Post on 15-Jan-2016
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OASIS AvoidingACH
Fall Prevention
ManagingMeds
Care Coordination
How many days are allowed to complete an admission
OASIS?
Five days
Are Significant Changes in Condition (SCIC) OASIS
required to be submitted after Jan. 1, 2008?
Yes. Submitting SCICs is required per regulation but
there is no payment adjustment.
How is the Start of Care (SOC) determined?
It is the first billable visit, regardless of the discipline.
How many clinicians can author an OASIS?
One clinician must complete it, but all
disciplines may collaborate w/ the author.
What does the acronym “OASIS” mean?
Outcome and Assessment Information Set
What is a written, patient-centered plan with a range of
symptoms to report first to the agency, rather than calling
911?
A Patient Emergency Plan
According to the HHQI BPIP for reducing ACH, what
should be reviewed on every visit by every discipline
before leaving the patient’s home?
A Patient Emergency Plan
What assessment other than OASIS is a part of a best practice to reduce
ACH that is completed at the SOC?
Hospitalization Risk Assessment
What are the two most effective BPs that promote early ID of abnormal S&S, intensify patient/caregiver education, reinforce the
patient emergency plan and initiate best practices for medication management?
Front-loading visits and phone monitoring
True or False?
Hospitalization risk assessment should be completed on SOC/ROC and may also be performed at recertification or with significant change in condition (SCIC).
True
Who defines a fall as “an unintentional change in
position resulting in coming to rest at the ground or a
lower level?”
The Missouri Alliance for Home Care
True or False?
“Timed up and Go” screening is an effective assessment to identify persons at risk for falls.
True. Use this assessment as a part of your hospital
risk assessment.
Fall-related injuries accounted for 6%, 3% or
1% of all medical expenditures for people age 65 and older in the
U.S.
6%
What OASIS timeframes are suggested for doing a fall risk
assessment?
SOC, ROC, Recertification
What is the first step in the procedure for accurately
assessing orthostatic hypotension?
Place patient supine for five minutes, obtain BP and HR
This “Criteria for Potentially
Inappropriate Medication Use in Older Adults: Independent of
Diagnosis or Conditions” is
otherwise known as:
Beers Criteria
MO 780 states, “Management of Oral Medications: Patient’s ability to
prepare and take all prescribed oral medications reliably and safely,
including administration of the correct dosage at the appropriate
times/intervals.” The OASIS response selected should reflect the patient’s
ability to:
Take a majority of daily doses correctly on the
day of assessment
Name one element of medication review required by the Conditions of
Participation.
Any of the following are appropriate answers:
• Identify any significant side effects• Significant drug interactions• Duplicate drug therapy and
noncompliance with drug therapy• A process is put in place to ensure that
the patient’s medication regime is evaluated. The same process must be carried out for therapy-only patients.
To accurately assess the patient’s medications the clinician needs to use a combined approach of
interview and __________.
Observation
Your patient had a stroke and is unable to open the
medication bottles or open her pill box. To what discipline would you make a referral?
Occupational Therapy
Name two care providers involved in patient care
transition.
•Hospital to home health•Home health to self-care•Hospital to SNF•SNF to home, PCP or hospice
Any of the following:
When you think of patient transition, what is the purpose
of the handover?
Answers could include:• Exchange Vital Information• Communicate patient status • Exchange information and assume
or pass on responsibility*** Transitional care-coordination
should be the standard of care
True or False? Medication reconciliation only applies to
medications and prescriptions ordered by a doctor.
FalseFalse
Reconciliation includes all medications Reconciliation includes all medications taken by the patient including any taken by the patient including any OTC vitamins, supplements, pain OTC vitamins, supplements, pain
meds, etc.meds, etc.
Name at least one piece of information that should be
included in the Personal Health Record (PHR).
Answers could include:
• Caregiver’s name and phone number• Physician’s name and phone number• Advance Directives• Current Medications and Allergies
The four pillars of care transition activities are
described within the HHQI care coordination best
practice package. What are two of the four pillars?
Answers could include:• Medication self-management• Patient-centered record• Physician follow up• Red flags
Jeopardy Game Template adapted from the work of Susan Collins and Eleanor Savko, District Resource Teachers for Hardin County Schools: www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm
The End!
Tally up the points to see who your winner is.
Publication MO-08-87-HHThis material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy