Join our podcast guest today Rita Ramos for a review of 2020 lessons learned related to the negative impact of social isolation and how we can safely bring people back together in a FUN and relevant way! Here are the links and resources discussed during today's episode: https://www.cms.gov/files/document/qso-20-30-nh.pdf https://www.cms.gov/files/document/qso-20-30-nh.pdf and https://www.cms.gov/files/document/qso-20-39-nh.pdf https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html...
Feb 03, 2021•19 min
In this episode, we'll review the most common post-acute COVID symptoms in order of prevalence based on lessons we learned in 2020. Here is the list of common post-COVID symptoms to anticipate and address with your aging adult population Fatigue Breathlessness PTSD, Anxiety/Depression Concentration Problems Pain Voice Changes Cough Memory Problems Continence Problems Dysphagia
Jan 27, 2021•19 min
In this episode, we discuss treating the acute, newly diagnosed COVID patient in your SNF/LTC setting. Make sure to complete a comprehensive assessment of cardiopulmonary function before, during, and after activities to rule out the following common issues identified with this population: shortness of breath, asymptomatic hypoxia, hypotension, lowered ejection fraction. Respiratory muscle weakness is a very common impairment and can easily be addressed using the following exercise program: Diaph...
Jan 20, 2021•17 min
We learned a lot in 2020! Let's use these lessons to help enhance our 2021 practice for improve efficiency, quality outcomes, and patient satisfaction. Today, let's discuss 4 tips for providing telehealth services: 1. Be Prepared - have a plan for equipment, set up, interventions, assessment strategies 2. Be Creative - think how to accomplish goals with verbal and visual cues 3. Be Flexible - go with the flow and use environmental cues to drive interventions 4. Be Compliant - know your state pra...
Jan 13, 2021•22 min
Happy New Year!! Check out our first pod series of 2021 - Applying 202 Lessons Learned into 2021 Practice. Our industry was shaken by a new diagnosis last year but we learned invaluable information on how to manage during a crisis. The next 4 episodes will focus on lessons learned and applications into practice.
Jan 06, 2021•16 min
3 Key Elements of quality daily note documentation are the What, the Why, and the How. Listen to our final pod of 2020 and last episode in “Improving Quality Documentation” series to learn how to avoid the nonsense daily note and focus on what really matters.
Dec 30, 2020•15 min
We continue our series on improving the quality of rehab documentation with tips to enhance the initial rehab evaluation. The initial eval is Chapter 1 of a unique patient story and requires a discipline specific reason for referral which drive, measurements, assessments and functional measurable goal selections.
Dec 23, 2020•16 min
Our podcast series focused on improving the quality of rehab documentation continues with a review of progress reports and why goal modifications are a required element of our QRM Quality Documentation Audit process.
Dec 15, 2020•19 min
How does your organization define quality documentation? Compliant documentation and quality documentation are two different things. Check out part 2 of our quality rehab documentation series where we discuss how a strong finish helps define quality documentation.
Dec 09, 2020•15 min
Listen in to the last podcast series of 2020!! Based on data collected this year on the percent of rehab goals met, we've created an audit tool to understand WHY don't we meet the goals? Through the end of December, join the QRM Quality Team to help answer this question as we deep dive quality improvement opportunities related to our audit findings.
Dec 01, 2020•14 min
The dining room is a natural environment for identifying long-term care resident needs in real time. There's no better place to easily explore and examine activities of daily living in action! And since all IDT members play a role in dining room support, this is an area where we all can share perspective to address resident needs.
Nov 24, 2020•17 min
If you remember Grand Rounds, check this one out! We may not “round” anymore but we still collaborate to determine individual patient needs.
Nov 17, 2020•15 min
Join QRM's CMI expert Rita Ramos for a discussion on how to use case mix index weights to drive LTC programming initiatives. What does CMI tell you and how can you use this information to individualize care plans and allocate appropriate resources for your LTC patient population? Check out this episode to find out!
Nov 10, 2020•15 min
Part 2 of our LTC Quality Improvement and Clinical Programming series Tune in for a review of the nursing home compare publicly reported long-stay quality measures used to help consumer make informed decisions about health care providers. Today we dig into the long-stay QMs used to calculate the 5 star Quality Domain
Nov 04, 2020•18 min
Introduction to a new podcast series: Long-Term Care quality improvement and clinical programming. In the next 5 episodes, we will navigate the new Care Compare website and analyze Nursing Home Compare 5 star quality measures specific to long-stay residents. We will discuss CMI and what your weighted Case Mix Index means, how it differs by state, and how to analyze monthly CMI trends to address LTC patient needs. The final 2 episodes in this series will be dedicated to LTC patient identification...
