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QIO HHQI Weekly Update :: April 14, 2008   

TIP OF THE WEEK

Emergency Care Planning

Home health agencies depend on patients and their caregivers to assume an active role in their care. One way to meeting the needs of chronically ill older patients is to develop an emergency care plan. If implemented properly, the emergency care plan can help your agency intervene before the patient is rehospitalized. (Coleman, et al., 2006).

The goal is for the patient and their caregivers to be knowledgeable about the signs and symptoms that indicate the patient’s condition is worsening and what are the next steps to take. The home health agency can collaborate with the patient and caregiver(s) to provide a written emergency care plan. This emergency care plan identifies the signs and symptoms that indicate changes in health status and identifies who and when to call regarding these changes in health status. Clinicians should discuss with patients and their caregivers which signs and symptoms indicate a change in health status, whom to call and when, as well as the home health agency’s contact information should they have additional questions. Clinicians should review and update the emergency care plan with patients and their caregivers at every visit.

Reference:

Parry C, Kramer H, Coleman EA. A Qualitative Exploration of a Patient-Centered Coaching Intervention to Improve Care Transitions in Chronically Ill Older Adults. Home Health Care Services Quarterly. 2006;25(3-4):39-53. Abstract (http://www.caretransitions.org/documents/A%20qualitative%20exploration%20-%20HHCSQ%20Abstract.pdf)

 

RESOURCE SPOTLIGHT

Emergency Care Planning Best Practice Intervention Package
This is a comprehensive manual for agency leadership and staff to identify and implement emergency care planning for home health patients. Tools, educational resources (including WebEx and audio presentations) and guidelines are provided for easy implementation.

CHF Zones for Management
From the Improving Dyspnea, Tools and Resources package developed by Delmarva, the Congestive Heart Failure Zones for Management can be used during patient visits.

 

IN THE NEWS

CMS RELEASES REGULATION MODERNIZING DIALYSIS CENTERS

April 3, 2008 -- CMS -- The Centers for Medicare & Medicaid Services (CMS) released a final rule that will modernize the Medicare conditions for coverage for the nation’s dialysis centers and promote higher quality of care for patients receiving dialysis. | Final rule (PDF)

INSOMNIA PROLONGS DEPRESSION IN THE ELDERLY

April 4, 2008 -- Sleep -- Study published in the Sleep Journal suggests that insomnia is a perpetuating factor for late-life depression. | Journal Article

OHIO KEPRO EDUCATION

EXPERIENCE WITH TELEHEALTH - TWO AGENCY PERSPECTIVES

June 12, 2008, 3:00 to 4:30

Save the date. More details to come.

COMING ATTRACTIONS

Ohio Council for Home Care – Upcoming Education

  • April 15-16 – OASIS Revisited
  • May 13-15 – Breaking the Code – Competency in Diagnostic Coding

Ohio Hospice and Palliative Care – Upcoming Education

Health Policy Institute of Ohio: Regional Meetings on the Ohio Family Violence Prevention Project

 

The Tip of the Week Archive is available on the Ohio KePRO Web Site.