Measurement Tool for Clinical Practice Guideline Implementation: Measures for Urinary Incontinence
|
|
|
- Sharlene Craig
- 8 years ago
- Views:
Transcription
1 ment Tool for Clinical Practice Guideline : Establish process and clinical outcomes measures before implementing the Urinary Incontinence (UI) in the Long Term Care Setting Clinical Practice Guideline (CPG). Identify measurable (quantitative) indicators as much as possible. Process measures evaluate how well a facility is implementing related processes of care, e.g., number of patients admitted that are assessed for urinary. Outcomes measures look at measurable changes in a patient s condition as a result of treatment or other interventions, e.g., number of patients with documented improvement in function. In the past, health care facilities mostly have relied on process measures. Recently, however, quality monitoring organizations have begun to demand outcomes measures. Both are important. Here are AMDA s suggested quantitative clinical process and clinical outcomes measures related to using the Urinary Incontinence CPG in a long-term care facility. These measures are based on the four recommended components of the AMDA urinary management process: Recognition, Assessment, Treatment, and Monitoring. Where noted, certain terms will require further definition by the facility. All clinical process and clinical outcomes measures should be defined using selected benchmarks, e.g., national norms or the facility s historical norms, if others are not available. General Process s Note: Documentation refers to whether a procedure/discussion was indicated/done or not indicated/not done. s (percentages) are obtained by multiplying each calculated fraction by 100 (for example, if 15 persons were assessed for urinary out of 45 who should have been assessed, the rate is 15/45 x 100 or.333 x 100 = 33.3%). All measures marked with an asterisk (*) are applicable for practitioners only.
2 Clinical Process s Recognition % of patients whose transfer summary is reviewed for a history of urinary on admission % of patients observed for current signs or symptoms of urinary on admission % of patients with onset and type of identified (to the extent possible) on admission *% of patients with diagnosed urinary whose symptoms are documented by the practitioner in the patient s record N = # of patients whose transfer summary is reviewed for a history of urinary on admission D = # of all new admissions N = # of patients observed for current signs or symptoms of urinary on admission D = # of all new admissions N = # of patients with onset and type of identified (to the extent possible) on admission D = # of patients identified with a history of urinary on admission N = # of patients with diagnosed urinary whose symptoms are documented by the practitioner in the patient s record D = # of all patients with diagnosed urinary
3 Assessment *% of patients assessed for modifiable causes of urinary so that interventions may be targeted to those factors *% of patients who have received a physical examination and workup as indicated for urinary *% of patients with urinary who have had their relevant information summarized N = # of patients assessed for modifiable causes of urinary so that interventions may be targeted to those factors D = # of all patients with risk factors for urinary N = # of patients who have received a physical examination and workup as indicated for urinary who have had their relevant information summarized
4 Treatment % of patients with urinary with individualized treatment goals and plans of care *% of patients with addressed transient causes of urinary *% of patients with addressed modifiable risk factors of urinary % of patients with urinary who are appropriate for a toileting program that have one *% of patients who have failed on nonpharmacologic interventions are evaluated for pharmacologic treatment % of patients with an indwelling catheter with documented medical justification with individualized treatment goals and plans of care N = # of patients with addressed transient causes of urinary N = # of patients with addressed modifiable risk factors of urinary who are appropriate for a toileting program that have one D = # of patients with urinary who are appropriate for a toileting program N = # of patients who have failed on nonpharmacologic interventions are evaluated for pharmacologic treatment D= # of patients who have failed on nonpharmacologic interventions N = # of patients with a indwelling catheter with documented medical justification D = # of patients with an indwelling catheter
