Readmission Assessment Tool
|
|
- Darren Fletcher
- 7 years ago
- Views:
Transcription
1 Readmission Assessment Tool Current Admit Date: Readmit from Previous admit dates: (Home, ALF, ECF, SNF, Rehab, Home w/ Home Health ) Name of Facility if applicable Diagnosis for previous Admission Diagnosis for Readmit Was the d/c follow up appointment made at discharge? Yes No Weekend/Evening Was the d/c follow up appointment made by the patient? Yes No Date of f/u appointment: (Days after d/c) Did the patient go to the appointment? Yes No Readmit before appt. Were there new medications prescribed at discharge? Yes No If there were new medications, were they filled and being taken correctly? Yes No N/A Did the patient receive and understand the medications prescribed at d/c? Yes No If not, why? (Confusion, expense, misunderstanding of instructions, travel, etc ) Did the patient discharge home with HHC, SNF, ALF? Yes No N/A Was HHC, SNF, or an ALF offered? Yes No N/A Did the patient refuse HHC, SNF or ALF? Yes No N/A Are HHC, SNF or ALF appropriate for discharge of this admission? Yes No (Ask patient) Is there anything different that you feel we could have done to prevent your readmission? Was the discharge plan appropriate? Yes No Other ideas: Community Care Navigator involvement first admission? Yes No Was pt. appropriate for Palliative Care Consult last admission? Yes No Was Palliative Care Consult order requested this readmission? Yes No N/A Person Completing: Revised: 4/16/14 Patient Label:
2
3
4
5
6
7
8
9
10
11
12
13 Place Patient Sticker Here Mercy Hospital Ft. Scott DISCHARGE CHECKLIST / CORE MEASURE CHECKLIST ACUTE CARE (Swing Bed not included in Core Measures. GO TO Pg 2 for SWB discharges) Room: Priority/Anticipated D/C time: Discharge date: ALL Discharges: Complete this form for ALL ACUTE CARE DISCHARGES Flu vaccine administered -OR pt refusal / vaccine date for current flu season documented (if criteria) Pneumonia vaccine administered - OR- pt refusal / vaccine date documented (if criteria met) VTE prophylaxis (mechanical or pharmacologic) received, patient refusal documented, or reason not ordered is documented (or cosigned) by prescriber within 24 hours of admission. Tobacco / Substance abuse cessation education AMI: Aspirin ordered at arrival or refusal / contraindication documented Aspirin ordered at discharge or refusal / contraindication documented Beta-blocker ordered at discharge or refusal / contraindication documented ACEi or ARB oredered at discharge If LVSD present (EF < 40%) or refusal / contraindication documented Statin at discharge if LDL >= 100 w/in 24 hrs after or 30 days prior to arrival or refusal / contra documented CHF or Hx of CHF: 2D Echo Was one completed this hospitalization? o If prior to hospital, documented date completed and EF%, report copy scanned o If none prior and none during this encounter, MUST BE SCHEDULED to occur after discharge ACEi or ARB at discharge -- IF LVSD present (EF < 40% on ECHO) or refusal / contra documented AVS includes: Activity, SCHEDULED follow-up appt, diet, S/S of worsening, weight monitoring, ALL discharge medications listed as appearing in discharge summary PNEUMONIA: Blood cultures prior to antibiotic (ALL ICU patients and only IF ordered in non-icu pt) SURGICAL: (Hysterectomy, Hip/Knee, Colon surgeries) Surgery date & end time: Beta Blocker IF ON BB prior to arrival -- BB given prior to surgery and throughout hospital stay or documented contraindication Prophylactic antibiotic infusion start time w/in 1 hour prior incision time or 2 hrs for Vanco Prophylactic abx d/c d w/in 24 hrs of surgery end time or documentation by physician of possible or suspected infection. VTE prophylaxis (GYN & Urologic surgeries only require mechanical) o