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Nurse Alliance

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Some upcoming Nurse Alliance Information and Educational Opportunities

Some upcoming Nurse Alliance Information and Educational Opportunities

Published in: Technology, Business
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  • 1. Charge Nurse Workshop 10/26/09 Edited 12/21/09 by Jessica Donohue, RN Adjusted for med-surg units 7a,8d
  • 2. What are Accommodation Codes?  Da (2 hrs P tie BillingAs ig e m d b the ily 4 .) a nt s nm nts a e y RN a s ne to e c p tie viatheNurs Op ra ns s ig d a h a nt ing e tio Da b s (NOD) ta a e  Inte iveC re Inte e ia C re Ac C re Nurs ry ns a , rm d te a , ute a , e Le lsI-IV ve  In thes m r o 0 ’ ho p l ins um e f 8  the s ita titute nurs d e s ffingra sb s dup n tw c ria ta tio a e o o rite .  1. Thep tie  a nt'ss ve o illne sa e rity f s nd  2 Theinte ity o nurs   rve .   ns f inginte ntions  Thep d t us db MUHA w h s tsthes rting ro uc e y hic e ta s nd rdfo thisisc lle Inte ta a r a d rQua (Nurs rie us DHEC l e s e / Me ic idg e s d a uid line )
  • 3. InterQual? Tell me more  InterQua e e e a e c l vid nc -b s d linic l d c io s p rt a e is n up o c riaa us db tho a so o a tio in rite re e y us nd f rg niza ns he lthc re a a .  Us dtoa w r c a q s nsa o the e ns e ritic l ue tio b ut a p p te s o le lso c rea re o eus p ro ria ne s f ve f a nd s urc e
  • 4. How does InterQual apply to nursing activities?  Dr. C w y, o Exe utiveMe ic l Dire to b g n a le ur c d a c r, e a c iringa Inte ha n rQua m e l e tingin Se te b r 2 0 . p me 0 8  Thep o eo thism e urp s f e tingis:  To re wre ue tsfo c ng s vie q s r ha e  P vid c ns te y in d c io m kingw n ro e o is nc e is n a he a w c ng s llo ing ha e  Ens tha c ure t linic l c riaa theb s fo c ng a rite re a is r ha e
  • 5. How To Get Involved  Nurs m na e a invite toa ndthe e a g rs re d  tte InterQua Me tinge ry o r Mo a a 10 0a in ro m l  e  ve the nd y t :0 m o 2 5MH.  9  Sta RNsa w lc m toa ndw the m na e top s nt ff re e o e tte ith ir a g r re e a p tie nurs c reind a rstha m y w rra ac ng .  ny a nt ing a ic to t a a nt  ha e  TheInte rQua C m itte s nd are w dlis o ind a rsto l o m e e s vie e t f ic to thenurs m na e p rio ic lly w up a sa it isp s d e a g rs e d a ith d te nd o te o theNOD. n    he yo s le t theInte W n u e c rQua ind a rs yo a d te ining l ic to , u re e rm p rt o thep tie sb a f a nt’ ill. 
  • 6. To Ensure Appropriate Billing Practices  InterQual indicators should never be selected unless actual care has been provided and documented.     InterQual criteria must be entered into the Nursing Operational Database (NOD) by 10:00 pm daily.   P tie a b d a m nig b s d o the m nig to a nts re ille t id ht a e n ir id ht m nig c re(2 ho ) fo theC id ht a 4 urs r URRENT d te a .   Afte 10 0p , if thep tie c nd n c ng sfro r :0 m a nt o itio ha e m routinetointe e ia s tuse r thene c riaand rm d te ta nte w rite no theAd it Tra fe C nte s the m y a jus b tify m ns r e r o y a d t illing p r tom nig rio id ht. 
  • 7. To Ensure Appropriate Billing Practices  No patient should have “not done” in the Accommodation Code column.  Audits of the records for the following indicators have frequently shown no supporting documentation:   Ne lo icAs e s e (a ind a rs uro g s s m nts ll ic to )  Anti-Infe tive (a ind a rs c s ll ic to )
