Guidelines Table of Contents MOC 1: Description of SNP Population (General Population)... 1 MOC 2: Care Coordination...
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 informationHospice Care in Glen Allen, VA
Hospice Care in Glen Allen, VA Hospice Community Care of Virginia s mission in Glen Allen, VA is to promote the availability and access to the best end-of-life care services possible. When choosing Hospice
More informationPLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral Health track
San Mateo Medical Center Medical Psychiatry Services 222 W. 39 th Ave. San Mateo, CA 94403 (650)573-2760 PLACEMENT OPENINGS: Two Post-Doctoral Residency positions are available for our Integrated Behavioral
More informationTRANSITIONS of CARE. Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine
TRANSITIONS of CARE Francis A. Komara, D.O. Michigan State University College of Osteopathic Medicine 5-15-15 Objectives At the conclusion of the presentation, the participant will be able to: 1. Improve
More informationFundamentals/Geriatrics Lesson: 1 Title: Introducing the Older Person Time: N/A PLAN OF LESSON OBJECTIVES
Lesson: 1 Title: Introducing the Older Person Implementation: Linton, Ch. 11; Lecture; Power Point Presentation; Class Discussion; Transparencies 1. Define old age. 2. Describe the role of the gerontological
More informationPersonal Support Worker
PROGRAM OBJECTIVES The Personal Support Worker program prepares students to deliver appropriate short or longterm care assistance and support services in either a long-term care facility, acute care facility,
More informationTag Description Page. F607 Policies to Prohibit and Prevent Abuse, Neglect, Exploitation 125. F622 Transfer & Discharge 155
Tag Description Page F607 Policies to Prohibit and Prevent Abuse, Neglect, Exploitation 125 F622 Transfer & Discharge 155 F626 Permitting Residents to Return to Facility 170 F656 Comprehensive Care Plans
More informationTalking to Your Doctor About Hospice Care
Talking to Your Doctor About Hospice Care Death and dying subjects that were once taboo in our culture are becoming increasingly relevant as more Americans care for their aging parents and consider what
More informationNURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512)
NURSING FACILITIES: FRIENDS OR FOES? Marie C. Berliner Joy & Young, LLP Austin, Texas (512) 330-0228 Program Overview Status of Hospice Nursing Facility Relationships Multiple contact points and transactions
More informationThe CMS State Operations Manual Overview and Changes
The CMS State Operations Manual Overview and Changes Omnicare, Inc. Page 1 Overview of the CMS State Operations Manual Executive Summary Historical Perspective The Requirements Pharmacy Services Labeling
More informationFall Liability in Long Term Care Facilities by Roger S. Weinberg, May
Fall Liability in Long Term Care Facilities by Roger S. Weinberg, May 2007 http://www.weinberglaw.com Falls are extremely common among older persons. It is estimated that 30% of non-institutionalized persons
More informationDEFINITIONS (c)(1) Discharge Planning : Home Health Agency (HHA) : Inpatient Rehabilitation Facility (IRF) : Local Contact Agency :
F660 483.21(c)(1) Discharge Planning Process The facility must develop and implement an effective discharge planning process that focuses on the resident s discharge goals, the preparation of residents
More informationNR228-Nutrition, Health & Wellness Learning Plan
PURPOSE NR228-Nutrition, Health & Wellness Learning Plan This learning plan expands upon the key concepts identified for the course and guide faculty teaching the prelicensure BSN curriculum in all locations.
