Jennifer Loehr, M.A. CCC-SLP Megan Malone, M.A. CCC-SLP. Gentiva Health Services
|
|
- Lawrence Heath
- 5 years ago
- Views:
Transcription
1 Jennifer Loehr, M.A. CCC-SLP Megan Malone, M.A. CCC-SLP Gentiva Health Services
2 Identify three different reimbursement sources for home health therapy. Determine appropriate frequency and duration timelines for the plan of care. Identify how many months of therapy are allowed in a certification period. Identify five general assessment areas included in the OASIS. Identify the reimbursement system for home health by medicare.
3 Cost-effective strategy for many families and insurance companies while maintaining the highest quality of life possible. Many older adults are remaining in their homes with assistance from family members, hired caregivers, and home health care agencies. Providing care in a patient s home can be challenging. The environment of care is one that is dynamic and patient controlled.
4 Home Health Agencies are organizations that provide healthcare services to patients that are home bound. Services may include: Speech Therapy Physical Therapy Occupational Therapy Nursing services Social Worker Registered Dietician Home Health Aide
5 Pros of working in Home Care Setting: Allows for one-on-one interaction with client Allows SLP to provide treatment in functional environment Flexibility of schedule Autonomy Interdisciplinary interaction Family interaction & education
6 Challenges in Home Care: According to ASHA s 2007 Health Care Survey, SLP s view the following as their top challenges: 1. Paperwork (clinical and reimbursement) 2. Insufficient reimbursement (for clinical services) 3. Keeping current with advances in clinical information 4. Unsatisfactory salary/benefits 5. High productivity requirements 6. Managing caseloads at multiple sites 7. Resources to respond to diversity within caseload 8. Not being valued by other disciplines/administration ASHA, 2007 (2)
7 There are a number of reasons why a patient would need home health care: Post surgery (Hip replacements) Post acute rehabilitation (Stroke) Illness (Parkinson s disease, Alzheimer s disease, cancer) Injury (Hip fractures, head injury)
8 According to ASHA s 2007 Health Care Survey: 51% of SLP services in home care are provided to infants & toddlers 26% to adults Top Areas of Intervention: 37% Swallowing 25% Aphasia 21% Cognitive-Communication 9% Motor Speech 14% to preschoolers 8% to school-age children ASHA, 2007 (2)
9 Age range of home care clients years: 10% years: 15% years: 35% 80 years and older: 35% ASHA, 2007 (2)
10 Top 5 primary medical diagnoses of home care clients CVA: 63% CNS diseases: 8% Respiratory diseases: 5% Hemorrhage/Injury: 3% Other neoplasm: 2% Top 5 Functional Communication Measures scored by SLPs working in home care Swallowing: 54% Spoken Language Expression: 37% Motor Speech: 29% Spoken Language Comprehension: 26% Memory: 15% ASHA, 2007 (2)
11 Although the criteria for HH care stipulates that the patient be home bound, there are different settings that a person may call home : Home Independent Living Facility Assisted Living Facility Alzheimer s Assisted Living Facility
12 The overall adult population seen in home care : Is more medically acute and fragile Has a wide-range of disorders Has an emphasis on dysphagia & cognitivecommunication issues Demands prioritization of goals due related to number of visits Is more culturally diverse Requires evidence-based practice, with an emphasis on functionality of goals ASHA, 2007 (1)
13 Referrals: May occur upon discharge from a hospital, rehabilitation, or long-term care facility. Physicians may also refer patients directly to home health providers. Collaboration with other disciplines Registered Dietitian diet modifications Social Worker to obtain needed home medical equipment, counseling regarding role change Physical Therapist positioning for feeding, gait training Occupational Therapist assistance with feeding and writing Registered Nurse medication management and the effects of on speech, language, and swallowing performance Team MUST work together for patient outcomes. ASHA, 2008
14 1. Educator 2. Data Collector 3. Consultant 4. Case Manager 5. Advocate ASHA 2007
15 Clinician: Provided diagnostics and treatment with functional goals related to independence in the home. Assist patient with transition from home health rehabilitation to an outpatient setting. Treatment diagnosis may include dysphagia, aphasia, apraxia, symbolic dysfunction, hearing loss, agraphia and dysarthria.
16 Team Player: Despite being very autonomous, the HH speech pathologist is very involved in the rehabilitation team including the PT, OT, nurse, dietician, social worker, clinical case coordinator and physician. Frequent contact with other team members is very important to the success of the patients rehab. Coordinate your therapy visits to prevent overlaps or non-billable time. Some successful means of communication: case conferences, communication log, .
17 Patient/Family Support and Education The HH agency clinicians may be the only connection for the patient to the outside world. Education of patient/family/caregiver staff is a very important part of the plan of care. Constant assessment regarding the patient s and or family s emotional adjustment is necessary. It is very appropriate to make referrals: Clergy, social worker, psychologist etc.
18 Must: Remain flexible Evaluate client s and family s goals and expectations Involve family as integral part of treatment & carryover process Provide thorough documentation Assess client & initiate treatment within first hour of meeting client Set appropriate frequency and duration of treatment Have a knowledge of varying medical conditions & different cultures and their beliefs ASHA, 2007
19 Patient Management: Patients may be medically fragile Patients may present with a wide-range of disorders (swallowing problem, compounded with cognitive-linguistic/memory issue) Must prioritize goal areas (base on number of authorized session & client need) Currently, the emphasis in HH is on swallowing & cognitive-linguistic goals Functionality of goals is key Increased reliance on Evidence Based Practice ASHA, 2007
20 Patient Issues: Limited supervision for patients who are seriously ill (special precautions for dysphagia patients) Visits are not as frequent. Patient will often need to do homework. Patients with dementia need very functional therapeutic activities with reduced treatment time. Monitoring and reporting of functional changes, physical or behavioral, should happen immediately.
21 Client factors Non-compliance (Thobaben, 2007) Characteristics: Failure to progress Exacerbation of symptoms Development of complications as evidenced by objective tests or behavior that is indicative of failure to adhere to treatment plan Reasons: (Thobaben, 2007) Discomfort from treatment ( medication side effects) Expense of treatment Personal, religious, cultural beliefs related to treatment Personality traits, denial of illness, or mental disorders Addiction to alcohol or drugs
22 Client factors continued: Fatigue Client may be returning from facility or hospital stay Client being seen by a number of disciplines for care Scheduling Coordination with client s life & schedule Coordination with other discipline schedules Make effort to schedule during an optimum time for client s success Time of day (may be more effective in morning for cognition goals) Schedule swallowing treatment around meal times for functionality Client may not understand need for service Education by SLP is critical to explain scope of practice, education of diagnosis and treatment, & goals.
23 Factors that affect client satisfaction of home care treatment: Technical Quality of Care Communication Personal Relationships Between Client and Provider Delivery of Services Laferriere (1993)
24 Family Factors Family support is critical to the success of treatment in home care setting. Family dynamics differ across clients Considerations: Some family members may live with client; others involved in care decisions may live in other areas Family members are working and are unavailable to participate in the rehabilitation process and post-discharge care of the patient. Dissolution of family systems (ASHA, 2007 (1)) Family may have unrealistic expectations for treatment Family may have lower expectations of client potential Family may not fully understand their role in client progress
25 Family Issues: Family members may be having difficulty with transitions be careful not to let them dominate your precious time! Family/caregivers should not depend on your therapy visit for respite. Report any suspected elder abuse to your clinical care coordinator immediately.
26 Environmental Factors Very functional therapy environment Use the bathroom, kitchen, and bedroom! Limited structured therapy materials Home may have fewer distractions yet AL facility may have numerous distractions. AL facilities may have group or community activities you can use for therapy.
27 Environmental Factors Home Factors Noise/Distractions Family involvement ( To observe or not to observe?? ) Lack of privacy Role of Guest (Sines, 2005) Can lead to role conflict & confusion Distance
28 Regulatory Factors: Joint Commission Many home health care agencies are accredited through the Joint Commission. This regulatory agency reviews or "surveys" programs for their compliance on standards related to quality care. Medicare Other regulatory agencies State boards of speech pathology Occupational Safety and Health Administration (OSHA) regulates infection control procedures and mandates universal precautions. ASHA. 2007
29 ASHA members are required to follow the ASHA Code of Ethics HIPAA (Health Insurance Portability and Accountability Act of 1996)* Regulations apply to covered entities, but it is advisable that all SLPs familiarize themselves with HIPAA rules Administration simplification regulations focus on three areas: Privacy of protected health information Electronic transfer of health data Security of health information Impacts all forms of communication of health information (electronic, written, oral), as well as billing and information storage Violations may result in fines and penalties ASHA, 2007
30 Medicare Payment from Medicare is called the prospective payment system (PPS) Medicare (Center of Medicare Services) reimburses the HH agency according to the level of care needed by the patient. This level is determined by the initial evaluation performed either by a nurse or therapist. The HH agency is given payment for a 60 day period of care. If care is terminated early, either because the patient met his/her goals, was discharged due to lack of progress, etc. the agency must pay back a percentage of funds to the CMS agency.
31 Private Pay There are patients who may chose to pay out of pocket for any services not funded by Medicare or insurance: Maintenance therapy Home health aid Private duty nursing
32 Insurance The documentation criteria doesn t change. Reimbursement is generally a percentage with a co pay required by the beneficiary. Pre-authorization is generally required.
