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Submitting Request for Records to Medicare Picture

Submitting Request for Records to Medicare

More than 47% of denials by PalmettoGBA for the period of 10/2017-12/2018 were related to...... Read More...

Discipline Frequency and Duration Orders

Did you know that the Medicare week to write orders for treatments and/or frequency and duration varies from home health agency to home health agency? For more information see "Are you knew to the home…?”

CMS Proposed Rule of the Home Health QAPI Program

CMS propose regulations needs more work! Make home care organizations assign the QAPI Program responsibilities to a staff member who is free of conflict between the non-clinical and clinical departments in the home care organization.

Using Critical Thinking to create the patient plan of care.

The worst disservice a clinician can do their patient and employer is not to use critical thinking when developing, implementing, revising the patient's Plan of Care, see "Using "Critical Thinking" during clinical practice..."


February 11, 2019

<h1>Falls </h1> Detail Picture 1

Falls are a marker of frailty, immobility, and acute and chronic health impairment in older persons. Most injuries a related to fractures hips and wrist, (Prevention, 2019).

Falls can be related to extrinsic (e.g. tripping over rugs or animals) or intrinsic factors such as acute or chronic medical conditions.

A fall risk assessment as the MAHC 10 – Fall Risk Assessment Tool can help identify fall risk in a patient. The findings can then be used to develop a patient specific plan of care that can help the patient/caregivers to reduce the potential for injuries related to falls.

In 2019 CMS revised the OASIS-D to include other data collection measures beside M1910 – Has this patient had a multi-factor Fall Risk Assessment using a standardized, validated assessment tool?

Measures J1800 Any Falls Since SOC/ROC, whichever is more recent and J1900 Number of Falls Since SOC/ROC, whichever is more recent, were added to OASIS-D1

A. No injury

B. Injury (except major)

C. Major injury

From the Risk Management and QAPI perspective home health agencies should have been tracking patients’ injuries related to a fall. An Incident Report should be completed for every fall describing the occurrence. Collected data should be analyzed to identify areas of improvement. Data is useless if not shared with those that can benefit from the information as improving patient care.

Posted 12.2019