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Homecare documentation components
Documentation must paint a clear picture of the patient’s medical condition and care. Regardless of the forms or documentation system used within the agency, homecare documentation should include the following basic components: An initial assessment of the patient’s eligibility and appropriateness for homecare services Comprehensive assessment findings Diagnoses that support and qualify the patient for [...]
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Handling incidents
Thu, Sep 23, 2010
Incidents are problems, unusual occurrences, or adverse events that may lead to unexpected or undesired outcomes. The purpose of an incident report is to document the exact details of an incident in the event the information is needed in the future. If liability issues arise from the incident, having accurate information about the event that [...]
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Customize Care to Meet the Patient’s Needs
Mon, Aug 16, 2010
Everyday, clinicians confront tough questions, those that require knowledge of certification, payment, and documentation requirements. Here’s an example. With the push toward best practices, do you think it’s a good idea to establish visit patterns for the initial certification period? Our agency is considering a pattern with minimum visits of three a week for the [...]
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Best Practice Guidelines for the Administrator: Pressure Ulcers
Fri, Aug 6, 2010
The following are best practice guidelines to consider for staff education related to pressure ulcers: Risk assessment Select a standardized validated screening tool (e.g., Braden or Norton) to be completed, at a minimum, at SOC and ROC. For agencies that have experienced a high incidence of pressure ulcer development in patients under the agency’s care, [...]
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Fall Prevention Interventions: Evidence-Based Best Practices
Fri, Jul 16, 2010
Evidence-based practice is defined per the Disease Management Association of America as using the best scientific evidence available to guide clinical decision-making. Investigating scientific evidence such as best practice research that is available through the National Guideline Clearinghouse Web site (www.guidelines.com) or the APTA Web site (www.apta.org) leads agencies to multiple best practice components necessary [...]
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Depression Intervention and Monitoring
Tue, Jul 13, 2010
Guidelines for Clinicians OASIS-C has several new items to measure processes of care. Care processes refer to the use of assessment tools (included in a comprehensive assessment) or the planning and delivery of specific clinical interventions. The question we are discussing here is M1730, which relates to screening for depression. This OASIS-C question is designed [...]
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Mon, Sep 27, 2010
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