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Outcome Based Case Conference - …
3/29/20111 Outcome Based Case ConferenceAre You On the Train or On the Tracks?Michelle Funk, RN BS, COS C 15 years RN 13 years Home Health Clinician Case Manager Program Coordinator Supervisordi QA Coordinator Special Projects OASIS Coordinator Director Administrator Consultant Regulatory Compliance Operations Assistance OASIS SpecialistGoals of Home Health Care Planning Relationship Centered Interdisciplinary Team Collaboration Evidence Based Individualized and Goal Driven Communication Focused Care3/29/20112 OASIS and Care Planning ProcessLinking assessment and intervention to reduce negative outcomesOASIS and Care Planning Process at SOC/RECPlan / InterventionNoYesNot Applicablea. Patient-specific parameters for notifying physician of changes in vital signs or other clinical findings 0 1 naPhysician has chosen not to establish patient-specific parameters for this patient. Agency will use standardized clinical guidelines accessible for all care providers to referenceff(M2250) Plan of Care Synopsis:(Check only onebox in each row.)
3/29/2011 2 OASIS and Care Planning Process Linking assessment and intervention to reduce negative outcomes OASIS and Care Planning Process at
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