Oct 28, 2020•14 min
During today's episode, QRM's VP of Medical Review Ashley Duggan shares 3 potential audit & denial risk areas her team has identified related to COVID. Resources discussed in today's episode: Let's Get to the Point: Coding and Documenting to Capture Isolation Given the current COVID-19 Public Health Emergency, providers have incorporated isolation into resident care to minimize infection transmission. While isolation may be essential to resident safety, it may not always meet the RAI Manual ...
Oct 20, 2020•16 min
Our COVID Clinical Practice Series continues with a review of the functional impact of COVID and strategies you can utilize to improve functional outcomes following the dramatic decline our industry experienced in March 2020
Oct 14, 2020•18 min
Our guest Rita is back on the pod to give our audience infection control strategies to implement before, during, and after resident interactions. She discusses why having an infection control plan before any resident activity is so important and how to incorporate infection control education into your activities to promote adherence - "this is MY dance space, and this is YOUR dance space"!! Resources discussed during this episode: Phase reopening guidelines: https://www.cms.gov/files/document/qs...
Sep 29, 2020•16 min
Joining the pod for the next 2 episodes is QRM's new team member Rita Ramos, SLP and Quality Clinical Specialist. In this episode, Rita discusses the negative impacts of social distancing and isolation on the 3 D's: Depression, Delirium, Dementia and offers strategies to safely bring residents back together for carefully planned, choreographed social activities. Resources discussed in this episode: https://www.cms.gov/files/document/qso-20-30-nh.pdf...
Sep 29, 2020•15 min
We are back!! The next 4 episodes will focus on clinical practice strategies based on what we’ve learned over the last 7 months of PHE. Today is an introduction to our series on COVID strategies. Stay tuned for more!! Additional Show Notes: Polling Question of the Week - submit answers to buzzpodcast@qrmhealth.com What best describes your birth order style for keeping up with COVID-19 information? Oldest Child - independent seeking information on your own Middle/Only Child - rogue doing your own...
Sep 22, 2020•16 min
In this episode, we review caseload management strategies to reduce the risk of cross contamination during the public health emergency while also ensuring our patients have access to the services the need.
Mar 27, 2020•19 min
A traditional therapy model presents challenges to reducing cross contamination during the public health emergency. We offers suggestions on how to utilize technology to reduce practitioner travel between long-term care facilities
Mar 26, 2020•16 min
Options for adjusting documentation requirements to ensure uninterrupted care and decrease risk of COVID 19 spread
Mar 23, 2020•14 min
We revisit some of the most frequently asked questions during the public health emergency and give a shout out to a few of our rehab teams who are keeping residents engaged and moving despite barriers during current climate
Mar 20, 2020•23 min
Review of AHCA and NCAL guidance for therapists in LTC and SNF to prevent the spread of COVID-19
Mar 19, 2020•16 min
The first of many episodes dedicated to supporting our rehab teams working in skilled nursing facilities during the COVID-19 pandemic. Subscribe to the Buzz podcast to get daily treatment ideas, documentation tips, health promotion and safety strategies to utilize during this global crisis.
Mar 19, 2020•22 min
Use a 4 Quadrant Priority matrix to prioritize patient needs and services under PDPM. Focus on working in the Quadrant of Quality to improve outcomes and show value.
Nov 15, 2019•15 min
Too many redundant goals can dilute your plan of care and make it challenging to achieve functional goals. Tune in for strategies on selecting the best goals: 1. Choose less goals 2. Pick functional goals related to the reason for referral 3. Use consistent and measurable scales 4. Always include an education goal.
Nov 08, 2019•15 min
Unmet goals are a direct reflection of our rehab outcomes. When a discharge is planned, all goals should be met. Ask the following 3 questions when discharge planning to avoid unmet goals and negative outcomes: 1. Which goals are unmet? Focus on these areas ONLY prior to discharge 2. Does the goal need to be downgraded or discharged? If the patient will not achieve the established goal by the planned discharge date, the goal is NOT appropriate 3. Is there a patient/caregiver education and traini...
Oct 30, 2019•15 min
Therapy, we can show our value in PDPM by focusing on outcome measures to drive goals, treatments, and discharge planned. If you want to get better at the “thing”, then DO the “thing”!
Oct 23, 2019•15 min