  • 8. Accommodation Code Assignments  RNss le t s nd rdc riatojus theinte e ia e c ta a rite tify rm d te a c m o a n c d a s nm nt, if a p a le c o m d tio o e s ig e p lic b .  Anytim d e uringa2 ho (m nig tom nig p rio a 4 ur id ht id ht) e d p tie m e inte e ia c ria theRN w a s n the a nt e ts rm d te rite , ill s ig inte e ia a c m o a n c d . rm d te c o m d tio o e  Charge Nurse verifies at 10:00pm tha a c m o a n c d s t c o m d tio o e a re w da p p rly a s ne fo e c p tie (C rg re vie e nd ro e s ig d r a h a nt. ha e Nurs Re o e p rt)  Any criteria selected must be documented in the patient record.
  • 9. Access to Nursing Operations Database  C k o Nurs Op ra nsDa b s IC lic n ing e tio ta a e ON o r  Link o thefro p g o theMe ic l Ce r Intra t n nt a e f d a nte ne (fre ue q ntly us d links e )  Typ OAC Lo In e IS g a P s w rd nd a s o
  • 10. Click
  • 11. Click
  • 12. Click
  • 13. Click
  • 14. Click
  • 15. Charge Nurse Verifies Accommodation Code  Every evening at 10:00pm the charge RN must verify that every patient has an accommodation code.  Eve nig a m nig (a r thep tie sd y ha b e b d ry ht t id ht fte a nt’ a s e n ille ) thea c m o a n c d a s nm nt fo e c p tie d fa c o m d tio o e s ig e r a h a nt e ults b c to“ t Do ” ta . ak No ne s tus  C ll Ad is io Tra fe C nte (ATC if thep tie ha b e a m s n ns r e r ) a nt s e n d c rg da re a o thero te (Rig P tie Rig is ha e nd m ins n s r. ht a nt, ht Be ) d  C ll ATC (2 3 6 if ap tie o c ie ab dtha isno o the a -3 0 ) a nt c up s e t t n ro te s r.  If p tie c nd n c ng sb tw e 10 0 ma m nig a nt o itio ha e e e n :0 p nd id ht, c ll ATC a up a thea c m o a n c d c ria a nd d te c o m d tio o e rite .
  • 16. Changing Codes that have been Entered  Me -SurgAre s d a  Inte e ia to Ro rm d te utine  Ac o m d tio Co eRe o - Me -Surg cm oa n d p rt d  “ ha e o tio a ila le(und r “d c lum if c d c ng s C ng ” p n va b e e it” o n) o e ha e a re uire (e . if a c e lly e re fo w ngp tie re q d .g c id nta nte d r ro a nt)  “ ha e o e up there o s tha yo c n up a p vio ly C ng ” p ns c rd o t u a d te re us s le te info a n e c d rm tio  Routineto Inte e ia rm d te  C k o “ utine o tio (und r “c o m d tio c d ” o lic n ro ”p n e a c m o a n o e c lum n) a s le t up a d ind a rsto c ng a c m o a n c d nd e c d te ic to ha e c o m d tio o e a s nm nt s ig e  IC s U’  C k o “ U” “ lic n IC , Inte e ia (IC rm d te U)” r “ utine o tio (und r o Ro ”p n e “c o m d tio c d ” o n) a s le t up a d ind a rsto a c m o a n o e c lum nd e c d te ic to c ng a c m o a n c d a s nm nt ha e c o m d tio o e s ig e
  • 17. Summary Questions  Only RNsc n a s n Ac o m d tio a s ig cm oa n C ds o e. (TRUE)  Thea c m o a n c d re c thep tie c o m d tio o e fle ts a nt c rere e d fro m nig to m nig a c ive m id ht id ht. (TRUE)
  • 18. Summary Questions (cont.) •It iso y to le veap tie a c m o a n ka a a nt c o m d tio c d a “ t Do ” o e s No ne . (FALSE)  Any c rias le te m t b d c e din thep tie rite e c d us e o um nte a nt re o . c rd (True)
  • 19. Summary Questions (cont.)  Billingap tie a a inte e ia d le l w ut a nt t n rm d te ve itho a p p ted c e tio isc ns e d b p ro ria o um nta n o id re illingfra .ud (True)  A c ntinuo p eo o a ne m nito o us uls x r p a o ringre uire a q s d c rso e tob w n in thec rt in o e fo the o to rd r e ritte ha rd r r p tie to b a a inte e ia le l? a nt e t n rm d te ve (True)
  • 20. Summary Questions (cont.)  If thep tie ha ano a g e ngtub , iso NG fe d a nt s rm l tub , e n es o ha Gtub m d , yo c n c c tha the ha GI r s e e s u a he k t y ve s tio ra g . uc n/d ina e (True)

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