Harmony Healthcare Blog

Kathy Monahan

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ICYMI: QAPI Program for Falls

Posted by Kathy Monahan on Tue, Mar 12, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory/Rehab • Education/Efficiency


The objectives of developing a QAPI Program for Falls includes the following: 

  • Review the regulatory interpretive guidelines for accidents and injury investigation.
  • Discover the key components of completing an accident root cause analysis.
  • Apply the quality improvement components to the investigative process. 

Read More

Topics: falls

QAPI Program for Falls

Posted by Kathy Monahan on Tue, Jan 15, 2019

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The objectives of developing a QAPI Program for Falls includes the following: 

  • Review the regulatory interpretive guidelines for accidents and injury investigation.
  • Discover the key components of completing an accident root cause analysis.
  • Apply the quality improvement components to the investigative process. 

Read More

Topics: falls

Need to Know: Skilled Nursing Documentation for Admissions

Posted by Kathy Monahan on Tue, May 29, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Admission and Re-admission Nursing Notes: Harmony Healthcare International (HHI) suggests that the following information be included in all admission notes: 

  • Time and date of admission.
  • Mode of Transportation, assist level and number of assist with transfers and bed mobility.
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Topics: Documentation

Positioning Devices, Self-Releasing Devices and Restraints

Posted by Kathy Monahan on Thu, Mar 08, 2018

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The primary goal of therapeutic intervention when utilizing any therapeutic device or modality is to increase functional independence, improve functional abilities and enhance mobility utilizing the least restrictive intervention.

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Topics: physical restraints

Need to Know: Skilled Nursing Documentation for Admissions

Posted by Kathy Monahan on Tue, May 16, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Admission and Re-admission Nursing Notes: Harmony Healthcare International (HHI) suggests that the following information be included in all admission notes: 

  • Time and date of admission.
  • Mode of Transportation, assist level and number of assist with transfers and bed mobility.
Read More

Topics: Documentation

Quality Measure for Behaviors Affecting Others

Posted by Kathy Monahan on Thu, Mar 23, 2017

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


With the nationwide focus on antipsychotic drug reduction, providers are seeing an increase in behaviors, especially with the dementia population.  Thus, this Quality Measure is being impacted in facilities with a large dementia population.  Many facilities are updating behavior management techniques and procedures to meet the increasing number of residents with dementia and behaviors.  Surveyors are taking notice and are looking to see how facilities are managing challenging behaviors. 

All the patients that triggered for this Quality Measure in the facility have a dementia diagnosis. 

So, let’s take a deeper dive into the Measure Specification for this Quality Measure.  This measure reports the percentage of long-stay residents who have behavior symptoms that affect others during the target period.

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Topics: Dementia, Quality Measures

Quality Measure #8: One or More Falls with Major Injury - Long Stay (Part 2)

Posted by Kathy Monahan on Tue, Oct 11, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


5 Steps to Develop a Fall Prevention Process 

In Part 1 of our Quality Measure #8 series, Harmony Healthcare International (HHI) discussed the Quality Measure Item Sets for triggering one or more falls with major injury.  After identifying a resident that has triggered for this quality measure, what is the next step? The Harmony HealthCARE Specialists work alongside their clients to identify the clients at risk, as well as assist in strengthening the Development of a Fall Prevention Process.  

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Topics: Quality Measures, falls, Injurious Fall

Quality Measure #8: One or More Falls with Major Injury - Long Stay (Part 1)

Posted by Kathy Monahan on Thu, Oct 06, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


Steps to Better Understand Major Falls with Injury


Root Cause Analysis
 

The first step in drilling down to the root cause of this Quality Measure is to understand how the measure is calculated and the criteria for “Injurious Fall”. 

  • It is based on MDS Section J coded as one or more falls that result in major injury.
  • Major injury includes bone fractures, joint dislocations, closed head injuries with altered consciousness and subdural hematomas that occur as a direct result of the fall or are recognized after the fall that can be attributed to the fall

Read More

Topics: Quality Measures, Injurious Fall

We’ve got a Physical Restraint!  Now what? 7 Steps to Assess

Posted by Kathy Monahan on Thu, Sep 22, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


When the interdisciplinary team determines that the use of physical restraints is the appropriate course of action, and there is a signed physician order that gives the medical symptom supporting the use of the restraint, the least restrictive manual method or physical or mechanical device, material or equipment that will meet the resident’s needs must be selected.  Care planning must focus on preventing the adverse effects of physical restraint use.

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Topics: Quality Measures, physical restraints

Quality Measure: Physical Restraints - Long Stay (Section P)

Posted by Kathy Monahan on Tue, Sep 20, 2016

C.A.R.E.

Compliance • Audits/Analysis • Reimbursement/Regulatory • Education/Efficiency


The Physical Restraint Quality Measure is common on for error and miscoding.  This measure reports the percent of long-stay nursing facility residents who are physically restrained on a daily basis. Nursing facilities consistently strive to reduce unnecessary physical restraints and safeguard that residents are free of restraints unless deemed necessary and appropriate. Even though this is a continuous are of focus, it is beneficial for you and your staff to review the definition and intent of physical restraints.

Read More

Topics: Quality Measures, physical restraints

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