When the Centers for Medicare and Medicaid Services (CMS) released the first version of the revised OASIS, Beacon Health feared the incorporation of process data elements would create problems. It looks as though our fears have come to fruition. The very presence of these questions is driving agencies to change processes, which, in [...]
Continue reading...Wed, Mar 24, 2010
When developing best practices in an agency, an important step is to look at what current practices are in place. Assessing current practices and how they work or don’t work is crucial to the creation and implementation of best practices. Key elements to assess current agency “usual” practices and begin to develop best practice Identify agency’s most [...]
Continue reading...Tue, Jan 5, 2010
Fundamental Points about Best Practices Standardize, standardize, standardize: Reduce variation, subjectivity in care planning and delivery Reduce risk of omission, error in care delivery Focus on compliance: Incorporate regulatory requirements, agency policy issues Reflect Medicare coverage criteria Move forward at a pace that benefits patients and that the agency can manage Orders not necessary for assessment and teaching: Nurses and [...]
Continue reading...Mon, Nov 30, 2009
Homecare providers are exploring ways to implement the evidence-based practices (EBP) in OASIS-C. One idea: standing orders. According to the medical dictionary, a standing order is a written document that contains rules, policies, procedures, and orders for conduct of patient care in stipulated situations. Standing orders identify the actions to be [...]
Continue reading...Mon, Nov 9, 2009
Q: What is the difference between a best practice and an evidence-based practice? A: Although the difference is slight, it is an important distinction. Best practice: techniques, procedures, processes, and interventions that are identified through health literature, research and one’s own performance improvement initiatives. Best practices reflect optimal interventions and produce superior results. Example: An agency develops an [...]
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Tue, Mar 30, 2010
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