Re: RE: RE: Home Health Strategies -Reply

[Guest guest]

After much discussion, and after I actually came up with an eval which

included several of the MO questions, we decided against it. The date entry

and billing folks decided it would be too much trouble to have to go back in

and change what the nurses had already put if there was a difference.As far as

the DC summary goes...we just don't know what we will do yet. I still feel

like a lot of the OASIS questions are beyond the scope of PT, and definitely

beyond the scope of ST, so I think a nurse OUGHT to do the DC visit, with

input from the appropriate personnel. But, what I think may not really

matter..LOL.

As far as the case conferencing goes...we also cover a large rural area,

and have productivity requirements, but once a week we HAVE to attend a case

conference. Its short, we talk about new admits, upcoming recerts, if any, and

up coming DCs.Its only the PT's,OT's PTA's, ST's, and the Team Coordinator for

each geographic region. It helps that we are all in one main office building!

I must admit, in our outlying offices, there are no scheduled meetings, but

usually it's one therapist to a couple of counties, and that therapist goes

in to the satellite branch at least 2-3 times weekly.

Do y'all have a rehab manager/coordinator? Are there nurse coordinators for

the different regions? That does make it easier, if there is 1 person to

communicate with rather than 6 or 7...

Let me know what you decide to do about DC summaries..I'll have to be

thinking about that one, too!

______________________________________________________________________

[Guest guest]

The OASIS is discipline neutral and if nursing is not in the home with a skill,

then the therapist would complete the OASIS discharge. I am struggling with the

embedding of OASIS questions into therapy initial evals because the timing is

hard to work around. Any suggestions?? I plan to implement changes soon to

include embedding OASIS questions into the therapy discharge so the casemanager

can refer at the time of agency discharge to minimize two disciplines

contradicting each other. One continuous problem is case conferencing with high

productivity requirements, large geographic areas (rural), and each therapist

working with multiple nurses. We are contemplating having a monthly summary

done by the therapist move on to the next therapist then casemanager and using

it as a " conference " . We have also talked of having case conference in the

patient's home to facilitate the family and patient being part of the team and

to solve our never ending case conference challenge.

Re: RE: Home Health Strategies -Reply

As far as OASIS goes....have you changed your PT eval at all to try to include

any of the MO questions? What is your agency's understanding of the final DC

OASIS? If PT, OT, or ST is the last discipline in the home, do they do the DC,

or does a nurse go out for a non chargeable DC visit?

______________________________________________________________________

[Guest guest]

We had one nursing clinical manager, but at our team meetings, the field

nurses were expected to attend. It really helped to build rapport with the

therapy staff (having direct person to person communication) and also

helped stress the team orientation and working toward the same goals.

As far as the DC summaries, we had a therapy discharge summary which we

completed unless we were the last discipline in - in that case, we

completed the OASIS discharge or transfer tool with its summary at the end.

Hope that helps

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> From: Betseyrpt@...

> To: ptmanageregroups

> Subject: Re: RE: RE: Home Health Strategies -Reply

> Date: Thursday, October 01, 1998 3:26 PM

>

> Do y'all have a rehab manager/coordinator? Are there nurse

coordinators for

> the different regions? That does make it easier, if there is 1 person to

> communicate with rather than 6 or 7...

> Let me know what you decide to do about DC summaries..I'll have to be

> thinking about that one, too!

>

> ______________________________________________________________________

>

>