2Know KNOWLEDGE IS POWER. KNOWLEDGE SHARED IS POWER MULTIPLIED. December 2021 www.2treesconsulting.com

Hello, Welcome to the last issue of the 2Know newsletter of 2021. What a year it was! Just as we thought we had gained the upper hand of the pandemics, COVID19 is making an unwelcome comeback. The movie "Don't Look Up" is a comical reflection of what's happening in our country - divided in our opinions, choices, and actions. Ultimately we are all suffering from the consequences. It feels a cliche to use the word "mindfulness" because of the over usage and misusage of the word. In my opinion, mindfulness is turning inward - noticing one's own thoughts, exploring the drivers behind those thoughts, understanding and setting our intentions, and deciding whether we will act on those thoughts. Thoughtfulness is an outward act of compassion, empathy, and care. The intention behind the kindness of words or acts is to provide a service to others or make others feel better. It is not self-serving. Mindfulness can help us be more aware of our thoughts and the feelings triggered by those thoughts. To practice mindfulness is to pay attention to our thoughts, examine the drivers or situations behind those thoughts, and decide what to do about those thoughts. Mindfulness can help us be more intentional and responsible. Thoughtfulness can help cultivate a better relationship with others. To be thoughtful is to put others in our thoughts and take action to serve others. It is a challenging time. Let's all be a little more mindful and thoughtful. Let's be curious about our thoughts and make meaningful connections with others. Let's better ourselves and contribute to our society. We wish you a bright, safe, and healthy 2022! Happy New Year! Mei

Top 3 ACHC Survey Deficiencies

Home Health HH5-3A: Each patient receives an individualized written plan of care. Findings: Plans of care were not entered, incorrect, or incomplete. HH5-6A: Agency develops and implements an effective transfer and discharge planning process for patients who are transferred to another HHA or who are discharged. Findings: The standard was cited because of lack of documentation to support the discharge or transfer and/or summaries were not provided in a timely fashion to the appropriate physician or healthcare practitioner. HH5-11A: Professional providing skilled services to HHA patients participate in the coordination of care and assume responsibility for all items detailed in the standard. Findings: The standard was cited when skilled professional services were not provided in accordance with the plan of care, clinical documentation was incorrect and incomplete, or the physician or allowed practitioners involved in the plan of care and other health care practitioners related to the current plan of care were not notified of a change in status.

Home Infusion Therapy HIT5-3C: Each patient receives an individualized written plan of care. Findings: Plans of care were not entered, incorrect, or incomplete. HIT5-3E: Patient record must reflect that care is delivered as per the plan of care. Patient record review revealed the following discrepancies: Findings: The standard was cited because plans of care were not adhered to during provision of care. HIT5-8B: A licensed skilled professional must review and document all medications. Standard is cited because of incorrect and incomplete medication profiles. Findings: The standard was cited because of incorrect and incomplete medication profiles. Click here to read the full report on Home Health/Home Infusion Therapy deficiencies.

Pharmacy DRX4-7C (IRX) : Policies and procedures must be developed and applied for sterile compounding personnel to receive training and education prior to independent work assignment. Findings: Deficiencies were cited when organizations developed policies and procedures without all the required elements. DRX5-2C: Each patient receives an individualized, written plan of care. Findings: Plans of care were not entered, incorrect, or incomplete. DRX7-9B Shipping procedures must ensure that pharmaceuticals are maintained under appropriate conditions when shipped. Findings: Deficiencies resulted from inappropriate conditions of the shipping materials. Click here to read the full report on Pharmacy deficiencies

Contact us if you have any questions or would like any additional information on the ACHC accreditation surveys.

Laws and Regulations

Reminder: E-prescribing Laws (CA) Beginning January 1, 2022, all prescriptions issued by a licensed healthcare practitioner to a California pharmacy must be submitted electronically. In addition, all California pharmacies must have the capability to receive prescriptions electronically. Click here to read AB 2789 Section 688 or visit the FAQ page. Reminder: E-prescribing Laws for Controlled Substances (NV) Starting January 1, 2022, all controlled substance prescriptions must be transmitted to a pharmacy by electronic prescribing. The requirements do not apply to a prescription if certain exemptions are met. Pharmacists are not required to verify that a controlled substance prescription submitted by method other than e-prescribing meets one of the exceptions. Pharmacists may not require a practitioner to verify that a controlled substance prescription submitted by a method other than e-prescribing meets one of the exceptions. Click here to read the FAQ page.

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