Harbor:Home Health - Revision history

Andreawu at 20:25, 9 February 2023

2023-02-09T20:25:11Z

← Older revision		Revision as of 20:25, 9 February 2023
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	==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==		==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==
	~~Order 'Home Health' then select 'service' from drop down, and in~~ order ~~comments write description of need.~~		*Place order “home wound care” – describe wound, give patient enough supplies for 1 week,
	“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies ~~and message Yvonne Walker~~. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).		**place separate DME order for wound care supplies.
	*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk		**Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency.
			*RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).
			**If need wound care eval, order 'consult to wound care' and call Laura Santana (supervisor) to prioritize ED patient
			Order 'Home Health' then select 'service' from drop down, and in order comments write description of need.
			*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk. An RN will come assess patient w/in 1-2d and then PT/OT eval will be coordinated.
	“home hospice” social worker may give you guidance on who needs to stay for obs placement into hospice facility vs home. Agencies can come out really quick and enroll. They can arrange for all DME, meds, etc.		“home hospice” social worker may give you guidance on who needs to stay for obs placement into hospice facility vs home. Agencies can come out really quick and enroll. They can arrange for all DME, meds, etc.
	*“home safety eval” – nurse check in, check home environment, patient needs to be at home during eval. Concern about overall ability to function at home, but not need around the clock care. Patients taking new meds w/ potential side effects, fall risk, cognitive decline but not want to be placed. Suggestions about fall risks (furniture, rugs).		*“home safety eval” – nurse check in, check home environment, patient needs to be at home during eval. Concern about overall ability to function at home, but not need around the clock care. Patients taking new meds w/ potential side effects, fall risk, cognitive decline but not want to be placed. Suggestions about fall risks (furniture, rugs).

Andreawu: /* Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age */

2020-12-21T12:57:57Z

Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age

← Older revision		Revision as of 12:57, 21 December 2020
Line 1:		Line 1:
	==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==		==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==
	Order 'Home Health' then in order comments write description of need.		Order 'Home Health' then select 'service' from drop down, and in order comments write description of need.
	“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).		“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).
	*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk		*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk

Andreawu: /* Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age */

2020-12-21T12:57:01Z

Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age

← Older revision		Revision as of 12:57, 21 December 2020
Line 1:		Line 1:
	==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==		==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==
			Order 'Home Health' then in order comments write description of need.
	“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).		“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).
	*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk		*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk
Line 7:		Line 7:
	*“Home infusion” for IV antibiotics can only be written by ID and usually only available during business hours. So will need ID consult to antibiotics fellow p0343. Regarding PICC line vs peripheral it all depends on the length of the IV antibiotics, the type of IV antibiotics and if there are contraindications for a PICC line eg. ESRD on dialysis in order to save the venous access.		*“Home infusion” for IV antibiotics can only be written by ID and usually only available during business hours. So will need ID consult to antibiotics fellow p0343. Regarding PICC line vs peripheral it all depends on the length of the IV antibiotics, the type of IV antibiotics and if there are contraindications for a PICC line eg. ESRD on dialysis in order to save the venous access.
	* “Home health nurse eval” – new forms of meds, like insulin trouble shooting sliding scale, new anticoagulation, etc.		* “Home health nurse eval” – new forms of meds, like insulin trouble shooting sliding scale, new anticoagulation, etc.
	*Consider also messaging the PCP or CCC to help follow up on order.		*Consider also messaging the PCP or CCC to help follow up on order.

	==Place an order anytime, doesn’t matter if OOP or DHS or uninsured. ==		==Place an order anytime, doesn’t matter if OOP or DHS or uninsured. ==

Rossdonaldson1 at 04:21, 24 December 2019

2019-12-24T04:21:44Z

← Older revision		Revision as of 04:21, 24 December 2019
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	~~Home Health from the ED~~		==Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age==

	Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age

	“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).		“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wetto*dry TID).
Line 7:		Line 5:
	“home hospice” social worker may give you guidance on who needs to stay for obs placement into hospice facility vs home. Agencies can come out really quick and enroll. They can arrange for all DME, meds, etc.		“home hospice” social worker may give you guidance on who needs to stay for obs placement into hospice facility vs home. Agencies can come out really quick and enroll. They can arrange for all DME, meds, etc.
	*“home safety eval” – nurse check in, check home environment, patient needs to be at home during eval. Concern about overall ability to function at home, but not need around the clock care. Patients taking new meds w/ potential side effects, fall risk, cognitive decline but not want to be placed. Suggestions about fall risks (furniture, rugs).		*“home safety eval” – nurse check in, check home environment, patient needs to be at home during eval. Concern about overall ability to function at home, but not need around the clock care. Patients taking new meds w/ potential side effects, fall risk, cognitive decline but not want to be placed. Suggestions about fall risks (furniture, rugs).
	*“Home infusion” for IV antibiotics can only be written by ID and usually only available during business hours. So will need ID consult to antibiotics fellow p0343. Regarding PICC line vs peripheral it all depends on the length of the IV antibiotics, the type of IV antibiotics and if there are contraindications for a PICC line eg. ESRD on dialysis in order to save the venous access.		*“Home infusion” for IV antibiotics can only be written by ID and usually only available during business hours. So will need ID consult to antibiotics fellow p0343. Regarding PICC line vs peripheral it all depends on the length of the IV antibiotics, the type of IV antibiotics and if there are contraindications for a PICC line eg. ESRD on dialysis in order to save the venous access.
	* “Home health nurse eval” – new forms of meds, like insulin trouble shooting sliding scale, new anticoagulation, etc.		* “Home health nurse eval” – new forms of meds, like insulin trouble shooting sliding scale, new anticoagulation, etc.
	*Consider also messaging the PCP or CCC to help follow up on order.		*Consider also messaging the PCP or CCC to help follow up on order.

	Place an order anytime, doesn’t matter if OOP or DHS or uninsured.		==Place an order anytime, doesn’t matter if OOP or DHS or uninsured. ==

	Don’t have to call, but Home Health nurses are available during business hours if questions. Home health office x68450 MonFri 8a – 530p, no weekends or holidays.		Don’t have to call, but Home Health nurses are available during business hours if questions. Home health office x68450 MonFri 8a – 530p, no weekends or holidays.
	*Can leave voicemail afterhours, and they will follow up. They will also check your notes for details. If there are questions, they may send you a message in Message Center.		*Can leave voicemail afterhours, and they will follow up. They will also check your notes for details. If there are questions, they may send you a message in Message Center.

Rossdonaldson1: Created page with "Home Health from the ED Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age *“home wound care” – describe wound, give patient enough supplies for..."

2019-12-24T04:21:05Z

Created page with "Home Health from the ED Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age *“home wound care” – describe wound, give patient enough supplies for..."

New page

Home Health from the ED

Who qualifies? Anyone with a skilled need, DHS or OOP, uninsured, any age

*“home wound care” – describe wound, give patient enough supplies for 1 week, place DME order for wound care supplies and message Yvonne Walker. Does not necessarily need wound care eval, ED provider can write order for specific dressing and frequency. RN will come once a day at most, and teach family/caregiver how to do it. (Example, wet*to*dry TID).
*“home health PT” or “home health OT” – need weight bearing status, write “evaluation and treatment” in comments, don’t need formal PT eval, if you think patient is unsteady, may be fall risk
*“home hospice” * social worker may give you guidance on who needs to stay for obs placement into hospice facility vs home. Agencies can come out really quick and enroll. They can arrange for all DME, meds, etc.
*“home safety eval” – nurse check in, check home environment, patient needs to be at home during eval. Concern about overall ability to function at home, but not need around the clock care. Patients taking new meds w/ potential side effects, fall risk, cognitive decline but not want to be placed. Suggestions about fall risks (furniture, rugs).
*“Home infusion” for IV antibiotics can only be written by ID and usually only available during business hours. So will need ID consult to antibiotics fellow p0343. Regarding PICC line vs peripheral it all depends on the length of the IV antibiotics, the type of IV antibiotics and if there are contraindications for a PICC line eg. ESRD on dialysis in order to save the venous access.
* “Home health nurse eval” – new forms of meds, like insulin trouble shooting sliding scale, new anticoagulation, etc.
*Consider also messaging the PCP or CCC to help follow up on order.

Place an order anytime, doesn’t matter if OOP or DHS or uninsured.

*Don’t have to call, but Home Health nurses are available during business hours if questions. Home health office x68450 Mon*Fri 8a – 530p, no weekends or holidays.
*Can leave voicemail afterhours, and they will follow up. They will also check your notes for details. If there are questions, they may send you a message in Message Center.
*Home health coordinates with health plan, DHS or OOP to initiate process. Our HH nurses will do the coordination for uninsured patients. If the order goes in after hours or on a weekend/holiday, it will be arranged the following business day and a note will be placed into the chart with the agency chosen, first anticipated date of service, etc.
*Afterhours, UR can also help call case manager for OOP plans to initiate process for follow up.

==See Also==
*[[Harbor:Main]]

[[Category:Admin]]