33 OASIS: The first clinician or nurse that is sent to admit a patient completes the OASIS form. Each home health agency uses the same format with only slight variations per agency policy. There is a designated OASIS form for use of nursing, physical and speech therapy (as of this date, occupational therapists do not have the authority to perform the initial assessment for a home health agency)
34 Outcome Assessment and Information Set (OASIS) The OASIS helps home health agencies determine what patients need, develop the right plan for their care, assess that care over the course of treatment, and learn how to improve that quality of care. The OASIS form is comprised of a set of fill-in and multiple choice questions that include, but are not limited to: Patient demographics Diagnosis Pain assessment Change in condition and treatment Medication assessment ADL function (Including, communication, mobility, feeding, toileting, dressing, grooming, hygiene) Multi-system status (GI, Respiratory, skin integrity, cardiovascular, urinary status and nutrition) Cognition and behavior Psychological status Social support Community resource involvement
35 OASIS: The speech pathology assessment section of the OASIS generally includes the following sections: Motor speech production Augmentative communication Dysphagia Cognition Language processing Language expression Reading comprehension Written formulation
36 If the SLP is not designated to complete the OASIS, a general speech-language assessment is done. This assessment contains all of the evaluation information included in the OASIS form pertaining specifically to the speech pathology evaluation. The SLP may use any battery or subtest that will lend the proper results and information. (i.e. Western Aphasia Battery, Ross Information Processing Assessment) All assessments must include a summary of current level of performance. As long as a patient is on services, a re-assessment is required by the SLP every 60 days. (The re-assessment guideline is mandated by the state licensing board and may vary from state to state.) This re-assessment must include a summary of current level of performance and changes since the start of care.
37 The plan of care is comprised of treatment modalities and long term goals. Long term goals are included in the assessment and re-assessment documentation. Short term goals may be included on daily documentation. Documentation of functional progress must be included in order to continue providing skilled therapy. Frequent documentation of progress toward goals should be included on notes.
38 Long Term Goals: Based on assessment results and geared toward functional independence. Long term goal time frame can be any length up to 60 days (length of certification period). After 60 days a recertification (ROC) is completed for another 60 day period with new LTG s. Goal examples: Patient will verbally communicate basic wants and needs. Patient will use augmentative communication device to communicate basic wants and needs in home setting. Patient will tolerate all oral intake of liquids, solids, and medication without risk for aspiration. Patient will follow all compensation/cues independently for safe ADL function in the home. Caregiver/family member will demonstrate knowledge of safe swallow guidelines by return demonstration.
39 Part of your goal setting will be determining the frequency of your visits and the duration that you will provide therapy. There are a total of nine weeks in a certification period. Frequency: How many visits per week? Duration: How many weeks? Example: ST 1-2w1, 2w2, 1w1 (Speech therapy one to two visits the first week. Two visits the second week and one visit the last week.) ST 3w3, 2w2, 1w1 (Speech therapy three visits the first three weeks, two visits for two weeks, and one visit the final week.) ST 2w9 (Speech therapy two visits for nine weeks)
40 Guidelines for documentation will vary for different home health agencies. Start of care OASIS (SOC) Recertification OASIS (ROC) Transfer OASIS Discharge OASIS Speech therapy assessment (non-cert) Speech therapy discharge (non-cert) Daily documentation Time sheet Travel log Vital signs Progress notes Education Patient/family/staff signature
41 Treatment, like goals, must be guided by patient & family input Must be functional & meaningful Must allow for optimum practice of goal in time allotted to increase likelihood of carryover. Should align nicely with other discipline s goals.
42 Case Study 85 year-old man; living at home post left hemisphere stroke; demonstrates difficulty in communicating wants & needs clearly due to motor speech impairment. Also shows signs/symptoms of aspiration when eating a regular consistency diet, as confirmed my MBS study in hospital. Responds well to cueing & able to imitate strength exercises & compensatory strategies for safer swallow. Memory deficits evident (possible dementia); low vision Former auto worker; wife is deceased; living with son & daughter-in-law who both work during day; nursing assistants manage patient care during day; looking for interesting & motivating activities for patient to engage in.
43 Step One: Prioritize Goals Safe swallowing primary goal Improved motor speech production secondary goal. Goal One: Improved Swallowing Patient will successfully complete 80% of pharyngeal strengthening exercises modeled by therapist to improve safety of swallow for regular diet. May include tongue base retraction (pulling tongue straight back, gargling, yawning), effortful swallow, effortful breath hold, maneuvers Patient must also practice exercises on own (example 10 times/day for 5 minutes)
44 Goal One: Improved Swallowing Patient will recall and demonstrate the compensatory strategy of a chin tuck 80% of trials during meals to increase safety during eating & reduce signs/symptoms of aspiration. Use of spaced retrieval technique & written cue to recall compensatory strategy. Patient will remain on mechanical soft & nectar thick liquids until course of treatment indicates patient has strengthened muscles of swallowing mechanism, consistently utilize compensatory swallowing technique, & shows no s/s of aspiration on regular diet/thin liquids during bedside evaluation & MBS study.
