Archive for 'Tool Kit'

5 Tips Help You Steer Clear of Sharps Injuries

Posted on 09. Jun, 2010 by .


Don’t stick with this No. 1 bad habit known to cause injuries.

Prevention is the best remedy for needlestick and other sharps injuries, which can be largely avoided if you follow these key strategies.

1. Know the ropes for safely disposing of sharps. The Occupational Safety and Health (more…)

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Know the Exceptions to Master Late Effect ICD-9 Coding

Posted on 26. May, 2010 by .


Late effect of CVA turns guidelines upside down.

When coding for late effects, sequencing is everything. Keep one rule of thumb and two exceptions in mind and you’ll be accurate every time.

Here’s When to Report Late Effects

A late effect is the condition produced after the acute phase of an illness or injury has run its course, according to the ICD-9-CM Official Guidelines for Coding and Reporting.

There is no time limit on when you can report a late effect, according to the guidelines. The residual effect of your patient’s illness or injury may be apparent early, such as when he’s had a cerebrovascular accident (CVA). Or a residual may occur months or years later, such as when your patient has had a previous injury. (more…)

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3 Ways to Guard Against Occupational Hazards in Home Health

Posted on 14. Apr, 2010 by .


Keep employees safe and improve retention.

If you’re looking for ways to keep your HHA employees safe and on the job, the Centers for Disease Control has a nifty new 51-page resource for you.

Occupational Hazards in Home Healthcare, which is co-written by the National Institute of Occupational Safety and Health identifies the top hazards, as well as good tips.


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HHA Staff Development: Celebrate Your CNAs

Posted on 26. Mar, 2010 by .


Antoinette 'Nettie' Keeter

Case Study: How one hospice has created a culture of excellence for its CNAs

Often, nurses are the focus when it comes to home healthcare staffing. While their services are paramount, it’s also important to remember, coach and celebrate other members of your healthcare staff you contribute to your HHA’s excellent.

So often it’s the CNAs who play a really important role in the patients’ lives,” says Amy Fowler, Public Relations Coordinator for CarePartners in Asheville, NC. “Sometimes they get even closer to the patient than the nurse.”

Challenge: Let your CNAs know how important they are, and give them models of excellence to strive for.

How one HHA tackled this challenge … (more…)

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Home Health Urinary Incontinence Assessment Tool

Posted on 17. Mar, 2010 by .


Add these 2 questionnaires to your intake process to spot hidden urinary incontinence problems.

Any patient can experience urinary incontinence, especially if he or she is immobile,smokes, has diabetes, or pelvic muscle weakness. Use this inventory form to gauge how incontinence is affecting your patients and create a plan of care that best suits them.


Answer each question by checking the best response. Fill the form out as completely as possible, taking care to consider patients’ symptoms over the last 3 months.


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Case Study: Orientation Tool for Hospice Staff

Posted on 11. Mar, 2010 by .


Here’s how one hospice tackled information overload so that new staff really understood what they needed to know.

The intricacies at hospice can often be overwhelming to new staff members. That’s why one organization, CarePartners in Asheville, NC, decided to take control.

“The orientation process was just brutal,” says Jim Jenkins, hospice administrator. “New staff would get glazed over from the talking heads and it was difficult for people to retain the amount of information being provided in this two-day, lecture-type setting.”

This is when the brainstorming began. Jenkins talked with various members of existing hospice staff to determine what they wanted new staff to most understand about hospice. After meeting with a national game association and assembling staff input, ther Game of Hospice© was born.

The game was first presented in 2009 at the NHPCO conference. There was a great deal of interest in the game, which is now under copyright.

So how does it work? (more…)

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Home Health Coder’s ICD-10 Transition Checklist

Posted on 24. Feb, 2010 by .

Be Prepared. Photo: U.S. National Archives

Be Prepared. Photo: U.S. National Archives

Coders may need as much as 80 hours of training to get ready. Break it down into these 4 phases.

The 2013 deadline for moving to the ICD-10 diagnosis code set may seem like a distant date, but the sooner you start preparing, the easier your transition will be. Adopt the Boy Scout’s “Be Prepared” motto and you might just find yourself breathing a little easier.

The transition to ICD-10 will require a lot of preparation and training, but the actual training can’t be done too far out from the implementation date, warns Therese Rode, RHIT, HCS-D, Senior Coding Manager with INOVA VA Home Health in Springfield, Va. With training, “if you don’t use it, you lose it,” she says. Use the following four strategies to smooth your ICD-10 transition:

1. Create a planning committee.

To get the ball rolling, agencies should form a committee that includes everyone who touches coding, Rode says. (more…)

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Use This New Code For Home Health Transfers

Posted on 17. Feb, 2010 by .


Say goodbye to claims source of admission codes ‘B’ and ‘C.’

Patient transfers from one home health agency to another can be tricky, and now transfers might get even more complicated with a new billing requirement.

Come July, CMS is eliminating source of admission codes “B” and “C,” CMS says in Feb. 5 Transmittal No. 1904 (CR 6757). That’s because the National Uniform Billing Committee has changed the former source of admission codes to “point of origin” codes that must specify a place rather than a referral source, CMS explains. (more…)

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Cool New OASIS C Resource: And It’s Free

Posted on 17. Feb, 2010 by .


We’ve got the link where you can download this 148-page OASIS C manual for free.

Help has arrived for agencies struggling to decode the major changes in patient assessments the new OASIS C requires. An extensive OASIS C Best Practices Manual is now available free for agencies to download at

This 148-page manual contains best practices to help ensure clinicians can accurately answer the OASIS C assessment items. For every OASIS C item, the manual includes the item intent, time points for that item, optimal  questions, strategies or techniques, and tips. Clinical and operational recommendations are available for many items.

The manual was compiled by a group of nearly 100 of home care’s leading clinicians from across the country, appointed or nominated by their state associations, according to the National  Association for Home Care & Hospice, one of the projects sponsors. Other sponsors are Delta Health Technologies in Altoona, Pa. and Fazzi Associates in Northampton, Mass.

© Eli’s Home Care Connection.

Available on CD: 3- Part OASIS C Training Series, with Karen Vance, OTR.

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Your Fast, Easy Connection to Home Health Web Sites on CMS

Posted on 10. Feb, 2010 by .


Want to get to the OASIS C guidance you’re looking for fast? Bookmark this handy page of links.

If you’re looking for the home health information below, just click the link and we’ll take you straight to the page you need on CMS.

The meaning of the latest government acronym, from A&AS to ZULU.

CMS Program Transmittals.

Explanation of unfamiliar terms, like ‘advance beneficiary notice’ (more…)

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