Early Bird Rates Until February 3rd: $90 1st Reg. / $75 each additional
Standard Rates After February 3rd: $125 1st Reg. / $100 each additional
Early Bird Rates Until February 3rd: $120
Standard Rates After February 3rd: $150
Helping your home care patients successfully manage medications is key to promoting optimal outcomes and preventing adverse events. Accurate completion of the mandatory Drug Regimen Review is the first step in the process. This interactive course give participants the need-to-know information to successfully manage a medication review with their home care patients. Through lecture, discussion and hands-on activities, course participants will be introduced to a three-phase model for completing the drug review activities including documentation, patient assessment, and drug regimen interpretation.
Special consideration for the competence level of the individual clinician and agency policy will be discussed. Competency assessment methods will documnet areas of proficiency, and identify areas requiring further support and training for each participant. Completion of related OASIS-C items and their relationship to Process Measures will be highlighted.
*Note: While designed to support the educational needs of home care therapists, this program is equally appropiate for nurses interested in understanding the drug review regulatory requirements and seeking objective practices and strategies for compliance.
- Describe the purpose of the drug regimen review in home care
- Identify regulations associated with medication review
- Differentiate between side effects, interactions, ineffective drug therapy, non-compliance, and duplicate drug therapy
- Recognize characteristics of high alert or high risk medications
- Cite components of the OASIS medication process measure items
- Describe a three-phase drug regimen review
- Successfully complete drug regimen review competency activities
Attendees also will receive a comprehensive handout; including original, practical tools to facilitate effective performance of the drug regimen review, including:
- Drug Review worksheets
- Sample Medication Profile tools
- Patient Assessment Algorithms for assessing Significant Side Effects,
- Non-Compliance, and Ineffective Drug Therapy
- Policy & Procedures for therapist involvement in drug review activities
- Competency Assessment Tools for drug review activities
9 out of 10 adults would prefer to be cared for at home rather than in a hospital or
nursing home if diagnosed with a terminal illness.
96%of hospice care is provided in the patient’s home or place they call home.
Here, at MHCA, we recognize the importance of Hospice and Palliative Care. Networking with other Hospice and Palliative Care agencies is important and we recognize that. Due to this need we have started a list serve for agencies to share questions and bounce ideas off of each other. This is just our starting point and hope to continue to good work for all of our agency members.
If you are a member of Minnesota HomeCare Association and would like to become a member of the list serve, please email me at firstname.lastname@example.org
Blue Cross Blue Shield is a large insurance company for both commercial and government health insurance in the state of Minnesota. If you have questions about a bill (as a provider) or trying to get an appeal completed, where do you call??
MHCA had a wonderful quarterly meeting with BCBS yesterday and this question was discussed. If you ever have a question or concern as a provider, always start with the customer service number for BCBS. They will direct you to the proper person to talk to. Have you ever been told that they they do not have a expedited process for appeals or claims? They do! Make it known that it needs to be expedited for whatever reason and they will do the best they can do to help you help your client.
MHCA is in the process of putting together a tool kit for our members regarding BCBS. Stay tuned to the near future!!
Have a great holiday season!!
Maintenance therapy has been around since the 1960′s, but how many agencies actually bill for maintenance therapy? Are you truly providing maintenance therapy or is it restorative therapy? Our rehab team here at MHCA had a great discussion regarding this today. What are your thoughts regarding the following scenarios? Would you consider this maintenance therapy or restorative and why?
Scenario #1 – A patient has been seen by OT for progression of right upper extremity ROM and function which had declined secondary to late effect of CVA. Within the restorative episode, the patient was fitted with a small hand splint and provided with a home program that will require ongoing caregiver assistance. Caregiver training was incorporated into the episode. This patient is anticipating a change in caregivers in one month following completion of restorative therapy. The OT would like to order 2-3 maintenance visits to be provided when the new caregiver is available.
Scenario #2 – You evaluate a client with Parkinson’s that you have seen for 3 episodes prior to this episode over the last 2 years following falls or a decline in status. Client has a history of multiple hospitalizations every 4-5 moths over the last 2 years due to falls and change of status. When questioning client and family, it is relayed that the client performs well initially after receiving services and then falls or declines to the point of needing to be rehopitalized. After evaluating client, you determine that the client is at prior level of function and after modifying the home program, is independent with caregivers in previous programs that you had set up on your last episode. Your plan is to visit the client 1x/month over the next 3-4 months to reassess and modify the program as indicated.