More informationMDS 3.0/RUG IV OVERVIEW
MDS 3.0/RUG IV Distance Learning Series January - May 2016 OVERVIEW In keeping with the success of their previous highly-rated distance learning education offerings, LeadingAge state affiliates and Plante
More informationNursing Process. Associate Professor W. Kusoom
Nursing Process By Associate Professor W. Kusoom Nursing Process The nursing process enables the nurse to organize and deliver nursing care. The nursing process involves scientific reasoning. The nursing
More informationHOSPICE IN MINNESOTA: A RURAL PROFILE
JUNE 2003 HOSPICE IN MINNESOTA: A RURAL PROFILE Background Numerous national polls have found that when asked, most people would prefer to die in their own homes. 1 Contrary to these wishes, 75 percent
More information($ Inpatient Units) Catherine Mitchell VP Finance and CFO Hospice of the East Bay Napa Valley Hospice & Adult Day Services
($ Inpatient Units) Catherine Mitchell VP Finance and CFO Hospice of the East Bay Napa Valley Hospice & Adult Day Services The Bruns House In 2004, we opened Bruns House, the first freestanding adult hospice
More informationCNA OnSite Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care
Series Overview: Understanding Restorative Care Part 1 - Introduction to Restorative Care Administering the Program Read the Guide View the Video Review the Suggested Questions Complete Post-Test Answer
More informationCaring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations. Aetna s Compassionate Care SM Program
Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations Aetna s Compassionate Care SM Program Our chief want in life is somebody who shall make us do
More informationDefining and Driving Value: Provider and Payer Perspectives
Defining and Driving Value: Provider and Payer Perspectives NAHC Financial Managers Meeting June 2013 Serving the Midcoast of Maine in Knox Waldo Lincoln Counties 1 Who we are... Medicare Certified & State
More informationMaximizing the Power of Your Data. Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker
Maximizing the Power of Your Data Peggy Connorton, MS, LNFA AHCA Director, Quality and LTC Trend Tracker Objectives Explore selected LTC Trend Tracker reports & features including: re-hospitalization,
More informationMedical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services
More informationTest bank PowerPoint slides for each chapter Instructor guides for each chapter (with answers for discussion questions and case studies)
This is a sample of the instructor materials for Dimensions of Long-Term Care Management: An Introduction, second edition, edited by Mary Helen McSweeney-Feld, Carol Molinari, and Reid Oetjen. The complete
More informationWelcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans
Welcome to the Agency for Health Care Administration (AHCA) Training Presentation for Managed Medical Assistance Specialty Plans The presentation will begin momentarily. Please dial in to hear audio: 1-888-670-3525
More informationOASIS ITEM ITEM INTENT
(M2400) Intervention Synopsis: (Check only one box in each row.) At the time of or at any time since the previous OASIS assessment, were the following interventions BOTH included in the physician-ordered
More informationDownload the NANDA nursing diagnosis list in PDF format.
Download the NANDA nursing diagnosis list 2018-2020 in PDF format. Please note that NANDA-I doesn t advise on using NANDA Nursing Diagnosis labels without taking the nursing diagnosis in holistic approach.
More informationPre-Admission Screening and Resident Review
Pre-Admission Screening and Resident Review Mary Heim LICSW June 2017 PASARR Topics Covered Purpose Regulations MN PASARR Process Services Survey Process Resources Why does the PASARR program exist? PASARR
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 informationWilhide Consulting, Inc. (c) 1
Judy Wilhide Brandt, RN, BA, RAC-MT, QCP, CPC, DNS-CT judy@judywilhide.com 909-800-9124 www.judywilhide.com Required by the Omnibus Reconciliation Act of 1987 Correction OBRA Scheduling January 2017 NC
More informationJuly CFR Part 483 Requirements for State and Long Term Care Facilities Subpart B Requirements for Long Term Care Facilities
Provision of Hospice Care to Residents of Long Term Care Facilities Comparison of Current Medicare Regulations for Long Term Care Facilities and Hospices Prepared by Hospice Fundamentals July 2013 42 CFR
More informationPalliative and End-of-Life Care
Position Statement Palliative and End-of-Life Care A Position Statement Month Year PALLIATIVE AND END-OF-LIFE CARE MONTH YEAR i Approved by the College and Association of Registered Nurses of Alberta ()
More informationCMS s RAI Version 3.0 Manual October 2016
Presented by: CMS s RAI Version 3.0 Manual October 2016 RAI SOM CAAs MDS Resident Assessment Instrument Utilization Guidelines from the State Operations Manual Care Area Assessments Minimum Data Set Affinity
More informationPayment Reforms to Improve Care for Patients with Serious Illness
Payment Reforms to Improve Care for Patients with Serious Illness Discussion Draft March 2017 Payment Reforms to Improve Care for Patients with Serious Illness Page 2 PAYMENT REFORMS TO IMPROVE CARE FOR
More informationClinical Services. clean NYS Driver s License, fingerprinting, criminal record check, and approval from NYS Office of Mental Health.
