Transcript Blank Jeopardy

Welcome to Primaris…
With your host …
Care
Managing
Coordination
Meds
OASIS
Avoiding
ACH
Fall
Prevention
100 pt
100 pt
100 pt
100 pt
100 pt
200 pt
200 pt
200 pt
200 pt
200 pt
300 pt
300 pt
300 pt
300 pt
300 pt
400 pt
400 pt
400 pt
400 pt
400 pt
500 pt
500 pt
500 pt
500 pt
500 pt
How many days are allowed to
complete an admission OASIS?
Five days
Are Significant Changes in
Condition (SCIC) OASIS required to
be submitted after Jan. 1, 2008?
Yes. Submitting SCICs is
required per regulation but there
is no payment adjustment.
How is the Start of Care (SOC)
determined?
It is the first billable visit,
regardless of the discipline.
How many clinicians can author
an OASIS?
One clinician must complete
it, but all disciplines may
collaborate w/ the author.
What does the acronym “OASIS”
mean?
Outcome and Assessment
Information Set
What is a written, patient-centered
plan with a range of symptoms to
report first to the agency, rather
than calling 911?
A Patient Emergency Plan
According to the HHQI BPIP for
reducing ACH, what should be
reviewed on every visit by every
discipline before leaving the
patient’s home?
A Patient Emergency Plan
What assessment other than
OASIS is a part of a best
practice to reduce ACH that is
completed at the SOC?
Hospitalization Risk Assessment
What are the two most effective
BPs that promote early ID of
abnormal S&S, intensify
patient/caregiver education,
reinforce the patient emergency
plan and initiate best practices for
medication management?
Front-loading visits and phone monitoring
True or False?
Hospitalization risk assessment should be
completed on SOC/ROC and may also
be performed at recertification or with
significant change in condition (SCIC).
True
Who defines a fall as “an
unintentional change in position
resulting in coming to rest at the
ground or a lower level?”
The Missouri Alliance for
Home Care
True or False?
“Timed up and Go” screening
is an effective assessment to
identify persons at risk for falls.
True. Use this assessment as
a part of your hospital risk
assessment.
Fall-related injuries accounted for
6%, 3% or 1% of all medical
expenditures for people age 65
and older in the U.S.
6%
What OASIS timeframes are
suggested for doing a fall risk
assessment?
SOC, ROC, Recertification
What is the first step in the
procedure for accurately
assessing orthostatic
hypotension?
Place patient supine for five
minutes, obtain BP and HR
This “Criteria for Potentially
Inappropriate Medication
Use in Older Adults:
Independent of Diagnosis
or Conditions” is otherwise
known as:
Beers Criteria
MO 780 states, “Management of Oral
Medications: Patient’s ability to prepare and
take all prescribed oral medications reliably
and safely, including administration of the
correct dosage at the appropriate
times/intervals.” The OASIS response
selected should reflect the patient’s ability to:
Take a majority of daily doses
correctly on the day of
assessment
Name one element of medication review
required by the Conditions of Participation.
Any of the following are
appropriate answers:
• Identify any significant side effects
• Significant drug interactions
• Duplicate drug therapy and noncompliance
with drug therapy
• A process is put in place to ensure that the
patient’s medication regime is evaluated.
The same process must be carried out for
therapy-only patients.
To accurately assess the
patient’s medications the
clinician needs to use a
combined approach of
interview and __________.
Observation
Your patient had a stroke and is
unable to open the medication
bottles or open her pill box. To what
discipline would you make a
referral?
Occupational Therapy
Name two care providers involved
in patient care transition.
Any of the following:
•Hospital to home health
•Home health to self-care
•Hospital to SNF
•SNF to home, PCP or hospice
When you think of patient
transition, what is the purpose of
the handover?
Answers could include:
• Exchange Vital Information
• Communicate patient status
• Exchange information and assume or
pass on responsibility
*** Transitional care-coordination should
be the standard of care
True or False? Medication
reconciliation only applies to
medications and prescriptions
ordered by a doctor.
False
Reconciliation includes all medications
taken by the patient including any OTC
vitamins, supplements, pain meds, etc.
Name at least one piece of
information that should be
included in the Personal Health
Record (PHR).
Answers could include:
•
•
•
•
Caregiver’s name and phone number
Physician’s name and phone number
Advance Directives
Current Medications and Allergies
The four pillars of care transition
activities are described within
the HHQI care coordination
best practice package. What
are two of the four pillars?
Answers could include:
•
•
•
•
Medication self-management
Patient-centered record
Physician follow up
Red flags
The End!
Tally up the points to see who your
winner is.
Jeopardy Game Template adapted from the work of Susan Collins and
Eleanor Savko, District Resource Teachers for Hardin County Schools:
www.hardin.k12.ky.us/res_techn/sbjarea/math/MathJeopardy.htm
Publication MO-08-87-HH
This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers
for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do
not necessarily reflect CMS policy