Page 94 - Clinical Managers Orientation Binder

6/28/2019

DOH Statement of Deficiencies and Plan of Correction
AREA OF DEFICIENCY CLINICAL MANAGER OVERSIGHT
MD Communication Any changes in patient condition must be reported to MD
Adherence to visit Plan of Care visit frequencies -Missed Visits
-Any and all changes to the original Plan of Care
Medication Management -Review medication order
-If case is a PT SOC, CFM MUST complete the medication reconciliation
HHA supervision -Ensure there is a supervisory visit plotted (RN10 or PT10)
-MD notification of delays in placement of HHA
-Encourage the field clinicians to have the paper plan of care match the
plan of entered into the tablet, including any changes made throughout
episode
Discharge Planning -Discharge planning with patient and family starts on Day 1
-Medicare notices must be given timely
-All relevant physicians must be informed of agency/discipline
discharges
OASIS Accuracy -CRMs should be contacting the field clinicians prior to make changes to
OASIS assessment items.
-Field clinicians should be responding promptly to the OASIS alerts
-Upon learning of a patient being hospitalized, the clinical team MUST
communicate to determine who is going to complete the TIF
6/28/2019 3:57 PM Date La 15

STAR MEASURES/HOME HEALTH COMPARE

• CMS displays agencies performance on Home Health

Compare (HHC)

•Data is released quarterly. The most recent report
displayed in October 2018 is based on OASIS data from Jan
1, 2017 to December 31, 2017. The report suggests that

VNSNY’s current overall quality measures rating remains at
3.0 STARS.

• Real-Time Home Health Compare report is available from

SHP (Strategic Health Partners)

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