Pharmacologic ordered and given w/in 24 hrs of surgery end time o Mechanical ordered on all surgical pts w/in 24 hours of admission if no pharmacologic Foley removed by post-op day 2 or physician documented reason for continued use CONFIRMED DVT: If IV Heparin given, dosing and platelet monitoring per protocol If warfarin (Coumadin) ordered: o Overlap of parenteral anticoagulant for min of 5 days AND INR 2 or greater x 2 consecutive days or documentation of APPROVED reason for gap in overlap coverage o Parenteral anticoagulant prescribed at discharge if above criteria unmet Anticoagulant education/counseling provided & documented for anticoagulants ordered AVS includes: Education regarding compliance, dietary advice, F/U monitoring (next INR), potential for adverse drug reactions & interactions for warfarin if ordered at discharge
14 ISCHEMIC STROKE: Antithrombotic therapy (antiplatelet / anticoag) ordered by hospital day 2 AND at discharge Anticoagulant therapy for A-Fib/Flutter ordered at discharge Statin ordered at discharge if LDL >= 100 w/in 48 hrs after or 30 days prior to arrival or if was on prior to hospitalization Pt refusal / contraindication documented if any of above not ordered HEMORRHAGIC & ISCHEMIC STROKE: Assessed for Rehab AVS includes: Education on activation of EMS, stroke risk factors, S/S of stroke, F/U appt date, ALL discharge medications All elements should be fixed BEFORE discharge! Fix or complete any nursing documentation or interventions required. If needed, call the physician to get any needed orders. If physician does not want this for the patient, remind him/her to document contraindication in D/C Summary and document the conversation as a nursing communication. ALL DISCHARGES TO HOME:_(Swingbed and Acute Care) Dr Completed Medication Reconciliation Pharmacy Contacted Discharge Instructions Complete Additional Educational Handouts Return Appointment Made Prescriptions Printed/Signed OR E-prescribed Important Message from Medicare AVS Signed & Dated & Copy given to patient Core Measure Met Social Services Consult: o Home Health o Equipment Received Call Back on Pharmacy Review Own / Relabeled / OTC Meds Sent with Patient Server Cleaned & Meds Returned/Discarded Notify Family if Not Present ALL DISCHARGES TO NURSING HOME:_(Swingbed and Acute Care) Dr Completed Medication Reconciliation Pharmacy Contacted Acute Care Transfer Print Transfer Packet Call Report Discharge Instructions Complete Additional Educational Handouts Return Appointment Made Important Message From Medicare Core Measure Met Social Service Consult Care Assessment Received Call Back on Pharmacy Review TB Skin Test if New to Nursing Home, w/ date to Read Notify Family If Not Present Own / Relabeled / OTC Meds Sent with Patient Completed AVS, signed by D/C physician for N.H. orders Copy of signed orders put in paper lite chart (original with patient to Nursing Home Server Cleaned & Meds Returned / Discarded Policy: All discharges will have this form signed by the house supervisor. This includes acute care discharges (no SWBs) from M/S, ICU, and OB if surgical patients. This form needs to be completed prior to the patient s discharge so that any intervention needed to complete the core measure will be completed prior to the patient leaving the building. These forms will be turned in to Nursing Administration daily for tabulation and analysis. Nursing Supervisor Signature: Core Measures Completed: Yes No N/A NOT PART OF THE MEDICAL RECORD DO NOT SCAN INTO EPIC Revised 8/22/13
15
16
17
18
19 TARGET WEIGHT: Month: Mercy Heart Failure Daily Heart Log Day Weight Blood Pressure & Pulse Swelling? Feet/Ankles/Stomach New? The Same? More? Shortness of breath? New? The Same? More? Fluid Intake Diet Comments Tired? Confusion?