Scenario #3 – You have an MS client who seems to cycle through the services at your agency. The client has limited caregiver support thus follow through has been zero to none. Would she qualify for maintenance therapy?
I look forward to the great discussion!!
There is still time…
Have you thought about attending MHCA Fall Conference? Are you concerned about all of the changes that will be happening to Minnesota Home Care in 2014 but don’t know where to obtain the information? MHCA Fall Conference has it all!! There is still time…to sign up!!
We hope to see you there!!!
The world of home care is changing at a rapid pace affecting the nurses and doctors and everyone else involved in the health care field. How can we possibly stay on top of all of them? This is where information and education come in. The more we know as medical professionals, the better we can do our jobs, right?
The goal of this blog is to do just that by keeping you abreast of all of the changes taking place at Minnesota Home Care on a monthly basis. We welcome your comments, questions, concerns and any feedback you might have.
1) Is it acceptable for therapy to use a range of frequencies on their Plan Of Treatment, ie: 1-3 times a week for three weeks, or 2 times a week for 2-4 weeks, or 1-3 times a week for 2-5 weeks.
2) When a Physical Therapist performs a supervisory 6th visit of a Physical Therapy Assistant must it be on exactly the 6th visit or could it occur on the 5th PTA visit?
1) Per the Medicare Benefit Policy Manual – Chapter 7, here is the regulation on using ranges
“Orders for care may indicate a specific range in the frequency of visits to ensure that the most appropriate level of services is provided during the 60-day episode to home health patients. When a range of visits is ordered, the upper limit of the range is considered the specific frequency.”
So, if you 2-3x/week for 2 weeks – it would mean you intend to provide 3x/week for 2 weeks. If your agency consistent is using ranges for order and not providing the upper limit of the range, it may be a red flag for survey when auditing your compliance with the ordered frequency and duration.
2) It may occur anytime on or before the 6th. Your supervisory visit just should not be beyond the 6th visit.
If you are interested in getting free access to our Nurse Consultants, free web-based training through Rochester Community and Technical College, the ability to network and get free education at our Region or Team Meetings and more, visit our website to find out more information about joining!
Question: I have a question about HHA’s and medication. I know the regulations about HHA’s not being allowed to administer medications, but we keep getting questions about eye drops either OTC or prescription and applying prescription creams for clients. If this is a need can the HHA assist under the training and monitoring of an RN, IF….1) RN trains the HHA on the special treatment and documents her training and return demo, 2) if the RN ads it to the care plan and reviews and make changes as necessary? I just want to clarify this as its more of a grey area.
Members: View the answer here
Non-Members: Please discuss in the comments or become a member for 24/7 access to our nurse consultants!
It’s been ages since we posted questions, but we’re back on track now. MHCA members can get questions like these answered by our Nurse Consultants.
Q: I am about to take on a client who has a new colostomy. She wears custom made appliances so they are not part of our normal inventory. We will not provide her bags like she needs during this episode. Is there a letter and form that agencies are using to explain that? It has not come up for us before. Do I just do a HHABN for the Ostomy bags?
A: If your Clinical Operations Policy and Procedures state that you use a specific formulary for your supplies and that you do not go outside your formulary for ostomy supplies, you do not have to provide supplies that are outside the formulary. The client must be informed of this in writing prior to admitting them to your agency. If this is the case, issuing a HHABN stating the specialized ostomy bag is not part of the agency’s formulary, would meet the requirement of informed consent.
If your Policy and Procedures do not identify specifically that you have a formulary for your supplies, you also have a right to refuse the patient due to the high cost of “specialized” ostomy supplies and that you do not carry them in your system.
Have you completed your upgrade to Version 5010? The deadline to do so is June 30th, 2012–that’s 18 days from now! Please refer to the CMS website for more information on the conversion to Version 5010. You need to be compliant by July 1st, so if you haven’t started on this, you need to start now.