5 Monitoring % of patients whose response to treatment for urinary is monitored and documented in the patient s medical record *% of patients with urinary whose response to the current treatment plan indicates a need for reassessment and receives such reassessment % of patients who are being monitored for side effects of medications prescribed for the treatment of urinary N = # of patients whose response to treatment for urinary is monitored and documented in the patient s medical record N= # of patients with urinary whose response to the current treatment plan indicates a need for reassessment and receives such reassessment D= # of patients with urinary whose response to current treatment indicates a need for reassessment N = # of patients who are being monitored for side effects of medication prescribed for the treatment of urinary D = # of patients receiving medication for urinary
6 Clinical Outcome s % of patients experiencing complications as a result of an indwelling catheter (such as pain, bleeding, blockage, urosepsis) % of patients with unnecessary indwelling catheters % of patients being treated for urinary that show resolution/ improvement of signs and symptoms of urinary % of patients utilizing appropriate continence products (such as comfortable, wick wetness away from skin, promote and maintain a healthy skin environment and are conductive to dignity) N = # of patients experiencing complications as a result of an indwelling catheter D= # of patients with an indwelling catheter N = # of patients with unnecessary indwelling catheters D = # of patients with an indwelling catheter N = # of patients being treated for urinary that show resolution/improvement of signs and symptoms of urinary D = # of patients being treated for urinary N = # of patients utilizing appropriate continence products D = # of patients utilizing continence products *% of patients with urinary who have had nonessential anticholinergic medications discontinued to reduce the overall anticholinergic load who have had nonessential anticholinergic medications discontinued to reduce the overall anticholinergic load receiving pharmacologic therapy
Measurement Tool for Clinical Practice Guideline Implementation: Measures for Depression
ment Tool for Clinical Practice Guideline : Establish process and clinical outcomes measures before implementing the Depression in the Long Term Care Setting Clinical Practice Guideline (CPG). As much
CARE PROCESS STEP EXPECTATIONS RATIONALE
URINARY INCONTINENCE CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for urinary incontinence and any history of urinary
What s new? INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS. The Revised Guidance Includes: Interpretive Guidelines
INVESTIGATIVE PROTOCOL FOR URINARY INCONTINENCE & CATHETERS The Revised Guidance Includes: Interpretive Guidelines Investigative Protocols Compliance & Severity Guidance What s new? The new guidance for
Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s):
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Use Use this protocol for a sampled resident with
DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE
1 DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for depression and any history of depression? 2. Did staff
Bladder and Bowel Control
Bladder and Bowel Control Dr Sue Woodward Lecturer, Florence Nightingale School of Nursing and Midwifery 2 Why do we need to understand anatomy? Normal physiology Normal adult bladder capacity = 450-500mls
SECTION H: BLADDER AND BOWEL. H0100: Appliances. Item Rationale Health-related Quality of Life. Planning for Care
SECTION H: BLADDER AND BOWEL Intent: The intent of the items in this section is to gather information on the use of bowel and bladder appliances, the use of and response to urinary toileting programs,
NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.
Initial assessment and investigation of urinary incontinence bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be used
Select Response 1 Yes, when the patient has been prescribed an antibiotic within the past 14 days specifically for a confirmed or suspected UTI.
