Home Health Survey Sucess with Kinnser


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Home Health Survey Sucess with Kinnser

  1. 1. An insider’s guide Survey success with Kinnser Presented By: Deb Cupps, RN, CWS, HCS-D, COS-C David Tapia, MBA, ACHE Regional Manager Managing Partner Home Health Partners, LLC Exegete Consultants, LLC
  2. 2. Objectives <ul><li>Learn how to easily prepare for survey using Kinnser </li></ul><ul><li>Confidently navigate and pull necessary information during survey </li></ul><ul><li>Review the most common survey deficiencies and how to prevent them </li></ul><ul><li>Successfully implement and track changes post survey </li></ul>
  3. 3. What you can do now to prepare <ul><li>Use Kinnser ’s dashboards to get asses the scope of outstanding documentation </li></ul><ul><li>Ensure that your agency is using the Kinnser flags accurately </li></ul><ul><li>DC patient charts need review </li></ul><ul><li>Ensure personnel file licensures are up to date </li></ul><ul><li>Use key reports in Reports/Admin section to check for areas of vulnerability </li></ul><ul><li>Consider a mock survey, using auditors who know Kinnser </li></ul><ul><li>Use the remote capabilities to ensure changes are made </li></ul>
  4. 4. How to use Kinnser during survey <ul><li>Pulling an unduplicated census </li></ul><ul><li>Click on Go To </li></ul><ul><ul><li>Patient Manager or Reports/Admin </li></ul></ul><ul><ul><li>Click Create Patient Roster </li></ul></ul><ul><ul><li>Scroll down the patient roster form </li></ul></ul><ul><ul><li>Select option no.3 and enter the date range that you need </li></ul></ul><ul><ul><li>Click Create Roster </li></ul></ul><ul><ul><li>Print roster for surveyor </li></ul></ul>
  5. 5. How to use Kinnser during survey <ul><li>Printing a patient chart </li></ul><ul><li>Click on Go To </li></ul><ul><ul><li>Patient Manager </li></ul></ul><ul><ul><li>Click on the first letter of the </li></ul></ul><ul><ul><li>last name to open the chart </li></ul></ul><ul><ul><li>Go to the episode requested </li></ul></ul><ul><ul><li>and click on Tools then Print Chart </li></ul></ul><ul><ul><li>Repeat process until all charts requested have been printed </li></ul></ul>
  6. 6. Limit your exposure <ul><li>Delegate someone in the agency to remove the yellow stickies if you feel that’s necessary (some agencies leave them on as training opportunities for nursing staff on documentation) </li></ul><ul><li>Have your internal auditor or consultant look for “high profile” patients </li></ul><ul><li>Call in outstanding notes from field staff </li></ul><ul><li>Send a K-mail informing staff that agency is under survey </li></ul>
  7. 7. What to do if your surveyor wants a log in <ul><li>You might offer to print the charts, but the surveyor can request a log in </li></ul><ul><li>Create a user name and password for the surveyor </li></ul><ul><li>Recommended roles to give surveyor: </li></ul><ul><li>Clinical Review and Clinician </li></ul><ul><li>Set up access hours for the </li></ul><ul><li>surveyor under Edit  Profile </li></ul><ul><li>Inactivate User promptly after the exit interview </li></ul>
  8. 8. Most common deficiencies and using Kinnser to prevent them <ul><li>*Problem areas usually are in the narrative – mitigated by Continuous Quality Improvement efforts </li></ul><ul><li>Example of the form that the </li></ul><ul><li>surveyor uses </li></ul><ul><li>Form can be found at </li></ul><ul><li>www.cms.gov-cmsforms-downloadscms1572 </li></ul>
  9. 9. Most common deficiencies and using Kinnser to prevent them <ul><li>2/3 of all deficiencies are related to the Plan of Care </li></ul><ul><li>1. G156 Acceptance of patients, Plan of care, and Medical Supervision </li></ul><ul><li>Not Admit Patient </li></ul><ul><li>Surveyors will often ask to review your not admit files, Make sure your narrative documentation includes that the referral source was notified of non admit/why </li></ul><ul><li>Plan of care must be developed, followed, reviewed, and updated </li></ul><ul><li>2. G 158 When care does not follow a written plan of care </li></ul><ul><li>Missed visit reports </li></ul><ul><li>CHHA reports </li></ul><ul><li>Scheduling </li></ul><ul><li>3. G159 Appropriate development of plan of care </li></ul><ul><li>Oasis red/pink sections </li></ul><ul><li>Minimal is better. Specific needs of that patient for treatment and goals </li></ul><ul><li>4. G 165 The appropriate administration of drugs and treatments as ordered on plan of care </li></ul><ul><li>Dressing changes </li></ul><ul><li>Weights </li></ul>
  10. 10. Most common deficiencies and using Kinnser to prevent them <ul><li>5. G164 The prompt notification of physician when changes in patients health suggest the need to alter the plan of care </li></ul><ul><li>VS parameters </li></ul><ul><li>Communication </li></ul><ul><li>Orders </li></ul><ul><li>6. G337 Standard: Drug regimen Review </li></ul><ul><li>Medication data base </li></ul><ul><li>Reconciliation/snapshot </li></ul><ul><li>Found under Misc tab </li></ul><ul><li>7. G143 All personnel furnishing services maintain liaison to ensure that their efforts are coordinated effectively and support the objectives outlined in the plan of care. </li></ul><ul><li>K mail </li></ul><ul><li>Communication </li></ul><ul><li>8. G251 Clinical record review </li></ul><ul><li>60 day summary/chart audit </li></ul><ul><li>Vs graph </li></ul><ul><li>Use of 486 </li></ul>
  11. 11. Using Kinnser post survey <ul><li>Develop Plan of Correction and Action Plans </li></ul><ul><li>Issue list of action items via K-Mail </li></ul><ul><li>Monitor changes via Reports/Admin </li></ul><ul><ul><li>Open OASIS report </li></ul></ul><ul><ul><li>Past due visits report </li></ul></ul><ul><ul><li>Orders Management </li></ul></ul><ul><ul><li>Schedule Report – look for Missed visits </li></ul></ul><ul><ul><li>Visit Exception Report </li></ul></ul><ul><ul><li>Therapy Episodes </li></ul></ul>
  12. 12. THANK YOU! Questions or comments?