Therapy Depot Provider Education

1. Gloves should not be worn for touching blood and body fluids, mucous membranes, or non intact skin of all patients and for handling items and surfaces soiled with blood or body fluids.

2. Why should visit notes should be written in the patients home?

3. When a documenting error occurs the only acceptable method of correction is:

1. Draw a single line through the error. Do not scribble and do not write over the mistake.
2. Write “error” next to the single line correction.
3. Initial and date the single line correction. The only time you will not record the date of correction is when the object of correction is a date.
4. Write the correction information

4. COVID-19 Visit Home Visit Protocol requires:

5. If the child is hyperactive and I can not assess the vital (BP, HR, Resp)  I can document

6. If I choose to mail notes I should mail my notes so they are received by the 3rd day so they are not late

7. Black ink is the only appropriate color ink that may be used for documentation in New York State

8. Since bloodborne diseases e.g.,. HBV, HIV are often carried by asymptomatic patients it is necessary to take precautions with all heath care setting including home care settings.

9. All personnel are responsible for knowing and following OSHA guidelines and Therapy Depot Exposure to Blood borne Pathogens and Infection Control Policy and Procedures.

10. Home care Agencies require their documented patient care visit/note to be submitted in

11. You are permitted to use or disclose PHI

For treatment, payment, and healthcare operations.
• With authorization or agreement from the individual patient,
• For disclosure to the individual patient.
• For incidental uses such as physicians talking to patients in a semi-private room.

12. I Attest to the Completion of the HIPAA Privacy Compliance

13. What are some principles of general home safey

14. Masks, eye protection, or face shield must be worn whenever splashes, spray, droplets or aerosol of blood or other potentially infectious materials may be generated and there is a potential for eye contamination.

15.  If working on a goal in May where a patient requires Max A 3/5 x to don sweater then the next level of progress would be

16. Home Care Provider Bag Must Include the following tools

17. Universal Precautions will be implemented for every patient contact or after handling soiled or contaminated equipment

A. Hands and other skin surfaces must be washed immediately and thoroughly if contaminated with blood or potentially infectious body fluids or materials.
B. Hands must be washed immediately after gloves are removed.

18. Time in/out must be documented on every visit even if there is not obvious section for it on the form.

19. IF THE GOAL LEVELS ARE TOO HIGH AND PATIENT CAN’T REACH THIS TYPE OF GOAL THEN IT MUST BE DOWNGRADED

20. The NYSDOH requires that universal precautions be employed for all, patients being cared for in the home by licensed or certified providers, only if they have the knowledge of the bloodborne status of the patient

21. Do not perform a visit to the patient until you receive a confirmed Authorization from the
Therapy Depot Case Manager.

22. Every Month at LEAST 1 NEW goal should be attained to demonstrate progress and the justification  of “skilled” Intervention.  If there is no progress your case can be closed upon review at anytime by insurers due to the evidence of no benefit of your service to the client

23. The law allows the health care provider to receive confidential HIV Related Information needed to provide health care

24. You are required to release PHI for use and disclosure:
• When requested or authorized by the individual-although some exceptions apply.
• When required by the Department of Health and Human Services (HHS) for compliance or investigation.

25. The 30-Day Episode of Care of the PDGM means Documentation does not have to be submitted in half the time in order to fulfill the 2020 PDGM initiatives

26. As Medicare only pays for skilled services and not an evaluation, it is imperative that a skilled service is indicated on the evaluation. This can include such items as safety instructions or teaching a HEP to the patient.

27. If the patient is receiving homecare then the MD and agency has determined that the patient is “homebound”

28. There must be a record of each visit or a record of why each visit could not be made. There are different methods of documenting a missed visit depending on the requirements of the agency.

29. A basic requirement for Adult/Geri  home care (Medicare A) is the patient must be home bound and require skilled intervention. Which means they can not leave the home

30. Goals Should never be written with a DUAL status  i.e.: 

e.g., (CGA/Min A); (MOD /MAX A)