(M1600) Has this patient been treated for a Urinary Tract Infection in the past 14 days? 0 - No 1 - Yes NA - Patient on prophylactic treatment UK - Unknown [Omit UK option on DC ] Identifies treatment
Section H Bladder and Bowel
Section Bladder and Bowel Intent To gather information on the use of bowel and bladder appliances, the use of and response to urinary toileting programs, urinary and bowel continence, bowel training programs,
Urinary Incontinence FAQ Sheet
Urinary Incontinence FAQ Sheet Are you reluctant to talk to your doctor about your bladder control problem? Don t be. There is help. Loss of bladder control is called urinary incontinence. It can happen
Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol for a sampled resident receiving
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING 4.1 Background and Rationale Background. The Omnibus Budget Reconciliation Act of 1987 (OBRA 1987) mandated that nursing facilities provide
DATE DUE: RESIDENT NAME: DATE(S) OF COMPLETION: STAFF COMPLETING RESIDENT REVIEW:
483.25 QUALITY OF CARE F309 CARE AND SERVICES FOR RESIDENT WITH PAIN Based on QIS CE Pathway CMS-20076 - Pain Recognition and Management http://www.aging.ks.gov/manuals/qismanual.htm Use of this tool is
Complication Prevention
Nursing Best Practice for the Stroke Patient Complication Prevention Tara Panazzolo, MSN, RN-BC Nursing Performance Improvement Advisor Hackensack University Medical Center New Jersey State Stroke Conference
State of Hawaii. Licensed Practical Nurse - Mental Health
Entry Level Work HE-6 6.734 Full Performance Work HE-8 6.735 Function and Location This position works in a hospital or clinic which provides care and treatment to patients who are mentally ill. The primary
How To Be A Nurse Practitioner
NURSE PRACTITIONER PROGRAM THE PENNSYLVANIA STATE UNIVERSITY College of Nursing Preceptor Evaluation of Student Clinical Performance: Adult Gerontology Acute Care Nurse Practitioner Option Nursing 863
VUMC Guidelines for Management of Indwelling Urinary Catheters. UC Access/ Maintenance
VUMC Guidelines for Management of Indwelling Urinary Catheters UC Insertion Preparation & Procedure Indications for insertion and continued use of indwelling urinary catheters include: Urinary retention
DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Interviewable: Yes No Resident Room: Care Area(s): Use Use this protocol for a sampled resident receiving
PROCEDURE FOR CATHETER AFTERCARE
PROCEDURE FOR CATHETER AFTERCARE First Issued May 2010 Issue Version Two Purpose of Issue/Description of Change To promote safe and effective emptying of urinary drainage bags, closed drainage systems
THE MANAGEMENT OF URINARY INCONTINENCE WITHIN A STROKE UNIT POPULATION REENA DHAMI STROKE CNS EPSOM & ST.HELIER UNIVERSITY HOSPITALS
THE MANAGEMENT OF URINARY INCONTINENCE WITHIN A STROKE UNIT POPULATION REENA DHAMI STROKE CNS EPSOM & ST.HELIER UNIVERSITY HOSPITALS Definition Urinary Incontinence is AN INABILITY TO HOLD URINE until
STROKE CARE PLAN: BLADDER & BOWEL CONTINENCE
Urinary incontinence related to loss of ability to identify and respond to need to urinate; involuntary bladder contractions, increased nightly urine production, difficulty communication need to urinate
PROTOCOL INCONTINENCE, URINARY/FECAL Effective Date: August 4, 2010
Number: PROT0106 Submitted by: WOC Issuing Department: PATIENT CARE SERVICES Approved By: (Signature on File) Reviewed by: Date: WOC Nursing Service 7/27/10 Med Surg CPT 8/10 Date: 08/2010 Supersedes:
Recovery After Stroke: Bladder & Bowel Function
Recovery After Stroke: Bladder & Bowel Function Problems with bladder and bowel function are common but distressing for stroke survivors. Going to the bathroom after suffering a stroke may be complicated
Bladder and Bowel Assessment Ann Yates Director of Continence Services. 18/07/2008 Cardiff and Vale NHS Trust
Bladder and Bowel Assessment Ann Yates Director of Continence Services Types of continence problems Bladder Stress incontinence Urgency and urge Incontinence Mixed incontinence Obstructive incontinence
Prevention and Recognition of Obstetric Fistula Training Package. Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula
Prevention and Recognition of Obstetric Fistula Training Package Module 8: Pre-repair Care and Referral for Women with Obstetric Fistula Early detection and treatment If a woman has recently survived a
Compliance Tip Sheet CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS CMS TOP TEN HOSPICE SURVEY DEFICIENCIES
Compliance Tip Sheet National Hospice and Palliative Care Organization www.nhpco.org/regulatory CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS INTRODUCTION The Centers for Medicare
Spinal Cord and Bladder Management Male: Intermittent Catheter
Spinal Cord and Bladder Management Male: Intermittent Catheter The 5 parts of the urinary system work together to get rid of waste and make urine. Urine is made in your kidneys and travels down 2 thin
A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page
A PRINTED copy of this guideline may not be the most recent version. The OFFICIAL version is located on IHNET at the Policies & Procedures Home Page IX0200: Prevention & Control of Catheter Associated
Interviewable: Yes No Resident Room: Initial Admission Date: Care Area(s): Use
Facility Name: Facility ID: Date: Surveyor Name: Resident Name: Resident ID: Initial Admission Date: Care Area(s): Interviewable: Yes No Resident Room: Use Use this protocol to determine whether the facility
Depression: Facility Assessment Checklists
Depression: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a
Appropriate Urinary Catheter Use and Management
Appropriate Urinary Catheter Use and Management Nursing Education Material Mohamad Fakih, MD, MPH 1 This presentation This presentation targets all nurses with patient care responsibilities including the
To decrease and/or prevent the incidence of catheter associated infections and other complications associated with IUC.