20 KNOW THE WARNING SIGNS OF WORSENING HEART FAILURE All Right No weight gain of more than 2 pounds in 24 hours No swelling in your feet, ankles, or stomach No shortness of breath No increased weakness or feeling tired No persistent cough Caution Weigh yourself every day; at the same time and the same scale. Take all medications as prescribed by your physician. Check your feet, ankles, and stomach daily for swelling. Eat low salt foods Balance activity and rest throughout your day. Weight gain of 3 or more pounds in one day or a weight gain of 5 pounds in 2 or more days/week More swelling in your feet, ankles, or stomach More shortness of breath; hard time lying flat in bed or needing to sleep in a chair at night Feeling tired or more weak than usual Persistent productive cough with phlegm or dry hacking cough CALL DR. AT # Seek Immediate Help! Above Caution signs and Difficulty breathing while at rest Chest pain Unable to think clearly, confusion GO TO THE CLOSEST EMERGENCY ROOM OR CALL 911
21
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
More informationCLINICAL QUALITY MEASURES FINALIZED FOR ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS BEGINNING WITH FY 2014
CLINICAL QUALITY MEASURES FINALIZED FOR ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS BEGINNING WITH FY 2014 e 55 0495 2 Emergency Department (ED)- 1 Emergency Department Throughput Median time from
More informationStroke/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
More informationInternational Hospital Inpatient Quality Measures
I-Acute Myocardial Infarction (I-AMI) I-AMI-1 Aspirin at Arrival Aspirin received within 24 hours of arrival to the hospital for patients having an acute myocardial infarction (AMI). I-AMI-2 Aspirin Prescribed
More informationRelevant Quality Measures for Critical Access Hospitals
Policy Brief #5 January 0 Relevant Quality Measures for Critical Access Hospitals Michelle Casey MS, Ira Moscovice PhD, Jill Klingner RN, PhD, Shailendra Prasad MD, MPH University of Minnesota Rural Health
More informationPerformance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis
Performance Measurement for the Medicare and Medicaid Eligible (MME) Population in Connecticut Survey Analysis Methodology: 8 respondents The measures are incorporated into one of four sections: Highly
More informationOverview of the TJC/CMS VTE Core Measures
Overview of the TJC/CMS VTE Core Measures CMS Specification Manual 4.2 January 1, 2013 June 30, 2013 Victoria Agramonte, RN, MSN Project Manager, IPRO VTE Regional Learning Sessions NYS Partnership for
More informationThree-Star Composite Rating Method
Three-Star Composite Rating Method CheckPoint uses three-star composite ratings to enable consumers to more quickly and easily interpret information about hospital quality measures. Composite ratings combine
More informationCorCap Cardiac Support Device Patient Information Booklet
What is Heart Failure? CorCap Cardiac Support Device Patient Information Booklet Heart failure is a condition in which the heart is unable to pump enough blood to meet the needs of the body. To compensate
More informationTime for a Cool Change Measure and Compare
Time for a Cool Change Measure and BRENDA BARTKOWSKI, CMA, CCA, BS HPA M ANAGER, C LINICAL D ATA A BSTRACTION About Amphion Dedicated core measure staff Experienced leadership in healthcare technology
More informationCONGESTIVE HEART FAILURE PATIENT TEACHING
CONGESTIVE HEART FAILURE PATIENT TEACHING What is Heart Failure? Congestive Heart Failure occurs when the heart loses its ability to pump enough blood to meet the body s needs. Because the heart is not
More informationAnMed Health Disparities Dashboard
AnMed Health Quick Facts 588 Bed Acute Care System Level II Trauma Center Emergency Department visits: 112,329 Admissions: 23,489 Active Medical Staff: 455 Employees: 3,511 Source : CY2013 Setting the
More information2013 ACO Quality Measures
ACO 1-7 Patient Satisfaction Survey Consumer Assessment of HealthCare Providers Survey (CAHPS) 1. Getting Timely Care, Appointments, Information 2. How well Your Providers Communicate 3. Patient Rating
More informationReview of the Stroke and VTE Measure Sets
Review of the Stroke and VTE Measure Sets Vicky Agramonte, RN, MSN IPRO Quality Data Reporting and Improvement Project Presentation to NYS Hospitals January 29, 2013 The QIO Program CMS Leads a national
More informationMedicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Summary. http://www.cms.gov/ehrincentiveprograms/
Medicare & Medicaid EHR Incentive Program Meaningful Use Stage 1 Requirements Summary 2010 What are the Requirements of Stage 1 Meaningful Use? Basic Overview of Stage 1 Meaningful Use: Reporting period
More informationThe Centers for Medicare & Medicaid Services (CMS) Acute Care Hospital Fiscal Year (FY) 2018 Quality Improvement Program Measures
ID Me asure Name NQF # - (HRRP) ID Me asure Name NQF # - (HRRP) ID Me asure Name NQF # - (HRRP) CMS Measures Fiscal Year 2018 The Centers for Medicare & Medicaid Services (CMS) Acute Care Fiscal Year (FY)
More informationInpatient Anticoagulation Safety. To provide safe and effective anticoagulation therapy through a collaborative approach.
