MEDKids-PDN Assessment Tool - Maine...7/16/2015 8 Med Kids-PDN Assessment Tool Frequency codes: code...
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7/16/2015 1 Office of MaineCare Services June 2015 Office of MaineCare Services June 2015 MEDKids-PDN Assessment Tool Today’s Agenda Med Kids PDN tool Assessment scoring and outcomes Brief overview of PDN policy (Section 96) PDN Forms Questions Med Kids-PDN Assessment Tool
Transcript of MEDKids-PDN Assessment Tool - Maine...7/16/2015 8 Med Kids-PDN Assessment Tool Frequency codes: code...
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Office of MaineCare ServicesJune 2015Office of MaineCare ServicesJune 2015
MEDKids-PDNAssessment Tool
Today’s Agenda
Med Kids PDN tool Assessment scoring and outcomes Brief overview of PDN policy
(Section 96) PDN Forms Questions
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Section A: Header on Page 1
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Section A
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Section A: Header on Page 2
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Section A (continued)
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Section B Diagnosis – Psychiatric / Behavioral
Section B - Medical
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Section C – Physical Functioning
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Section C (continued)
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Section C (continued)
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Section D – Professional Nursing Services andTreatments
Change
Section D – Professional Nursing Services andTreatments
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Unstable:
An unstable medical condition requires increasedphysician involvement and should result incommunication with the physician for adjustments intreatment and medication. Evidence of fluctuatingvital signs, lab values, and physical symptoms and planof care adjustments must be documented in themedical record.
Not included is the loss of function resulting from atemporary disability from which full recovery isexpected. This definition does not cover unstablebehavioral health conditions.
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Section E – Medication List
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Section E – Medication List
Section F – Medication Administration
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Section G – Cognition
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G.3 Cognitive Skills for Daily Decision Making
The inquiry should focus on whether the child isactively making decisions, and not whether afamily member or caregiver believes the childmight be capable of doing so.
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Section H - Behavior
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Frequency codes: code for the frequency of behaviorlisted in item #1 in the last 30 days.
0. Behavior not exhibited in last 30 days.1. Behavior of this type occurred 1 to 3 days per week
during the last 30 days2. Behavior of this type occurred on 4 to 6 days per
week, but not every day, during the last 30 days.3. Behavior of this type occurred daily or more than
once per day.
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Section H– Behavior (cont.)
Section I – Communication, Hearing and VisionPatterns
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Section I – Communication, Hearing andVision Patterns (cont.)
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Section J – Height and Weight
Section K - Nutrition
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Section L - Incontinence
Newquestions
Section M – Skin Condition
The next few slides willreview the scoring
section.It has been designed
toeasily determine thecorrect PDN level.
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Private Duty Nursing (PDN) and Personal Care Services (PCS)Eligibility
A child meets the medical eligibility requirements for a particularlevel of PDN care if he or she needs a combination of assistancewith the required numbers of Activities of Daily Living and nursingservices, as appropriate, in the context of an individual’s age-appropriate development.
The scoring pages for determining level of PDN can be found onpages 22 and 23 of the MEDKids – PDN tool.
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PDN I and PDN II
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PDN III and PDN IV
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PDN V
Standard Nursing Notes
Standard Nursing Notes (cont.)
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Standard Nursing Notes (cont.)
Family Circumstances
Family Circumstances (cont.)
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Family Circumstances (cont.)
change
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Family Circumstances (cont.)
Addendum Page
If the addendum pages are used, all itemsmust be numbered.
Addendum pages are numbered as page 29of 30 and 30 of 30. If these pages are notused, the boxes must be checked and all
pages must be included when submitted orcopied.
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PDN Forms and Protocols
• Task Time Allowances• Plan of Care• Special Circumstances Nursing• Communication Form• Inability to Completely Staff• Request for Staffing• Significant Changes• Change of an Approved Plan of Care
These are the forms that will becovered today:
Where Can I Find the Forms?
http://www.maine.gov/dhhs/oms/provider/case_mix_manuals.html
Scroll down to the bottom of the page tothe PDN Section
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Task Time Allowances
Plan of Care
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Special Circumstances Nursing
Communication Form
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Questions??
OMS Contact InformationPDN Email: [email protected]
Julie Tosswill, PA Manager
Telephone: 287-1773
Email: [email protected]
Tracey Gurney RN
Telephone: 624-4015
Email: [email protected]
Lynne Berry RN
Telephone: 624-4013
Email: [email protected]
Suzanne Pinette RN
Telephone: 287-3933
Email: [email protected]
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Thank you for spending your day with us! …Please complete your evaluation so we can
provide the best possible training
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