Clinical Services Clinical Social Worker- Fee for Service Location: Wyandanch- Clinic Job Function: Provide direct clinical care to clients as needed as a member of a multi-disciplinary treatment. Qualifications:
More informationACTIVITIES OF DAILY LIVING (ADL) DECLINE Facility Assessment Checklists
ACTIVITIES OF DAILY LIVING (ADL) DECLINE Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to activities of daily living
More informationThe President s and Other Bipartisan Proposals to Reform Medicare: Post-Acute Care (PAC) Reform. Summary
Current Law The President s and Other Bipartisan Proposals to Reform Medicare: Post-Acute Care (PAC) Reform Summary Home Health Agencies Under current law, beneficiaries who are generally restricted to
More informationHealth and Long-Term Care Use Patterns for Ohio s Dual Eligible Population Experiencing Chronic Disability
Health and Long-Term Care Use Patterns for Ohio s Dual Eligible Population Experiencing Chronic Disability Shahla A. Mehdizadeh, Ph.D. 1 Robert A. Applebaum, Ph.D. 2 Gregg Warshaw, M.D. 3 Jane K. Straker,
More informationSpecial Needs Plans (SNP) Model of Care (MOC) Initial and Annual Training
Special Needs Plans (SNP) Model of Care (MOC) Initial and Annual Training 2018 Learning Objectives Program participants will be able to: List the three overall goals of the SNP Model of Care Describe the
More informationSECTION A: IDENTIFICATION INFORMATION. A0100: Facility Provider Numbers. Item Rationale. Coding Instructions
SECTION A: IDENTIFICATION INFORMATION Intent: The intent of this section is to obtain key information to uniquely identify each resident, the home in which he or she resides, and the reasons for assessment.
More informationDelirium management initiative: Guarding the minds of our patients
Delirium management initiative: Guarding the minds of our patients Introduction This past January (2014), in response to requests from a number of our physicians, a new effort began at Baptist Health,
More informationUsing Structured Post Acute Assessment Data as the Raw Material for Predictive Modeling. Speaker: Thomas Martin November 2014
Using Structured Post Acute Assessment Data as the Raw Material for Predictive Modeling Speaker: Thomas Martin November 2014 1 Learning Objectives SNF s place in continuum of care Large variance across
More informationHospice Care in Tucson, AZ
Hospice Care in Tucson, AZ Harbor Light Hospice is dedicated to facilitating better access to dignified end-of-life care and other high-quality services in Tucson, AZ. The hospice care we provide in Tucson,
More informationInstitutional Handbook of Operating Procedures Policy
Section: Clinical Policies Institutional Handbook of Operating Procedures Policy 09.01.13 Responsible Vice President: EVP and CEO Health System Subject: Admission, Discharge, and Transfer Responsible Entity:
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 informationMedicaid RAC Audit Results
Medicaid RAC Audit Results Clinical Audits: The RAC Clinical audit goal was to review supporting documentation for necessity of admission and continued stay in long term care for Medicaid residents. There
More informationDistrict of Columbia. Phone. Agency. Department of Health, Health Regulation and Licensing Administration (202)
District of Columbia Agency Department of Health, Health Regulation and Licensing Administration (202) 724-8800 Contact Sharon Mebane (202) 442-4751 E-mail sharon.mebane@dc.gov Phone Web Site http://doh.dc.gov/page/health-regulation-and-licensing-administration
More informationCOPYRIGHTED MATERIAL. Contents. NANDA International Guidelines for Copyright Permission. Introduction
Contents NANDA International Guidelines for Copyright Permission Preface Introduction xv xvi xxii Part 1 An Introduction to Nursing Diagnoses: Accuracy, Application Across Setting, and Submission of Nursing
More informationGoodbye Grace Period. What will be expected from your Facility Assessment in the Coming Year. Ellen Kuebrich Chief Strategy Officer, Providigm
Goodbye Grace Period What will be expected from your Facility Assessment in the Coming Year Ellen Kuebrich Chief Strategy Officer, Providigm Final Rule Final Rule Effective Date These regulations are effective
More informationWhat Is Hospice? Answers to Your Questions
What Is Hospice? Answers to Your Questions Dear Prospective NorthShore Hospice Patients, Welcome! When you choose NorthShore Hospice, it means that you have surrounded yourself with an interdisciplinary
More informationHCCA South Central Regional Annual Conference November 21, 2014 Nashville, TN. Post Acute Provider Specific Sections from OIG Work Plans
HCCA South Central Regional Annual Conference November 21, 2014 Nashville, TN Kelly Priegnitz # Chris Puri # Kim Looney Post Acute Provider Specific Sections from 2012-2015 OIG Work Plans I. NURSING HOMES
More informationPain: Facility Assessment Checklists
Pain: Facility Assessment Checklists This is a series of self-assessment checklists for nursing home staff to use to assess processes related to pain management in the facility, in order to identify areas
More informationProfessional Rehabilitation & Health Services ESTD Experience Matters. Long-Term Care
ESTD 1977 Professional Rehabilitation & Health Services Experience Matters Long-Term Care Excellence in contract therapy services has never been more challenging. MJ Care makes it happen for you. Experience
More informationHEALTH SERVICES POLICY & PROCEDURE MANUAL
PAGE 1 of 8 PURPOSE To provide guidelines on: 1. rating offenders using patient acuity, 2. how to properly handle offenders who are housed in facilities with conflicting acuity levels, 3. how to properly
More informationSpecialized On-Demand Education for Home Care Staff
Home Care Association of New Hampshire and RCTCLearn offer Specialized On-Demand Education for Home Care Staff Providing your agency s staff with high quality continuing professional education doesn t
More informationBEHAVIOR HEALTH LEVEL OF CARE GUIDELINES for Centennial Care
BEHAVIOR HEALTH LEVEL OF CARE GUIDELINES for Centennial Care Acute Inpatient Hospitalization I. DEFINITION OF SERVICE: Acute Inpatient Psychiatric Hospitalization is a 24-hour secure and protected, medically
More informationNursing Complex Health Alterations 1
Western Technical College 10543109 Nursing Complex Health Alterations 1 Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 Complex Health Alterations
More informationNursing Assistant
Western Technical College 30543300 Nursing Assistant Course Outcome Summary Course Information Description Career Cluster Instructional Level Total Credits 3.00 The course prepares individuals for employment
More informationDEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services. Discharge Planning
DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services ICN 908184 October 2014 This booklet was current at the time it was published or uploaded onto the web. Medicare policy
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 informationMedical Management. G.2 At a Glance. G.2 Procedures Requiring Prior Authorization. G.3 How to Contact or Notify Medical Management
G.2 At a Glance G.2 Procedures Requiring Prior Authorization G.3 How to Contact or Notify G.4 When to Notify G.7 Case Management Services G.10 Special Needs Services G.12 Health Management Programs G.14
More informationIntegration Workgroup: Bi-Directional Integration Behavioral Health Settings
The Accountable Community for Health of King County Integration Workgroup: Bi-Directional Integration Behavioral Health Settings May 7, 2018 1 Integrated Whole Person Care in Community Behavioral Health
More informationSECTION 3. Behavioral Health Core Program Standards. Z. Health Home
SECTION 3 Behavioral Health Core Program Standards Z. Health Home Description Health home is a healthcare delivery approach that focuses on the whole person and provides integrated healthcare coordination
More informationStage 2 General Critical Element Pathway Facility Name: Facility ID: Date: Surveyor Name:
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this General Investigative Protocol to investigate
More informationMDS Essentials. MDS Essentials: Content. Faculty Disclosures 5/22/2017. Educational Activity Completion
MDS Essentials MDS Essentials: Introduction to Care Area Assessments and Care Plans 4 Faculty Disclosures I have no financial relationships to disclose I have no conflicts of interests to disclose I will
More informationDepartment of Elder Affairs Programs and Services Handbook Chapter 3: Description of DOEA Coordination with other State/Federal Programs CHAPTER 3
CHAPTER 3 Description of DOEA Coordination with Other State/Federal Programs 3-1 Table of Contents Section: Topic Page I. Overview and Specific Legal Authority 3-4 II. 3-7 A. Adult Care Food Program 3-7
More informationHome Health. Improving Patient Outcomes & Reducing Readmissions. Home Health: Improving Outcomes & Reducing Readmissions
Home Health Improving Patient Outcomes & Reducing Readmissions Home Health: Improving Outcomes & Reducing Readmissions Benefits of Home Health Care Scientific evidence proves people heal more quickly,
More informationThree World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective
Three World Concept of Behavioral Health and Primary Care Integration Part 3 The Clinician Perspective Colorado Behavioral Health Association October 3, 2010 Three World Model C. J. Peek suggests that
More informationFlorida Medicaid. Private Duty Nursing Services Coverage Policy
Florida Medicaid Agency for Health Care Administration November 2016 Table of Contents Florida Medicaid 1.0 Introduction... 1 1.1 Description... 1 1.2 Legal Authority... 1 1.3 Definitions... 1 2.0 Eligible
More informationMCS Model of Care For Special Needs Plans (SNP) Annual training for delegated entities and facilities
2018 MCS Model of Care For Special Needs Plans (SNP) Annual training for delegated entities and facilities Quality Department CAN_2790318S CMS Requirements The Centers of Medicare & Medicaid Services (CMS)
More informationQAPI - What Is It All About? Rebecca McMinn, RN, BSN, MBA New Century Hospice
QAPI - What Is It All About? Rebecca McMinn, RN, BSN, MBA New Century Hospice CMS Quality Initiatives CMS has encouraged Healthcare to monitor itself and gather data Standard measures of quality care are
More information