Inpatient Anticoagulation Safety Purpose: Policy: To provide safe and effective anticoagulation therapy through a collaborative approach. Upon the written order of a physician, Heparin, Low Molecular Weight
More informationMedical Necessity & Charting Guidelines
Medical Necessity & Charting Guidelines 1 In most cases we are told the rules up front - or will be told if we ask Like most games, the one who knows the rules the best WINS 4 2 Nationally Recognized Industry
More informationCritical Access Hospitals. Objectives
MeaningfulUse for Critical Access Hospitals Paul Kleeberg, MD, FAAFP, FHIMSS President, The Itinerant CMIO, LLC TASC HIT WEBINAR SERIES Tuesday, April 13, 2010 Objectives Understand the incentives and
More informationThe Flex Program MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT
Office of Rural Health Policy 2012 Rural Health Information Technology Network Development Grantee Meeting The Flex Program MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT Paul Moore, DPh Senior Health
More informationA Review of the Hospital Performance Data Expansion Policy and Outpatient Measures Data Requirements
A Review of the Hospital Performance Data Expansion Policy and Outpatient Measures Data Requirements Theressa Lee, Director, Center for Quality Measurement and Reporting Presented to the HSCRC Performance
More informationFAQs about Warfarin (brand name Coumadin )
FAQs about Warfarin (brand name Coumadin ) What is warfarin? Warfarin is the most commonly used anticoagulant in the US. An anticoagulant is a drug used to prevent unwanted and harmful blood clots. Although
More informationErlanger s Care Transitions. Working Together. UT Resident Orientation June 26, 2015
Erlanger s Care Transitions Working Together UT Resident Orientation June 26, 2015 WHAT IS CARE TRANSITIONS? What is Care Transitions? A program that has been formed to meet and exceed CMS changes from
More informationHow To Help A Nursing Home And Hospital Collaborate
Continuum of Care Bridging the Gap between the Hospital and Nursing Home Scott Wells, RN MSN Tiffany Noller, RN MSN Objectives Name key members involved in hospital/nursing home collaborative Identify
More informationCORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY
CORONARY ARTERY BYPASS GRAFT & HEART VALVE SURGERY www.cpmc.org/learning i learning about your health What to Expect During Your Hospital Stay 1 Our Team: Our cardiac surgery specialty team includes nurses,
More informationHow Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers
How Are We Doing? A Hospital Self Assessment Survey on Patient Transitions and Family Caregivers Well-planned and managed transitions are essential for high quality care and patient safety. Transitions
More informationFemoral artery bypass graft (Including femoral crossover graft)
Femoral artery bypass graft (Including femoral crossover graft) Why do I need the operation? You have a blockage or narrowing of the arteries supplying blood to your leg. This reduces the blood flow to
More informationREMINDER: 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
More informationDate: Referring Facility: Phone#: Anticipated Patient Needs (Please check appropriate boxes and include details within referral paperwork)
Barbara McInnis House Initial Referral Form Please fill form out completely. Include additional forms if prompted. Fax to Admissions Department. Follow up with a phone call. Patient Name: DOB: Gender:
More informationMeaningful Use (MU) Education
Meaningful Use (MU) Education The 2014 MU training program has been developed to ensure high quality patient outcomes in conjunction with meeting CMS regulatory requirements. The new charting and ordering
More informationHospital Value-based Purchasing Specifications 2016 Updated August 2015
Description Methodology Measurement Period Allowable Exclusions Total Performance Score Individual measures CMS incentive program for PPS hospitals. The purpose is to achieve value by tying payment to
More informationTotal Hip Replacement Surgery Home Care Instructions
Total Hip Replacement Surgery Home Care Instructions Surgery: Date: Doctor: This handout will review the care you need to follow once you are home. If you have any questions or concerns, please ask your
More informationemeasures Transitions
WHITE PAPER 1010100010101010101010101001000011001 10101000101101101000100000101010010000101011001001010110 0101000101101010001010101010101010100100001010 0101000101101010001011011010001000001010100100
More informationWhat You Need to KnowWhen Taking Anticoagulation Medicine
What You Need to KnowWhen Taking Anticoagulation Medicine What are anticoagulant medicines? Anticoagulant medicines are a group of medicines that inhibit blood clotting, helping to prevent blood clots.
More informationRIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home
RIH Transitions of Care Collaboration with Coastal Medical To Improve Transitions for Patients Discharged Hospital To Home Sergio Petrillo, PharmD Clinical Pharmacist Specialist, Rhode Island Hospital
More informationBerkshire Medical Center Heart Failure Program
Berkshire Medical Center Heart Failure Program Reducing Readmissions A Multi Disciplinary Approach 1 Project Goals To improve the overall care of Berkshire County Heart Failure Patients Reduce 30 day readmission
More information8/14/2012 California Dual Demonstration DRAFT Quality Metrics
Stakeholder feedback is requested on the following: 1) metrics 69 through 94; and 2) withhold measures for years 1, 2, and 3. Steward/ 1 Antidepressant medication management Percentage of members 18 years
More informationAcute Coronary Syndrome
Acute Coronary Syndrome Quality Measures Length of Stay RCC Costs per Case Critical Event(s) Evaluation /Acute Phase ECG ASA on arrival (unless documented contraindication) Troponin STAT, repeat once in
More informationPROTOCOL TITLE: Ambulatory Initiation and Management of Warfarin for Adults
PROTOCOL NUMBER: 7 PROTOCOL TITLE: Ambulatory Initiation and Management of Warfarin for Adults THIS PROTOCOL APPLIES TO: UW Health Clinics: all adult outpatients with an active order for warfarin TARGET
More informationThe degree of liver inflammation or damage (grade) Presence and extent of fatty liver or other metabolic liver diseases
ilearning about your health Liver Biopsy www.cpmc.org/learning What is a Liver Biopsy? A liver biopsy is a procedure where a specially trained doctor (typically a hepatologist, radiologist, or gastroenterologist)
More informationTreating your abdominal aortic aneurysm by open repair (surgery)
Patient information Abdominal aortic aneurysm open surgery Treating your abdominal aortic aneurysm by open repair (surgery) Introduction This leaflet tells you about open repair of abdominal aortic aneurysm,
More informationStage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene
Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary
More informationMedical Assistance EHR Incentive Program MAPIR Application. 2014 EH Stage 2 Screen Shots
Medical Assistance HIT Initiative Medical Assistance EHR Provider Incentive Program Eligible Hospital Provider Manual v.3.1 Medical Assistance EHR Incentive Program MAPIR Application 2014 EH Stage 2 Screen
More informationCMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM
For Immediate Release: Friday, January 07, 2011 Contact: CMS Office of Public Affairs 202-690-6145 MEDICARE PROPOSES NEW HOSPITAL VALUE-BASED PURCHASING PROGRAM OVERVIEW: Today the Centers for Medicare
More informationDisclosure. Meaningful use 2009. Objectives. Meaningful use. Fundamentals of Transitions of Care (TOC)
47 th Annual Meeting August 2-4, 2013 Orlando, FL Fundamentals of Transitions of Care (TOC) Rebecca R. Prevost, B.S., Pharm.D., PSO Medication Safety Officer Florida Hospital Disclosure I do not have a
More informationDemonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate
More informationValue-Based Purchasing
Emerging Topics in Healthcare Reform Value-Based Purchasing Janssen Pharmaceuticals, Inc. Value-Based Purchasing The Patient Protection and Affordable Care Act (ACA) established the Hospital Value-Based
More informationUsing Root Cause Analysis to Determine Why Readmissions are High. Presentation Objectives. Background Information 11/30/2011
Using Root Cause Analysis to Determine Why Readmissions are High Nancy Seck RBN, BSN, MPH, CPHQ Director, Quality Management Glendale Memorial Hospital and Health Center Presentation Objectives Identify
More informationClinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW
Clinical Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW NQF 0105 PQRS 9 NQF 0002 PQRS 66 Antidepressant Medication Management Appropriate Testing for Children with Pharyngitis (2-18 years)
More informationQuality and Business Intelligence in Healthcare
Quality and Business Intelligence in Healthcare John Neider Siemens Healthcare Solutions Agenda Overview of Quality and Financial Impact. What is the Hospital Impact? Where is Quality Headed? How can Finance
More informationRadiology Business Management Association Technology Task Force. Sample Request for Proposal
Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic
More informationPresence and extent of fatty liver or other metabolic liver diseases
UC San Diego Health System Patient Information Sheet: Liver Biopsy What is a Liver Biopsy? A liver biopsy is a procedure where a qualified doctor (typically a hepatologist, radiologist or gastroenterologist)
More informationMarilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT
More informationPHYSICIAN SIGNATURE DATE TIME DRUG ALLERGIES WT: KG
MED Hospitalist Stroke-TIA Vital Signs Vital Signs Q4H (DEF)* Q2H Q1H Vital Signs Orthostatic Activity Activity Bedrest, for 12 hours then Up ad lib (DEF)* Bedrest, for 24 hours then Up ad lib Up Ad Lib
More informationMedicare 2015 QI Program Evaluation
Color Code: Red does not meet 5 star threshold, or target. Green meets or exceeds 5 star threshold/target. Improving or Maintaining Physical Health (HOS) Improving or Maintaining Mental Health (HOS) Diabetes
More informationReducing Adverse Drug Events With Anti Coagulation Clinics. McFarland Clinic. McFarland Protime Clinic 09/05/12
Reducing Adverse Drug Events With Anti Coagulation Clinics Dr. Donald Skinner, MD McFarland Clinic 182 Physicians (149 Shareholders) 40 Mid Level Providers 13 Administrators/Executive Directors 1,200 Support
More informationPediatric Physician. and Advanced Providers Handbook. for Inpatient Cerner Use
Pediatric Physician and Advanced Providers Handbook for Inpatient Cerner Use Section Last updated Page(s) Background Jan-13 2 Admission Process Nov-12 11 Codes Nov-12 17 Discharge Process Nov-12 13 Downtime
More informationEHR Meaningful Use 2014 (Stage 1 & 2) DR Reporting Strategies
EHR Meaningful Use 2014 (Stage 1 & 2) DR Reporting Strategies International MUSE Conference 2013 Educational Session: #1179 Date: Friday May 31 at 3:30 pm Presenter: Glen D Abate Session Agenda CMS EHR
More informationErnest Boyd, R.Ph., MBA Executive Director Ohio Pharmacists Association
Ernest Boyd, R.Ph., MBA Executive Director Ohio Pharmacists Association CDC s Guide for Pharmacist Partnership for Public Health Brief overview of Pharmacists All graduate with 6 to 8 year Doctor of Pharmacy
More informationClinical Quality Measures. for 2014
Clinical Quality Measures for 2014 Mission of OFMQHIT To advance the implementation and use of vital health information technology to improve healthcare quality, efficiency and safety by assisting physician
More informationInpatient and Outpatient Manual Changes for 2015
Inpatient and Outpatient Manual Changes for 2015 Jill Daniel Project Manager Quality Measures Abstraction 15-036-AB GoToWebinar The Questions Chat Box Set your audio option Introduction to Data Dictionary
More informationGoals and Objectives
Care Transitions from the Skilled Nursing Facility Perspective: What Hospitals Need to Know Lessons Learned from working in a Skilled Nursing Facility Presented by: Pat Sutton, LSCW, ACM Goals and Objectives
More informationOffice of Rural Health Policy MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT
Office of Rural Health Policy MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT Paul Moore, DPh Senior Health Policy Advisor Office of Rural Health Policy Health Resources and Services Administration Department
More informationAmerica s Hospitals: Improving Quality and Safety
America s Hospitals: Improving Quality and Safety The Joint Commission s Annual Report 2014 Top Performer on Key Quality Measures America s Hospitals: Improving Quality and Safety The Joint Commission
More informationReporting Adverse Events and Concerns at Stroger Hospital
Reporting Adverse Events and Concerns at Stroger Hospital Case Pt on coumadin comes in for community acquired pneumonia and is started on levaquin After several days, you note a lot of bruising.. You realize
More informationApproved: Acute Stroke Ready Hospital Advanced Certification Program
Approved: Acute Stroke Ready Hospital Advanced Certification Program The Joint Commission recently developed a new Disease- Specific Care Advanced Certification program for Acute Stroke Ready Hospitals
More informationACO Name and Location Allina Health Minneapolis, Minnesota
ACO Name and Location Allina Health Minneapolis, Minnesota ACO Primary Contact Patrick Flesher Director, Payer Contracting & Pioneer ACO Program Email: Patrick.Flesher@allina.com Phone: 612-262-4865 Composition
More informationPlanning: Patient Goals and Expected Outcomes The patient will: Remain free of unusual bleeding Maintain effective tissue perfusion Implementation
Obtain complete heath history including allergies, drug history and possible drug Assess baseline coagulation studies and CBC Assess for history of bleeding disorders, GI bleeding, cerebral bleed, recent
More informationPneumonia Education and Discharge Instructions
Pneumonia Education and Discharge Instructions Pneumonia Education and Discharge Instructions Definition: Pneumonia is an infection of the lungs. Many different organisms can cause it, including bacteria,
More informationSO, YOU ARE HAVING DBS SURGERY?
