Guest guest Posted July 17, 2007 Report Share Posted July 17, 2007 It seems like a lot of times that surveyors like to talk and give some personal opinions, or relate info they have gathered from other sites. If they don’t make it written, I would always question if it’s “real” or “idle chat”. They often have good insight but limit the chatter with their official written comments. Let me qualify my comments….It’s been a few years since I was in a survey so excuse me if this is an actual new requirement… but I would agree with you that it seems to be a darn unusual one. Steve Passmore PT CEO Healthy Recruiting Tools HYPERLINK " mailto:spass@... " spass@... HYPERLINK " http://www.healthyrecruiting.com/ " www.HealthyRecruiting.com " What we did for you yesterday is history.... What can we do for you today " From: PTManager [mailto:PTManager ] On Behalf Of mnk1990 Sent: Tuesday, July 17, 2007 2:22 PM To: PTManager Subject: JACHO Regs!? Hi Group, I just received an interesting request from my director. She told me that while JACHO was here for a periodic assessment, that they 'recommended' (that basically sounds like 'required' to me) 2 items. We are a hospital-based outpatient rehab. 1) That prominently on our evaluations for OT/PT/ST, near the physician's signature, we put a statement " Dr is aware of pts meds " (or something to that effect) on OUR evals. The premise is that poly-pharmacy is happening & that this could help in some way. This concerns me because it seems to put the therapist out of their scope of practice, by cross-checking the physicians. Secondly, as a outpt facility the only confirmation of meds we have is through the pt, so our eval may not reflect all of pts actual meds. I have a hard time understanding how a Dr signing our evals can truely adddress the issue of poly-pharmacy? 2) That in the outpatient setting, when more than 1 discipline are treating the same pt, that an interdiciplinary care plan (that documents any communications regarding the pt between disciplines) is in the charts. I cannot see how this would be effective, given the fact that sometimes PT may start & /or end treatment before OT/ST or any scenerio in that combination. I also do not believe that the interdisicplinary communication, in this setting, necessarily provides for better care, like it would in acute or inpt rehab settings. Is anyone else receivng these recommendations from JACHO? If you are, how are you implementing them? If you'd rather contact me privaely, my phone number is (910)577- 2288. Thank you! Mike Kamp, OTR/L, Outpatient Supervisor, Onslow Memorial Hospital No virus found in this incoming message. Checked by AVG Free Edition. Version: 7.5.476 / Virus Database: 269.10.8/904 - Release Date: 07/16/2007 5:42 PM No virus found in this outgoing message. Checked by AVG Free Edition. Version: 7.5.476 / Virus Database: 269.10.8/904 - Release Date: 07/16/2007 5:42 PM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 18, 2007 Report Share Posted July 18, 2007 We are a hospital based outpatient department as well. We do not perform medicine reconciliation on our PT, OT, Speech patients. If we are doing ionto or phono, we do make sure we have documented medication use to the best of our ability, have a treatment plan and order that will cover or specifically say ionto and phono. I would not feel comfortable documenting doctor is aware of medication because I do not know if they are. The following web site was given to me and is very helpful especially page 12 and 15. http://www.jointcommission.org/NR/rdonlyres/E8C7454D-38F4-43E2-A809-788007671BCA\ /0/pharm_med_rec.pdf We also have separate charts for our patients that are seeing the different disciplines. We do talk about each of these patients and work together but do not show this in documentation. Documentation would look good for JCAHO but not change treatment in our department. If every clinician would state that you have at interdisciplinary approach by open communication, it might be enough. Good Luck! Trevor Huffman Director of Rehab Passavant Area Hospital ville, IL trevor.huffman@... ________________________________ From: PTManager [mailto:PTManager ] On Behalf Of mnk1990 Sent: Tuesday, July 17, 2007 2:22 PM To: PTManager Subject: JACHO Regs!? Hi Group, I just received an interesting request from my director. She told me that while JACHO was here for a periodic assessment, that they 'recommended' (that basically sounds like 'required' to me) 2 items. We are a hospital-based outpatient rehab. 1) That prominently on our evaluations for OT/PT/ST, near the physician's signature, we put a statement " Dr is aware of pts meds " (or something to that effect) on OUR evals. The premise is that poly-pharmacy is happening & that this could help in some way. This concerns me because it seems to put the therapist out of their scope of practice, by cross-checking the physicians. Secondly, as a outpt facility the only confirmation of meds we have is through the pt, so our eval may not reflect all of pts actual meds. I have a hard time understanding how a Dr signing our evals can truely adddress the issue of poly-pharmacy? 2) That in the outpatient setting, when more than 1 discipline are treating the same pt, that an interdiciplinary care plan (that documents any communications regarding the pt between disciplines) is in the charts. I cannot see how this would be effective, given the fact that sometimes PT may start & /or end treatment before OT/ST or any scenerio in that combination. I also do not believe that the interdisicplinary communication, in this setting, necessarily provides for better care, like it would in acute or inpt rehab settings. Is anyone else receivng these recommendations from JACHO? If you are, how are you implementing them? If you'd rather contact me privaely, my phone number is (910)577- 2288. Thank you! Mike Kamp, OTR/L, Outpatient Supervisor, Onslow Memorial Hospital Quote Link to comment Share on other sites More sharing options...
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