Page 19 - Homecare Homebase: Skilled Nursing Training Manual

HHA Order Discharge

CLINICIAN ends HHA services earlier than initial POC order
• creates physician order and removes reminder of HHA visits from calendar
• syncs
• calls Contract Admin to end HHA Order
• provides Contract Admin the following information:
1) Staff ID
2) HCHB MRN
CLINICIAN tells Contract Admin to end HHA services for patient.
CLINICIAN ends call

DME Process– Ordered through Parachute

• Order DME via www.parachutehealth.com. Patient name/demographics will flow over from HCHB to Parachute.
• Obtain log-in/password via the Helpdesk (212-290-3555, Option 1), if needed.
1. When DME/equipment needs to be picked-up, user (office or field) will enter a comment in the DME/equipment
order in Parachute to indicate that the DME/equipment needs to be picked-up.
2. The vendor will initiate the pick-up process when they see this comment in Parachute. (Vendors are expected to
monitor the communications/comments functions within Parachute. Vendors are contractually obligated to do
the pick-up within 24 hours of notification).
3. Vendor will add comment in Parachute once the DME/equipment has been picked-up.
4. Payment for the returned DME/equipment will terminate on the discharge date that comes from HCHB through
the interface.

Process of Assessing and Adding Pathway/Orders for a patient with a

feeding tube

• The PEG tube information is in the GI Section of the Physical Assessment, in Ostomy. It includes an assessment
of the site and a free text field for comments regarding nutrition/hydration status.
o The order for the PEG feeds are entered via a Pathway, “Need for Gastrostomy/Jejunotomy Feeding Care”
the pathway/order will require that you enter the specifics of the feeding (type, amount, mode, frequency,
etc.

Process for Adding Oxygen Orders

• Oxygen must be ordered as both a Medication Order and as a Pathway.

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10/1/2018