SO, YOU ARE HAVING DBS SURGERY? This resource is for Awake Deep Brain Stimulation (DBS) patients. Welcome to Brigham and Women s Hospital and the Deep Brain Stimulation (DBS) Program Serving patients in
More informationClinical Pathway Total Hip and Knee Replacement
Procedure: THR TKR SIDE: RIGHT LEFT DISCHARGE DESTINATION: HOME INPATIENT REHAB PREADMISSION TARGET DISCHARGE DATE 1. Assessment Preadmission assessment completed Consult: anesthesia or internal medicine
More informationHealthcare Reform & Value Based Purchasing: Are You Ready?
Healthcare Reform & Value Based Purchasing: Are You Ready? Premier, Inc Jan Englert, Director-QUEST Poudre Valley Health System Sonja Wulff, VP Center for Performance Excellence Federal Register Statement:
More information2.5mg SC daily. INR target 2-3 30 mg SC q 12 hr or 40mg daily. 10 mg PO q day (CrCl 30 ml/min). Avoid if < 30 ml/min. 2.
Anticoagulation dosing at UCDMC (SC=subcutaneously; CI=continuous infusion) Indication Agent Dose Comments Prophylaxis Any or No bleeding risk factors see adult heparin (VTE prophylaxis) IV infusion order
More informationHOSPITAL TO HOME. Plan for a Smooth Transition
HOSPITAL TO HOME Plan for a Smooth Transition R et urning home from a hospital stay can result in unexpected challenges for many seniors. Finding themselves back at home after a hospital stay, many older
More informationBreakfast symposium: From hospital to home - the focus on the patient
Breakfast symposium: From hospital to home - the focus on the patient Nadya Hamedi DARZI Fellow UCLPartners and Barts Health NHS Trust in collaboration with North Central London Local Pharmaceutical Committee
More informationJoan Carroll RN, CDMS, CCM Director of Care Transitions Lee Memorial Health System
Joan Carroll RN, CDMS, CCM Director of Care Transitions Lee Memorial Health System 1 Explain how patients experience transitions of care Identify variables that affect transitions due to lack of patient
More informationYou will be having surgery to remove a tumour(s) from your liver.
Liver surgery You will be having surgery to remove a tumour(s) from your liver. This handout will help you learn about the surgery, how to prepare for surgery and your care after surgery. Surgery can be
More informationSECTION N: MEDICATIONS. N0300: Injections. Item Rationale Health-related Quality of Life. Planning for Care. Steps for Assessment. Coding Instructions
SECTION N: MEDICATIONS Intent: The intent of the items in this section is to record the number of days, during the last 7 days (or since admission/reentry if less than 7 days) that any type of injection,
More informationPatients Receive Recommended Care for Community-Acquired Pneumonia
Patients Receive Recommended Care for Community-Acquired Pneumonia For New Jersey to be a state in which all people live long, healthy lives. DSRIP LEARNING COLLABORATIVE PRESENTATION The Care you Trust!
More informationEndovascular Abdominal Aortic Aneurysm Repair Surgery
Endovascular Abdominal Aortic Aneurysm Repair Surgery You are scheduled for an admission to Cooper University Hospital for Endovascular Abdominal Aortic Aneurysm surgery (EVAR). Please read this handout,
More informationACUTE STROKE UNIT ORIENTATION
ACUTE STROKE UNIT ORIENTATION 2014 TEACHING YOUR STROKE PATIENTS ABOUT THEIR MEDICATION Please refer to Module 8: Secondary Stroke Prevention for additional information Blood Pressure Medication Angiotensin
More informationHospital Inpatient Quality Reporting (IQR) Program
Clinical Process Measures Program Changes for Fiscal Year 2014 Beginning with January 1, 2012 discharges; hospitals will begin data collection and submission for 4 new measures. Hospitals will not be required
More informationColon Cancer Surgery and Recovery. A Guide for Patients and Families
Colon Cancer Surgery and Recovery A Guide for Patients and Families This Booklet You are receiving this booklet because you will be having surgery shortly. This booklet tells you what to do before, during,
More informationVAD Chemotherapy Regimen for Multiple Myeloma Information for Patients
VAD Chemotherapy Regimen for Multiple Myeloma Information for Patients The Regimen contains: V = vincristine (Oncovin ) A = Adriamycin (doxorubicin) D = Decadron (dexamethasone) How Is This Regimen Given?
