Volume 2025 | No. 2
SURVEYOR
HOME HEALTH
NOTES
Compliance tips for:
This standard ties orders to specific disciplines with the expectation that the qualified individuals providing services assume responsibility for all tasks associated with the order. This includes not only performance of the task, but complete documentation of its performance, and communication with the ordering provider as indicated in the order.
Nerd Newbies (understand the requirement)
■ Audit patient records for completion and accuracy:
Nerd Apprentices (audit for excellence)
ٝ All services ordered are delivered as ordered and documented in clinical notes. ٝ Health care professionals conduct ongoing interdisciplinary assessment of the patient. ٝ Patients and caregivers are counseled and educated. ٝ Communication with physicians or other ordering practitioners involved with the plan of care is documented. ٝ Supervisory visits are documented. ■ Audit personnel records for complete and accurate job descriptions: ٝ RNs oversee the work of LPNs and LVNs. ٝ MSWs oversee the work of social workers. ٝ Rehabilitative therapy is proved under the supervision of a qualified OT or PT. ٝ Staff participate in the agency’s QAPI Program. ٝ Staff participate in in-service training. ■ Plan and execute in-service training related to documentation best practice. ٝ .Include how to communicate with ordering providers. ■ Ensure an approved abbreviation list is current and used by staff.
Nerd Trailblazers (prepare the path for others)
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