45 Spaced Retrieval (SR) Technique used to help persons with cognitive impairments recall important information over progressively longer intervals of time. Has been used successfully with patients with Alzheimer s Disease, Traumatic Brain Injury, Parkinson s Disease, and Dementia related to HIV (Bourgeois et. al, 2001; Camp, et. al, 2008; Neundorfer, et. al, 2004; Malone et. al, 2007) Is an effective tool that therapists can use to help clients reach their goals in rehab therapy and is billable and reimbursable. Takes advantage of the procedural memory system and is success-based.
46 Spaced Retrieval: Begin with a prompt question for the target behavior and train the client to recall the correct answer When retrieval is successful, the interval preceding the next recall test is increased. If a recall failure occurs, the participant is told the correct response and asked to repeat it The following interval length returns to the last one at which recall was successful. SR Example: Goal: Client will correctly recall and demonstrate use of chin tuck during meals to decrease risk of aspiration 80% of trials. Prompt Question: What should you do when you swallow? Answer: Tuck (one word response, plus demonstration of strategy due to motor speech deficits).
47 Engagement activities Base around interests & hobbies, may also include opportunities for practice of goal areas. May include looking at pictures/books of different types of cars; practice saying color of item and other details; fine motor practice of taking items apart and putting back together (flashlight, etc.); choosing meal/grocery items from a list; assisting in setting table, sorting silverware; folding items; sanding wood, etc. picture puzzles of cars, grandchildren, etc. Picture Puzzle Example
48 Goal 2: Improved motor speech production Patient stimulable at word level production Treatment may include word imitation of common items in home, names, action words ( Help, Eat, More, Yes, No, Stop, etc.) & gestures, moving toward short phrases & use of augmentative means (writing, use of picture/word cards) Treatment will also include homework practice of targeted treatment words. Patient will accurately communicate wants and needs to improve safety & interaction with family/staff at word & short phrase level 80% of trials.
49 Word/Communication cards Bathroom Hungry
50 Possible duration of treatment/number of sessions ST 2w5, 1w2 (Speech therapy two visits for five weeks; once a week for 2 weeks) 1 hour sessions; minutes on swallowing; minutes on speech production, with rest periods; 10 minute review of homework and instructions for family & staff. Communicate with other disciplines for carryover practice of target goals during other treatment sessions (example ask nursing to encourage production of words during care)
51 Case Study 66 year old gentleman diagnosed with progressive frontaltemporal dementia with severe expressive aphasia. He was living at home with his wife for several years with this diagnosis until his impulsivity and poor judgement necessitated the need for placement in an locked facility for his safety. This patient is a retired computer programmer and his wife is a retired school teacher. They have children and young grand children that come to the facility frequently to visit. This patient has a great deal of difficulty communicating to family and staff members creating increased emotional lability, frustration, and social isolation. His wife is very concerned for his well being and adjustment to his new living environment and hopes that speech therapy can help him with communication, orientation to his new surroundings and assist him in finding leisure activities that are appropriate to his language and cognitive levels.
52 Goals: Resident will be able to utilize verbal and non-verbal communication to express his very basic wants and needs 100%. Use of augmentative communication device with icons and/or photographs with labels. This is called his speech book Training of facility staff to ask basic, direct questions (i.e. Are you in pain? Are you hungry? Where is your speech book? Resident will be able to locate major facility landmarks with visual cues 100%. Use visual cues such as large labels and signs. Use spaced retrieval cues Resident will participate in appropriate facility and personal leisure activities with supervision 100%. Develop personal leisure list of appropriate activities for resident to participate in with family and staff. Have list available to activities director and care staff
53 Case Study 70 year old gentleman with a diagnosis of severe pharyngeal dysphagia following intubation during his stay in the hospital for complications following an attack of infuenza. Patient has had a PEG tube placement in the hospital. Prior to discharge, the modified barium swallow study indicated some improvement in his swallow functions with a recommendation for trial oral feeding (puree) with speech therapy. Patient has a very weak, non-productive cough and a weak, hoarse vocal quality. Patient was discharged to home with home health speech therapy to improved swallow functions and resume oral feedings.
54 Goals: Patient will tolerate oral intake of all food, liquid, and medication without aspiration. Pushing/pulling exercises hard swallow supraglottal swallow safe swallow compensation (cough and clear)
55 Goals Patient will demonstrate improved vocal quality with reduced vocal hoarseness 50% Work on respiratory support/strength through exercises and improved postural support (physical therapy referral) Increase sustained phonation Teach soft cough/throat clearing Teach vocal hygiene
56 Client s motivation is the driving force behind carryover of treatment Desire to eat certain foods, communicate effectively, etc. Many clients approach therapy passively Get them involved & motivated from the initial session Therapy should be described as a procedure to help change the client s behavior, with the clinician s assistance Responsibility for treatment lies with the client; Let them own their own treatment
57 Provide several opportunities for client to practice skills with others in environment Provide feedback to client (recordings, use of mirror, etc.) Provide several opportunities for reinforcement of skills Graphic representations (charts of progress, working toward personal goal) Involve persons who patient admires to act as motiviators
58 Make clients aware of the purpose of homework assignments (have client participate in creating them with you). Practice under emotional conditions (answering telephone, etc.) Practice in distracting conditions (during activity, over environmental noise) Provide family with instructions on how to respond to client responses (ask for clarification, model correct posture, etc.) Post reminders of goals Make sure that treatment always ends in successful responses (promotes intrinsic reinforcement of new behavior) Engel, et. al (1966).
