SU Post Acute Care ICF IID & Admission Federal Requirements Discussions

A

CASE STUDY

You are the consultant for a long-term care facility that recently has undergone a long-term care survey in which the facility received several deficiency notations for noncompliance with federal requirements. The most significant deficiency involved a noted pattern (seven of ten examples reviewed in the surveyor sample) in which comprehensive assessments (MDS) were not completed within the required timeframe (within 14 days of admission).

In addition, the surveyors identified that there was no documentation to support the use of triggered care areas in the assessment and care-planning process. This resulted in related quality-of-care deficiencies for failure to adequately assess and manage urinary incontinence and psychosocial needs.

In three additional examples, the surveyors identified that residents had experienced a significant change in condition without evidence of a new assessment being done. Within the statement of deficiencies, the surveyors noted that the director of nursing stated that she was unaware that assessments had not been done. And the nursing staff members stated that they did not understand what the care area triggers were, and they were unaware of the federal criteria for determining when a significant change had occurred. The administrator of this facility has asked you to help develop a plan to correct these deficiencies. Here are the questions.

1. What would be your recommendations for overall system evaluation and revision?
2. What would be your recommendations for staff education?
3. How could the facility medical records designee be utilized to prevent similar problems from occurring in the future?

b

Chapter 9

ICF/IID as compared to other settings.

Explain various methods of record keeping and the natural separation of information into sections or divisions for individuals in an ICF/IID setting.

Explain the need for utilizing various coding systems for capturing and classifying data from the records of individuals with intellectual disabilities.

Discuss the process involved in risk management in the tracking of accident/incident reports.

Discuss technical aspects of health information management in an ICF/IID.

Chapter 10

Discuss the impact of stringent state and federal regulation on the long-term care industry and its effect on information management and documentation content.

Identify the significance of state and federal surveys to long-term care facilities.

Describe the types of reimbursement and payer relationships within a long-term care facility.

Describe the purpose of the minimum data set and its use in the federal survey process and in case-mix payment systems.

Identify the priorities for health information management in the long-term care settings. C

CASE STUDYIn monitoring for various complications at XYZ Rehabilitation Hospital, health information manager Mary Moore discovers that, in many instances, patients with deep vein thrombosis or pressure sores are being admitted to the hospital with those conditions. Because rehabilitation cannot proceed until these medical conditions are resolved, these patients may be discharged from rehabilitation to another type of care after a short stay, and later readmitted to rehabilitation. Or these conditions may prolong the patient’s length of stay in the rehabilitation facility. Mary plans to report these findings to the quality improvement committee.

1. What recommendations might the committee make regarding these findings?
2. What role can Mary play in improving this situation?

Your submission must meet the following: minimum threshold of 200 words. D.

Chapter 11: Rehabilitation

• Identify and describe the various levels of rehabilitative care.
• Describe the major accrediting agencies for rehabilitation.
• List the members of an interdisciplinary rehabilitation team.
• Describe key features of the IRF PPS.•Define basic rehabilitation terms and distinguish between the concepts of impairment, disability, and handicap.•Explain current trends in rehabilitation.

Chapter 12: Post Acute Care

• Explain the basic operations of a home health care agency and identify potential future trends of the industry.
• Discuss the importance of data collection, analysis, and reporting to be competitive in the current payment environment.
• Identify the types of services provided by home health care agencies.•List the agencies or organizations that develop standards for home health care.
• Explain the purpose of the Outcome and Assessment Information Set-C1 (OASIS-C1).
• Discuss the importance of outcome-based quality improvement (OBQI) and outcome-
  based quality management (OBQM) in the
  home care setting.