Patient Care Manual Standardized Procedure Number: PC-SP.115 Latest Revision Date: 01/27/2015 Effective Date: 10/10/2011 Standardized Procedure: Urethral Catheter (IUC), Adult, Discontinuance of FUNCTION
Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased.
Quality Measures for Long-stay Residents Percent of residents whose need for help with daily activities has increased. This graph shows the percent of residents whose need for help doing basic daily tasks
Regions Hospital Delineation of Privileges Nurse Practitioner
Regions Hospital Delineation of Privileges Nurse Practitioner Applicant s Last First M. Instructions: Place a check-mark where indicated for each core group you are requesting. Review education and basic
Overactive Bladder (OAB)
Overactive Bladder (OAB) Overactive bladder is a problem with bladder storage function that causes a sudden urge to urinate. The urge may be difficult to suppress, and overactive bladder can lead to the
The Role of The Physician In Improving Nursing Home Quality. Jonathan M. Evans MD MPH CMD President, AMDA
The Role of The Physician In Improving Nursing Home Quality Jonathan M. Evans MD MPH CMD President, AMDA Questions For Discussion: What should residents and families expect from their physician in the
WHAT IS INCONTINENCE?
CNA Workbook WHAT IS INCONTINENCE? Incontinence is the inability to control the flow of urine or feces from your body. Approximately 26 million Americans are incontinent. Many people don t report it because
Botox (Botulinum Toxin) injections into the bladder
York Teaching Hospital NHS Foundation Trust Botox (Botulinum Toxin) injections into the bladder Information for patients, relatives and carers Department of Urology York Teaching Hospital NHS Foundation
INDEPENDENT REVIEW OF TRANSVAGINAL MESH IMPLANTS
INDEPENDENT REVIEW OF TRANSVAGINAL MESH IMPLANTS Analysis of NHS information on surgery for stress urinary incontinence and pelvic organ prolapse in Scotland Contents 1 Introduction 1 Treatment for these
Prevention of catheter associated urinary tract infections
Prevention of catheter associated urinary tract infections Dr. Suzan Sanavi, Nephrologist, M.D University of Social Welfare and Rehabilitation Akhavan Physical Spine Center INTRODUCTION Urinary bladder
online version Understanding Indwelling Urinary Catheters and Drainage Systems Useful information When to call for help
When to call for help This will depend on the individual situation, but usually help should be sought if any of the following occurs: 1. The catheter does not start to drain, despite trying the problem
STUDY PLAN Master Degree in Clinical Nursing/ Palliative Care (Thesis )
STUDY PLAN Master Degree in Clinical Nursing/ Palliative Care (Thesis ) I. GENERAL RULES AND CONDITIONS: 1. This plan conforms to the valid regulations of the programs of graduate studies. 2. Areas of
Illinois Department of Public Health STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION C 04/26/2015. Statement of Licensure Violations:
(X1) PROVER/SUPPLIER/LIA ENTIFIATION NUMBER: (X3) SURVEY D NAME OF PROVER OR SUPPLIER (X4) REGULATORY OR LS ENTIFYING INFORMATION) Final Observations Statement of Licensure Violations: 300.610a) 300.1210b)
Primary Care of Women: What is the Scope of Practice in Family Planning Clinics?