59
60 ASHA (2007). Health care issues brief: Home Care. Available at ASHA (2007). ASHA SLP Health Care Survey: Caseload characteristics. Rockville, MD: Author. ASHA (2008). Getting started in home care. Available at Thobaben, M. (2007). Noncompliance: A challenge for home health nurses. Home Health Care Management & Practice, Vol. 19, No. 5, Laferriere, R. (1993). Client satisfaction with home health care nursing. Journal of Community Health Nursing, Vol. 10. Sines, D., Appleby, F., & Frost, M. (2005). Community Health Care Nursing. Wiley- Blackwell. Bourgeois, M., Camp, C., Rose, M., White, B., Malone, M., Carr, J., & Rovine, M. (2003) A comparison of training strategies to enhance use of external aids by persons with dementia. Journal of Communication Disorders, 36,
61 Neundorfer, M., Camp, C., Lee, M., Skrajner, M., Malone, M., & Carr, J. (2004). Compensating for cognitive deficits in persons aged 50 and over with HIV/AIDS: A Pilot Study of Cognitive Intervention. Midllife and Older Adults and HIV, Malone, ML, Skrajner, MJ, Camp, CJ, Neundorfer M, Gorzelle, GJ: Research In Practice II: Spaced- Retrieval, A Memory Intervention. Alzheimer s Care Quarterly. (2007); 8(1): Camp, C. J., & Malone, M. L. (2008) Mise en œuvre d'interventions de récupération espacée auprès de personnes atteintes de la maladie d Alzheimer. Cahiers de la Fondation Médéric Alzheimer, number 3. Social Services (2004), 3, 1, Camp, C., Cohen-Mansfield, J, Capezuti, E. (2002). Use of nonpharmacologic interventions in nursing home residents with dementia. Psychiatric Services, 53 (11), Skrajner, MJ, Malone, ML, Camp, CJ, McGowan, A, Gorzelle, GJ: Research in practice I: Montessori-Based Dementia Programming (MBDP). Alzheimer s Care Quarterly. (2007); 8 (1): Squire, LR. Declarative and nondeclarative memory: multiple brain systems supporting learning and memory. In: Schacter, DL, Tulving, E, eds. Memory Systems. Cambridge, MA: MIT Press; 1994: Engel, D., Brandriet, S., Erickson, K., Gronhovd, K., & Gunderson, G. (1966). Carryover. Journal of Speech and Hearing Disorders. 31(3)
ACE 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 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 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 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 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 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 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 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 informationIndiana Association for Home & Hospice Care Shaping the Change May 6, Bonny Kohr, FR&R Healthcare Consulting, Inc.
Indiana Association for Home & Hospice Care Shaping the Change May 6, 2014 Bonny Kohr, FR&R Healthcare Consulting, Inc. Rebecca Zuber, Rebecca Friedman Zuber, Inc. Where you are going--destination Desired
More informationTools and Techniques for Patient-Centered Care for Aphasia: Case Examples
Tools and Techniques for Patient-Centered Care for Aphasia: Case Examples Jacqueline J. Hinckley, Ph.D., BC-ANCDS Choose Quality, LLC St. Petersburg, FL Dr.JJHinckley@gmail.com Debbie Yones, M.S., CCC-SLP
More informationCATEGORY 4 - OASIS DATA SET: FORMS and ITEMS. Category 4A - General OASIS forms questions.
