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, [...]
Continue reading...Wed, Jul 28, 2010
The follow-up/recertification (FU) assessment must be completed when a patient is being recertified to continue care for additional episodes. The regulations require that a comprehensive assessment be completed at least every 60 days, and this must occur in the five-day window (days 56–60) before the end of the current episode. Example The start-of-care date of [...]
Continue reading...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 [...]
Continue reading...Mon, Jun 14, 2010
Q: Is there a rule on grace days concerning M0090? For example, I have a SN SOC on 6/1 and a PT eval on 6/7. Can I add PT to the admission plan of care? A: The assessing clinician has up to five (5) days after the start of care date to complete the assessment. [...]
Continue reading...Tue, Jun 8, 2010
As clinicians strive for accuracy in implementing OASIS-C, they must have access to resources that will help them complete these new data elements. The following data resources will help in answering your OASIS-C questions: Review of the clinical record that would include physical assessment data, weight trends, and clinical tools and documentation of the heart [...]
Continue reading...Fri, May 28, 2010
Q: In regards to M2000 and M2010, if a non-nursing clinician PT or ST opens a case, is it acceptable to answer “no” to these questions? A: §484.55 (c) of the Home Health Conditions of Participation (CoPs) requires that the comprehensive assessment include a drug regimen review. For this reason, answering “0 – No” to [...]
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Fri, Aug 6, 2010
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