Jane Kass-Wolff, PhD, RN, FNP-BC, WHNP-BC University of Colorado College of Nursing June 12, 2015 Primary Care of Women: What is the Scope of Practice in Family Planning Clinics? Issue for Discussion Scope
ACTIVITIES OF DAILY LIVING (ADL) DECLINE Clinical Guidelines
ACTIVITIES OF DAILY LIVING (ADL) DECLINE Guidelines Eating: Assisting the Adult Client with Oral Nutrition textbook with a chapter that reviews steps and rationale for assisting clients with self-feeding.
Enhanced Assisted Living Residence Overview
Enhanced Assisted Living Residence Overview Assisted Living Residences (ALRs) provide a range of settings designed to emphasize personal dignity, individual autonomy, independence, privacy and freedom
Self Catheterization Guide
Self Catheterization Guide An introduction to intermittent self-catheterization Medical professionals have recommended that you selfcatheterize in order to completely empty your bladder. This prevents
How To Treat An Elderly Patient
1. Introduction/ Getting to know our Seniors a. Identify common concepts and key terms used when discussing geriatrics b. Distinguish between different venues of senior residence c. Advocate the necessity
OVERACTIVE BLADDER DIAGNOSIS AND TREATMENT OF OVERACTIVE BLADDER IN ADULTS:
2014 OVERACTIVE BLADDER DIAGNOSIS AND TREATMENT OF OVERACTIVE BLADDER IN ADULTS: AUA/SUFU Guideline (2012); Amended (2014) For Primary Care Providers OVERACTIVE BLADDER Diagnosis and Treatment of Overactive
Childhood Urinary Tract Infections
Childhood Urinary Tract Infections What is a UTI? Urinary tract infection (UTI) is one of the most common infections in childhood. It can cause distress to the child, concerns to the parents, and may
UNCG S.O.N. Nurse Practitioner Competency Metrics
Yes Module on Clinical Prevention in Long-Term Care that students complete Assessment of Health Status: Obtains a relevant health history, which may be comprehensive or focused. Post test on Clinical prevention
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING
CHAPTER 4: CARE AREA ASSESSMENT (CAA) PROCESS AND CARE PLANNING 4.1 Background and Rationale The Omnibus Budget Reconciliation Act of 1987 (OBRA 1987) mandated that nursing facilities provide necessary
Cerebral Palsy Neurogenic Bladder, Outcomes of Lifetime Care
Cerebral Palsy Neurogenic, Outcomes of Lifetime Care Kevin P Murphy MD Gillette Lifetime Specialty Healthcare St. Paul Minnesota Cerebral Palsy 1 Disclosure Information AACPDM 67 th Annual Meeting, October
UNDERSTANDING THE REPORTS
3 UNDERSTANDING THE REPORTS KEY CONCEPTS AND TERMS...2 A QUICK GUIDE TO THE QIS/QMS...3 CHRONIC CARE MEASURES...4 POST-ACUTE CARE (PAC) MEASURES...9 COMPARISON OF OLD AND NEW RECORD SELECTION METHODS FOR
FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07)