Q1. [Q&A RETIRED 09/09; Outdated] CATEGORY 4 - OASIS DATA SET: FORMS and ITEMS Category 4A - General OASIS forms questions. Q2. When integrating the OASIS data items into an HHA's assessment system, can
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 informationCMS OASIS Q&As: CATEGORY 2 - COMPREHENSIVE ASSESSMENT
CMS OASIS Q&As: CATEGORY 2 - COMPREHENSIVE ASSESSMENT Q1. When are we required to collect OASIS? [Q&A EDITED 06/14] A1. The Condition of Participation (CoP) published in January 1999 requires a comprehensive
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 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 informationInterdisciplinary Rehabilitation for Stroke
Interdisciplinary Rehabilitation for Stroke Jessica Berry, MD Natasa Miljkovic, MD, PhD Antonette Murphy, RN, BSN, Clinician Kelly Vitti, PT, GCS, NCS Role of the PM&R Physician Consultation in acute care
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 informationT H E N E W I N T E R N A T I O N A L D Y S P H A G I A D I E T S TA N D A R D I Z A T I O N I N I T I A T I V E
IDDSI? T H E N E W I N T E R N A T I O N A L D Y S P H A G I A D I E T S TA N D A R D I Z A T I O N I N I T I A T I V E P R E S E N T E R : S A R A B R O W N I N G, M S, R D N, C D DISCLOSURE SARA BROWNING
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 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 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 informationDysphagia Management in Stroke
Dysphagia Management in Stroke Acute Stroke Best Practices Workshop Advancing Best Practices in Acute Stroke Care February 23, 2016 Laurie Broadfoot M.S., S-LP reg CASLPO Objectives To offer a basic overview
More informationSpeech Language Pathology
P A G E 1 Speech Language Pathology Professional Practice Leader (Interim) (West 5 th, Charlton) Bonnie Reaburn-Jones, MSc, Reg. CASLPO Number of Members of Discipline Charlton West 5th 12.7 FTE.4 FTE
More informationELIGIBILITY & CERTIFICATION THE CONTINUING SAGA
1 ELIGIBILITY & CERTIFICATION THE CONTINUING SAGA Hospice Fundamentals Charlene Ross, MSN, MBA, RN Consultant / Educator 2 What You Will Learn Today The regulatory requirements of certification, recertification
More informationClinical Utilization Management Guideline
Clinical Utilization Management Guideline Subject: Therapeutic Behavioral On-Site Services for Recipients Under the Age of 21 Years Status: New Current Effective Date: January 2018 Description Last Review
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 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 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 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 informationHospital Admission: How to Plan and What to Expect During the Stay
Family Caregiver Guide Hospital Admission: How to Plan and What to Expect During the Stay Admission to the hospital can happen in various ways. You family member may be treated in the Emergency Room (ER)
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 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 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 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 informationGuidelines: Paediatric Dysphagia
Guidelines: Paediatric Dysphagia Ethics and Standards Committee 2011 Members: F Bardien, B Sc(Log), UCT; M Audiology, US; B Gerber, B Komm Pat, UP; M Sc (SLP), UCT; G Jacklin, BA (Sp Hear Th), Wits; D
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 informationDEMONSTRATED NEED FOR SKILLED CARE FOR MEDICARE PATIENTS: SKILLED NURSING SERVICES
DEMONSTRATED NEED FOR SKILLED CARE FOR MEDICARE PATIENTS: SCOPE: All Ascension At Home, LLC colleagues. For purposes of this policy, all references to colleague or colleagues include temporary, part-time
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 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 informationEPSDT HEALTH AND IDEA RELATED SERVICES
EPSDT HEALTH AND IDEA RELATED SERVICES Chapter Twenty of the Medicaid Services Manual Issued March 01, 2013 State of Louisiana Bureau of Health Services Financing LOUISIANA MEDICAID PROGRAM ISSUED: 08/18/17
More informationFRIED CHICKEN AND COFFEE
FRIED CHICKEN AND COFFEE JEAN L FOSTER MA-CCC/SLP, BCS-S MBS ADVANTAGE, INC ST LOUIS, MISSOURI DEFINITION OF COMPLIANCE formal act of obeying a rule, order..cambridge English Dictionary NON-COMPLIANT DISOBEYING
More information2017 FOCUSED ON DOCUMENTATION NECESSITIES & PRE-CLAIM REVIEW
2017 FOCUSED ON DOCUMENTATION NECESSITIES & PRE-CLAIM REVIEW PRESENTED BY: MELINDA A. GABOURY, COS-C CHIEF EXECUTIVE OFFICER HEALTHCARE PROVIDER SOLUTIONS, INC. HEALTHCAREPROVIDERSOLUTIONS.COM ADDITIONAL
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 informationc) Facilities substantially in compliance with the requirements of this Subpart will receive written recognition from the Department.
TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE SECTION 300.7000 APPLICABILITY Section
More informationDysphagia: What Your Speech Language Pathologist Wants You to Know
Online Continuing Education for Nurses Linking Learning to Performance I NSID E T HI S C OURSE Course Outline... 2 A&P of the Normal Swallow... 3 Symptoms of... 4 Speech-Language Pathologist... 5 Role
More informationMobile Dysphagia Consultants Your Mobile Partner in Swallowing Disorders
Mobile Dysphagia Consultants Your Mobile Partner in Swallowing Disorders To Schedule a Dysphagia Consultation Please FAX the Order Form(s) to 978.279.1066 (All forms can be downloaded at www.massteximaging.com)
More informationPatient Driven Payment Model (PDPM) and the MDS: A Total Evolution of the SNF Payment Model
Patient Driven Payment Model (PDPM) and the MDS: A Total Evolution of the SNF Payment Model By Devin Kassi, PT, DPT, and Melissa Keiter, RN, RAC-CT, DNS-CT, DON Centers for Medicare & Medicaid Services
More informationINTRODUCTION Reduce falls Improve patient outcomes Establish a baseline of falls in home care
INTRODUCTION The Missouri Alliance for Home Care (MAHC) has developed a set of standardized tools for reporting and monitoring falls in patients under the care of home health. The program which began as
More informationNORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES
NORTH CAROLINA DEPARTMENT OF HEALTH & HUMAN SERVICES Division of Mental Health, Developmental Disabilities and Substance Abuse Services State-Funded MH/DD/SA SERVICE DEFINITIONS Revision Date: September
More informationOctober 2011 Quarterly CMS OCCB Q&As
October 2011 Quarterly CMS OCCB Q&As Category 2; Category 3; M0100 Question 1: A patient is seen monthly. On a monthly visit, which falls within the last five days of the certification period, the assessing
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 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 informationAppendix B: Restorative Care Training Presentation. Audience: All Staff Release date: December
Appendix B: Restorative Care Training Presentation Audience: All Staff Release date: December 17 2010 Objectives At the completion of this session, participants will be able to: Understand the principles
More informationProvider Handbooks. Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook
Provider Handbooks December 2016 Physical Therapy, Occupational Therapy, and Speech Therapy Services Handbook The Texas Medicaid & Healthcare Partnership (TMHP) is the claims administrator for Texas Medicaid
More informationClick to edit Master title style
Development and Implementation of a FEES Program in a Hospital Setting Click to edit Master title style Angela S. Dubis-Bohn MA, CCC-SLP, BRS-S Click to edit Master subtitle style Marla D. Knight MA, CCC-SLP
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 informationHMSA Physical & Occupational Therapy Utilization Management Guide Published 10/17/2012
HMSA Physical & Occupational Therapy Utilization Management Guide Published 10/17/2012 An Independent Licensee of the Blue Cross and Blue Shield Association Landmark's provider materials are available
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 informationMedicare Part C Medical Coverage Policy
Skilled Care Services Medicare Part C Medical Coverage Policy Origination: June 30, 1988 Review Date: February 21, 2018 Next Review: February, 2020 DESCRIPTION OF PROCEDURE OR SERVICE Skilled Care Services
More informationCare in Your Home. North West CCAC
Care in Your Home Care in Your Home Home and community support services can help you manage your health care while living in your own home. At the Community Care Access Centre (CCAC), we provide information
More informationProvider Frequently Asked Questions
Provider Frequently Asked Questions Strengthening Clinical Processes Training CASE MANAGEMENT: Q1: Does Optum allow Case Managers to bill for services provided when the Member is not present? A1: Optum
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 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 informationFY 2016 PERFORMANCE PLAN
Walter Reed Adult Day Health Care Center ADSD Michael DiGeronimo x0965 Program Purpose Program Information Improve the quality of life for adults with age-related or developmental disabilities and their
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 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 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 informationSCOPE OF SERVICE ORLANDO HEALTH REHABILITATION INSTITUTE OUTPATIENT PROGRAM/100 W. Gore
MISSION STATEMENT/PHILOSOPHY The mission of Orlando Health and Orlando Health Rehabilitation Institute (OHRI) is to improve the health and quality of life of the individuals and communities we serve. Our
More informationSELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY PROGRAM MODEL OCTOBER Striving for Excellence in Rehabilitation, Recovery, and Reintegration.
SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY PROGRAM MODEL OCTOBER 2008 Striving for Excellence in Rehabilitation, Recovery, and Reintegration. SELKIRK MENTAL HEALTH CENTRE ACQUIRED BRAIN INJURY
More informationAn Overview of Ohio s In-Home Service Program For Older People (PASSPORT)
An Overview of Ohio s In-Home Service Program For Older People (PASSPORT) Shahla Mehdizadeh Robert Applebaum Scripps Gerontology Center Miami University May 2005 This report was produced by Lisa Grant
More informationOAR Changes. Presented by APD Medicaid LTC Policy
OAR 411-015 Changes 1 Presented by APD Medicaid LTC Policy Table of Contents 2 Service Priority OAR 411-015 Project Overview Why Are We Making These Changes Overarching Changes Changes to ADLS (each ADL
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 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 informationHolywell Neurological Centre Information about your stay
Holywell Neurological Centre Information about your stay About Holywell Holywell Neurological Centre is a 16 bedded specialist inpatient unit situated in the north of Watford, Hertfordshire. The unit provides
More informationOccupational Therapy Plans of Care Affecting Chronic Condition Outcomes
Occupational Therapy Plans of Care Affecting Chronic Condition Outcomes (Not Just Upper Extremity Strengthening) Karen Vance, OTR kvance@bkd.com The most important things for you to understand today: Daily
More informationAchieving Memory Care Certification for Your Nursing Care Center. Gina Zimmermann, MS Executive Director Nursing Care Center Accreditation Program
Copyright, The Joint Commission Achieving Memory Care Certification for Your Nursing Care Center Gina Zimmermann, MS Executive Director Nursing Care Center Accreditation Program 1 Today s Objectives Review
More informationG-Codes Functional Reporting: Are You Compliant
G-Codes Functional Reporting: Are You Compliant Presented by: HARMONY UNIVERSITY The Provider Unit of Harmony Healthcare International, Inc. HHI PPS & Case Mix Onsite Chart Audits MMQ Audits Seminars Consulting
More information256B.0943 CHILDREN'S THERAPEUTIC SERVICES AND SUPPORTS.
