Transcript Power Mobility Trial By MediProfit

The Plan
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Make it simple.
Make it user friendly.
Educate the provider.
Integrate the process in the work flow.
Build relationships to all the needed providers.
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How did we do this?
 We reviewed the existing process to find a lean way to
complete the proposed process.
 We reviewed all of the approved paperwork from CMS.
 We reviewed the guidelines in its entirety for power
mobility devices.
In Codeable Language a power mobility device
(later to be called PMD) flow was developed to
directly query the providers during
documentation.
Assessment
72 y/o female here for evaluation of PMD pt
has history of CHF, MI, Depression, DJD of
bilateral knees.
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Diagnosis:
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332.0 PARKINSON’S DISEASE
373.30 SCOLIOSIS
414.0 CORONARY ARTERY DISEASE (CAD)
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428.0 CONGESTIVE HEART FAILURE (CHF)
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434.91 CARDIOVASCULAR ACCIDENT (CVA)
496.0 CHRONIC OBSTRUCTIVE PULMONARY Disease
715.9 OSTEOARTHRITIS (OA)
716.9 DEGENERATIVE JOINT DISEASE (DJD)
722.6 DEGENERATIVE DISC DISEASE (DDD)
733.00 OSTEOPOROSIS (OP)
724.00 SPINAL STENOSIS
821.0 FEMUR FRACTURE
344.1 PARAPLEGIA
Other: Click here to see more if you don't see your diagnosis. You will be taken to the
full dictionary.
Diagnosis
 Left ventricular failure (I50.1)
 Systolic Heart failure (I50.2)
 Diastolic Heart failure (I50.3)
 Combined systolic and Diastolic Heart failure
(I50.4)
 New Diagnosis
 Click here to see more if you don't see your
diagnosis. You will be taken to the full
dictionary.
Symptoms:
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Dyspnea
Orthopnea
Weight gain
Increased PCO2
Increased O2 requirements
Increased abdominal girth
Wheezing
Pursed lip breathing
Low Ejection Refraction
Edema
Test
 Echocardiogram
 6 Minute Ambulation Trial
 Mini Mental State Test
 Physical Therapy Evaluation
 Occupational Therapy Evaluation
 Pulmonary Function Test
 Arterial Blood Gas
Prior Treatments
Physical Therapy
 Pain Management
 Assistive device
 Home O2
 Other
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Jane Doe, a 72 y/o female is here for evaluation of PMD. Patient has a
history of CHF, MI, Depression and DJD of bilateral knees. Her 428.0
CONGESTIVE HEART FAILURE (CHF) with symptoms of dyspnea,
orthopnea, increased O2 requirements and a low EF of 35% (please see
attached Echo) affect her ability to use a self propelled device. Jane’s
MI from 2009 decreased her EF from 50-60% down to 35%. Jane has
had physical therapy, home health, pain management, used a walker
and has home O2 at 2L/m. Jane’s mental status is good at 25 out of
30 on her mini mental exam.
Codeable Language directly queries the
providers as they document; thus allowing the
provider to offer accurate information in a
quick and easy faction.
Codeable Language is more than just software
that directly queries the provider. It is also an
education program, a documentation
improvement system and a way to decrease
coding errors.
We have just currently completed a syllabus to
present to Medical Schools, Residency
Programs and Hospitals to improve
documentation. Our thought is GET IT RIGHT
FROM THE START!
Collaboration of 2 DME providers:
A. A large company that did not win the bid
however still wanted to service their clients.
B. A smaller DME company that did win the bid
however did not have the buying power to
decrease the cost of each PMD.
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Finding providers,
Leaning out the system,
Establishing education time,
Overcoming the fears of the providers,
Understanding the limitations of the EMR
used by the providers.
By building the forms within the EMR we were
able to complete the entire forms process in
one PDF. The EMR used had an eScription
system that allowed the MD to write the
prescription electronically. The entire chart was
compiled directly from the EMR. The DME
provider gave us the files in PDF form allowing
us to upload them into the EMR.
The success of this trial was based upon:
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Simplifying the process for the MD,
Building the CodeableLanguage flow,
Educating the providers,
Creating collaboration of DME providers,
Double-checking the charts for completion
prior to submission.