Name FORT HAMILTON HOSPITAL DELINEATION OF CLINICAL PRIVILEGES & QUALIFICATIONS ADVANCED PRACTICE NURSE CERTIFIED NURSE PRACTITIONER (CNP) (8/07) ELIGIBILITY REQUIREMENTS Required Qualifications: Bachelors
Macroplastique injection for stress urinary incontinence
Macroplastique injection for stress urinary incontinence Information for patients This information sheet answers some of the questions you may have about having a Macroplastique injection. It explains
ON THEJOB LEARNING OUTLINE Certified Nursing Assistant, Advanced O*NET Code: 31 1012.00 RAIS Code: 0824 A
ON THEJOB LEARNING OUTLINE Certified Nursing Assistant, Advanced O*NET Code: 31 1012.00 RAIS Code: 0824 A Occupational Description: Performs any combination of following duties: care of residents/patients
CHAPTER 6 SECTION G PERCENT OF LOW-RISK RESIDENTS WHO LOSE CONTROL OF THEIR BOWELS OR BLADDER. QM Description. Rationale for Incontinence QM
CHAPTER 6 SECTION G PERCENT OF LOW-RISK RESIDENTS WHO LOSE CONTROL OF THEIR BOWELS OR BLADDER NOTE: This measure is reported on Nursing Home Compare as a paired measure, in conjunction with the chronic
R: Community Health. College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 151
R: Community Health College of Licensed Practical Nurses of Alberta, Competency Profile for LPNs, 3rd Ed. 151 Competency: R-1 Nursing R-1-1 R-1-2 R-1-3 R-1-4 R-1-5 Demonstrate knowledge and ability to
Admission /Discharge Criteria
A resident is not appropriate for an ALR if he/she requires or is in need of Enhanced Assisted Living where a resident with chronic needs may age in place as long as they do not need 24 hour skilled nursing
Fecal incontinence (Encopresis) It is the fecal incontinence condition observed in children with chronic constipation over 1-2 years.
WHAT IS DYSFUNCTIONAL URINATION (URINATION FUNCTION DISORDER)? It stands for the urination phase disorders, which appear due to wrongly acquired urination habits during the toilet training of some neurologically
Sample Treatment Protocol
Sample Treatment Protocol 1 Adults with acute episode of LBP Definition: Acute episode Back pain lasting
GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS
GUIDELINES GUIDELINES FOR USE OF PSYCHOTHERAPEUTIC MEDICATIONS IN OLDER ADULTS Preamble The American Society of Consultant Pharmacists has developed these guidelines for use of psychotherapeutic medications
National Patient Safety Goals Effective January 1, 2015
National Patient Safety Goals Effective January 1, 2015 Goal 1 Improve the accuracy of resident identification. NPSG.01.01.01 Long Term are ccreditation Program Medicare/Medicaid ertification-based Option
Indwelling urinary catheter. Information for patients and carers. RDaSH. Doncaster Community Integrated Services
Indwelling urinary catheter Information for patients and carers RDaSH Doncaster Community Integrated Services What is a catheter? A catheter is a hollow flexible tube designed to drain urine from the bladder.