1 MINNESOTA STATUTES 2016 256B.0943 256B.0943 CHILDREN'S THERAPEUTIC SERVICES AND SUPPORTS. Subdivision 1. Definitions. For purposes of this section, the following terms have the meanings given them. (a)
More informationHOME HEALTH CARE PROPOSED CONDITIONS OF PARTICIPATION
HOME HEALTH CARE PROPOSED CONDITIONS OF PARTICIPATION Mary Carr, BSN,MPH V.P. for Regulatory Affairs National Association for Home Care & Hospice October 19, 2014 Proposed rule HH COPS Federal Register
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 informationAfter the Hospital Where Do I Go From Here?
After the Hospital Where Do I Go From Here? Prepared by: Abigail Dignadice, RN, BSN Geriatric-Psychiatric Unit, Palomar Medical Center Poway Edited and approved by: Diane Loehner, Licensed Clinical Social
More informationMedicare 101. Lisa Satterfield, ASHA director, health care regulatory advocacy Neela Swanson, ASHA director, health care coding policy
Medicare 101 Lisa Satterfield, ASHA director, health care regulatory advocacy Neela Swanson, ASHA director, health care coding policy Neela Swanson Director, Health Care Coding Policy, ASHA Disclosure
More informationIs your Home Health Agency ready for the Final Rule to the Conditions of Participation?
Is your Home Health Agency ready for the Final Rule to the Conditions of Participation? Medicare-certified home health agencies have almost doubled from 6,461 in 1990 to 12,268 in 2014 due to longer life
More informationCare on a hospital ward
Care on a hospital ward People with dementia may be admitted to general hospital wards either as part of a planned procedure such as a cataract operation or following an accident such as a fall. Carers
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 informationMedications: Defining the Role and Responsibility of Physical Therapy Practice
This article is based on a presentation by Matt Janes, PT, DPT, MHS, OCS, CSCS, Division AVP, Therapy Practice and Quality, Kindred at Home, and Diana Kornetti, PT, MA, HCS-D, President, Home Health Section
More informationTest Content Outline Effective Date: February 6, Gerontological Nursing Board Certification Examination
Board Certification Examination There are 175 questions on this examination. Of these, 150 are scored questions and 25 are pretest questions that are not scored. Pretest questions are used to determine
More informationMEDICAL POLICY No R5 PSYCHOLOGICAL EVALUATION AND MANAGEMENT OF NON-MENTAL HEALTH DISORDERS
PSYCHOLOGICAL EVALUATION AND MANAGEMENT OF NON-MENTAL HEALTH DISORDERS Effective Date: September 8, 2014 Review Dates: 10/07, 10/08, 10/09, 6/10, 6/11, 6/12, 6/13, 8/14, 8/15, 8/16, 8/17 Date Of Origin:
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 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 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 informationPolicy Review Sheet. Review Date: 14/10/16 Policy Last Amended: 19/10/17. Next planned review in 12 months, or sooner as required.
Category: Care Management Sub-category: Care Practice Page: 1 of 10 Policy Review Sheet Review Date: 14/10/16 Policy Last Amended: 19/10/17 Next planned review in 12 months, or sooner as required. Note:
More informationComprehensive Aspiration Risk Management Plan (CARMP) Individual s Name: Case Manager: Date of CARMP: DOB:
Individual s Name: Case Manager: Date of CARMP: DOB: Case Management Agency: NOTE: Individuals at moderate risk for aspiration due to Risky Eating Behaviors (REB) identified as the only Aspiration Risk
More informationAPPENDIX A: WRITTEN EVALUATION
Unit 1 1. Feeding Assistants cannot assist residents with a history of aspiration or difficulty swallowing. 2. Feeding Assistants can assist with other Activities of Daily Living (ADL) care such as bathing
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 informationObjectives 2/23/2011. Crossing Paths Intersection of Risk Adjustment and Coding
Crossing Paths Intersection of Risk Adjustment and Coding 1 Objectives Define an outcome Define risk adjustment Describe risk adjustment measurement Discuss interactive scenarios 2 What is an Outcome?
More informationChapter 2: Patient Care Settings
Chapter 2: Patient Care Settings MULTIPLE CHOICE 1. While the home health nurse is doing the entry to service assessment on a home-bound patient, the wife of the patient asks whether Medicare will cover
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 informationFEEDING ASSISTANT TRAINING SESSION #6. Vanderbilt Center for Quality Aging & Qsource
FEEDING ASSISTANT TRAINING SESSION #6 Vanderbilt Center for Quality Aging & Qsource Presenter Linda Beuscher, PhD, GNP-BC Assistant Professor Vanderbilt University School of Nursing Research Interests:
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 information