More informationMar. 31, 2011 (202) 690-6145. Improving Quality of Care for Medicare Patients: Accountable Care Organizations
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 Office of Media Affairs MEDICARE FACT SHEET FOR IMMEDIATE RELEASE
More informationHeart Failure Phased Pathway
UNIVERSITY OF OTTAWA HEART INSTITUTE CLINICAL PATHWAY Heart Failure Phased Pathwa Addressograph/Plaque Acute Phase (Patient moves to transition phase once oral diuretic ordered) Date Initiated: m d Critical
More informationDVT/PE Management with Rivaroxaban (Xarelto)
DVT/PE Management with Rivaroxaban (Xarelto) Rivaroxaban is FDA approved for the acute treatment of DVT and PE and reduction in risk of recurrence of DVT and PE. FDA approved indications: Non valvular
More informationA Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation
Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation PATIENT EDUCATION GUIDE What is atrial fibrillation? Atrial fibrillation
More informationIntroduction. Background to this event. Raising awareness 09/11/2015
Introduction Primary Care Medicines Governance HSCB Background to this event New class of medicines Availability of training Increasing volume of prescriptions Reports of medication incidents Raising awareness
More informationAnticoagulation Dosing at UCDMC Indication Agent Standard Dose Comments and Dose Adjustments VTE Prophylaxis All Services UFH 5,000 units SC q 8 h
Indication Agent Standard Dose Comments and Dose Adjustments VTE Prophylaxis All Services UFH 5,000 units SC q 8 h See EMR adult VTE prophylaxis CI order set Enoxaparin See service specific dosing Assess
More informationLynda Richardson, RN, BSN Sepsis/Septic Shock Abstractor. No disclosures
Lynda Richardson, RN, BSN Sepsis/Septic Shock Abstractor No disclosures 1 2 3 Discuss data requirements -3 hour bundle -6 hour bundle Challenges and compliance issues Success 4 Based on the Surviving Sepsis
More informationAC: Doxorubicin and Cyclophosphamide
PATIENT EDUCATION patienteducation.osumc.edu What is AC? It is the short name for the drugs used for this chemotherapy treatment. The two drugs you will receive during this treatment are Doxorubicin (Adriamycin
More informationHospital Inpatient Quality Reporting Program: Part 1 of 4: A Detailed Review of the Final CMS FY 2014 IPPS Rule
Hospital Inpatient Quality Reporting Program: Part 1 of 4: A Detailed Review of the Final CMS FY IPPS Rule - 1 - Welcome and Introductions Vicky Mahn DiNicola RN, MS, CPHQ VP Research and Market Insights
More informationNational 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
More informationSuccessful Heart Failure Management Nurse/NP Run Clinics
Dagmar Knot RN BScN CCCN Transplant Coordination Team Leader Organ Transplant Center KFSHRC Riyadh, KSA Heart Failure Nurses Role, responsibilities & education Successful Heart Failure Management Nurse/NP
More informationWelcome to Crozer-Keystone Health Network Primary Care
Welcome to Crozer-Keystone Health Network Primary Care A Guide to Your CKHN Patient-Centered Medical Home: What you can expect from us... What we will need from you......so you can gain the full benefits
More informationPsychiatrists and Reporting on Meaningful Use Stage 1. August 6, 2012
Psychiatrists and Reporting on Meaningful Use Stage 1 August 6, 2012 Quick Overview Functional Measures Providers (tracked by NPI) must report on 15 core objectives and associated measures and 5 objectives
More informationNew Oral Anticoagulants. How safe are they outside the trials?
New Oral Anticoagulants How safe are they outside the trials? Objectives The need for anticoagulant therapy Indications for anticoagulation Traditional anticoagulant therapies Properties of new oral anticoagulants
More informationRivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy
Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast Information for patients Pharmacy Your doctor has prescribed a tablet called rivaroxaban. This leaflet tells you about
More informationInpatient Quality Reporting Program
Venous Thromboembolism 2015 Abstraction Guidance Questions and Answers Moderator: Candace Jackson, RN Inpatient Quality Reporting Support Contract Lead, HSAG Speakers: Denise Krusenoski, MSN, RN, CMSRN,
More information