Clinical Coverage Criteria Extended Care Facility
Clinical Coverage Criteria Extended Care Facility Document Number: 018 Commercial MassHealth* Commonwealth Care Authorization required X X X Notification within 24 hours of service or next business day
Documentation Guidelines for Physicians Interventional Pain Services
Documentation Guidelines for Physicians Interventional Pain Services Pamela Gibson, CPC Assistant Director, VMG Coding Anesthesia and Surgical Divisions 343.8791 1 General Principles of Medical Record
Stroke/VTE Quality Measure Build for Meaningful Use Stage 1
Stroke/VTE Quality Measure Build for Meaningful Use Stage 1 Presented by Susan Haviland, BSN RN Senior Consult, Santa Rosa Consulting Meaningful Use Quality Measures Centers for Medicare and Medicaid Services
Nurse Practitioners in Long Term Care
Nurse Practitioners in Long Term Care Amanda Adams-Fryatt NP & Preetha Krishnan NP WRHA, LTC Objectives Who are nurse practitioners? What is their model of practice? What are their achievements? What are
OAB (Overactive Bladder)
OAB (Overactive Bladder) PharmCon is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This webcast has been supported by an educational grant
Role of the Wound Ostomy Continence Nurse or Continence Care Nurse in Continence Care
Role of the Wound Ostomy Continence Nurse or Continence Care Nurse in Continence Care Background Incontinence (i.e., loss of bladder and/or bowel control) is a significant health care problem, which affects
NURSE DRIVEN FOLEY CATHETER PROTOCOL
NURSE DRIVEN FOLEY CATHETER PROTOCOL BACKGROUND There are over 1.7 million hospital-acquired infections in US hospitals annually, 40% of which are urinary tract infections. 80% of hospital-acquired UTIs
Patient Information:
Patient Information: Care of an indwelling Urinary Catheter What is a Urinary Catheter? A catheter is a hollow, flexible tube designed to drain urine from the bladder. Following insertion into the bladder,
42 CFR 483.25 (F309) QUALITY OF CARE. Changes to Interpretive Guidance. Training Objectives. *Overview of changes
42 CFR 483.25 (F309) QUALITY OF CARE Changes to Interpretive Guidance 1 Training Objectives Review guidance for hospice and/or ESRD services, formerly in the SOM in Appendix P; Describe when to use F309
National Patient Safety Goals Effective January 1, 2015
National Patient Safety Goals Goal 1 Nursing are enter ccreditation Program Improve the accuracy of patient and resident identification. NPSG.01.01.01 Use at least two patient or resident identifiers when
GreenLight laser prostatectomy
Ambulatory Care & Local Networks GreenLight laser prostatectomy Information for day surgery patients This information sheet answers some of the questions you may have about having a GreenLight laser prostatectomy.
Normal bladder function requires a coordinated effort between the brain, spinal cord, and the bladder.
.. Urinary Incontinence Urinary incontinence is not an inevitable part of aging, and it is not a disease. The loss of bladder control - called urinary incontinence - affects between 13 and 17 million adult
Quality Measure Focus: Incontinence
Quality Measure Focus: Incontinence Keith Chartier, MPH Clinical Project Manager Elaine Nelson, RN, RAC-CT Clinical Project Manager (HSAG) August 25, 2015 Objectives 2 1 How Would It Make You Feel? Embarrassed
An operation for stress incontinence Tension-free Vaginal Tape (TVT)
Saint Mary s Hospital The Warrell Unit An operation for stress incontinence Tension-free Vaginal Tape (TVT) Information for Patients 1 Stress Incontinence Stress incontinence is a leakage of urine occurring
REMINDER: Please ensure all stroke and TIA patients admitted to hospital are designated as "Stroke Service" in Cerner.
ACUTE STROKE CLINICAL PATHWAY QEH/HH PCH KCMH Souris Western Stewart Memorial O'Leary PATIENT ID INCLUSION CRITERIA* All patients admitted to hosptial with a suspected diagnosis of acute ischemic stroke
Acute Care Pediatric Nurse Practitioner Certification Exam. Detailed Content Outline
Acute Care Pediatric Nurse Practitioner Certification Exam Description of the Specialty This exam is for the pediatric nurse practitioner (PNP) who has graduated from a formal acute care PNP program with
Iatrogenesis. Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging
Iatrogenesis Suzanne Beyea,, RN, PhD, FAAN Associate Director: Centers for Health and Aging Iatrogenesis Definition from the Greek word, iatros,, meaning healer, iatrogenesis means brought forth by a healer
HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES
HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES (2008 Medicare Conditions of Participation for Hospice Care 418.122 (f)) Hospice Philosophy Hospice is a unique concept of care designed to provide comfort
Alberta Hip Fracture Restorative Care Pathway
Alberta Hip Restorative Care Pathway Purpose: to provide hip fracture patients with safe, evidence informed care, including an emphasis on achieving an optimal level of function, good quality of life,
CHAPTER 2: THE ASSESSMENT SCHEDULE FOR THE RAI
CHAPTER 2: THE ASSESSMENT SCHEDULE FOR THE RAI This chapter presents the instructions for the completion of the mandated clinical and Medicare assessments in nursing facilities. 2.1 Introduction to the
X-Plain Foley Catheter Male Reference Summary
X-Plain Foley Catheter Male Reference Summary Introduction A Foley catheter is a tube that is put through the urinary opening and into your bladder to drain urine. Your doctor may have placed or may ask
convey the clinical quality measure's title, number, owner/developer and contact
CMS-0033-P 153 convey the clinical quality measure's title, number, owner/developer and contact information, and a link to existing electronic specifications where applicable. TABLE 20: Proposed Clinical
Corporate Medical Policy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: skilled_nursing_facility_care 02/2008 2/2015 2/2016 2/2015 Description of Procedure or Service A skilled
Optum By United Behavioral Health. 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines
Optum By United Behavioral Health 2015 Florida Medicaid Managed Medical Assistance (MMA) Level of Care Guidelines (TBOS) Therapeutic behavioral on-site services are intended to prevent members under the
SPECIALTY CASE MANAGEMENT
SPECIALTY CASE MANAGEMENT Our Specialty Case Management programs boost ROI and empower members to make informed decisions and work with their physicians to better manage their health. KEPRO is Effectively
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) COMMUNITY ACQUIRED vs. HEALTHCARE ASSOCIATED
METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) COMMUNITY ACQUIRED vs. HEALTHCARE ASSOCIATED Recently, there have been a number of reports about methicillin-resistant Staph aureus (MRSA) infections
Quality of care for urinary incontinence in a rehabilitation setting for patients with stroke. Simultaneous monitoring of process and outcome
International Journal for Quality in Health Care 2001; Volume 13, Number 1: pp. 57 61 Quality of care for urinary incontinence in a rehabilitation setting for patients with stroke. Simultaneous monitoring
Scope of Practice for the Acute Care CNS. Introduction
Scope of Practice for the Acute Care CNS Introduction The historical conceptualization of nursing delineates clinical practice dimensions according to the practitioner s role, the practice environment,
*The Medicare Hospice Conditions of Participation (2008) (CoPs) contain the federal regulations that govern all Medicare-certified hospice programs.
Compliance Tip Sheet National Hospice and Palliative Care Organization www.nhpco.org/regulatory CMS TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS INTRODUCTION The Centers for Medicare
Managing your bladder with a suprapubic catheter at home
Managing your bladder with a suprapubic catheter at home Gateshead Primary Care Trust South Tyneside Primary Care Trust Sunderland Teaching Primary Care Trust What is a suprapubic catheter? A suprapubic
CMS Manual System Pub. 100-07 State Operations Provider Certification
CMS Manual System Pub. 100-07 State Operations Provider Certification Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 8 Date: JUNE 28, 2005 NOTE:
Falls Management: Assessment & Intervention Approval Signature: September, 2012
Level: Policy ame: Falls Management: Assessment & Intervention Approval Signature: WRHA Policy #: Section: 1 of 7 Date: Original Signed by Sylvia Ptashnik, DORS September, 01 Safety & Comfort Supercedes:
Riesa Gusewelle, MNSc, RN, APRN, GNP-BC. OBJECTIVES Identify early warning signs of urinary tract
Detection, Early Management & Prevention, of Urinary Tract Infections in Older Adults Riesa Gusewelle, MNSc, RN, APRN, GNP-BC OBJECTIVES Identify early warning signs of urinary tract infections (UTIs)
Registered Charity No. 5365
THE MULTIPLE SCLEROSIS SOCIETY OF IRELAND Dartmouth House, Grand Parade, Dublin 6. Telephone: (01) 269 4599. Fax: (01) 269 3746 MS Helpline: 1850 233 233 E-mail: mscontact@ms-society.ie www.ms-society.ie