{"metadata":{"generator":"Captivate","generatorVersion":"11.8.0","schemaVersion":"","author":"author","title":"Enhanced Hospice Recertification Process","description":"project description","email":"","website":"","tags":"","thumbnail":"","source":"assets","durationInFrames":810,"frameRate":30,"totalSlides":9,"width":960,"height":1500,"responsive":false,"scalable":true,"launchFile":"index.html","isVRProject":false},"contentStructure":[{"id":"si15339","class":"TODO::Senthil","roles":{"click":{"subtype":"button"},"question":{"quizId":379,"text":"Image ","type":"graded","interactionType":"choice","score":{"weight":1,"penalty":0}},"textData":{}}},{"id":"Title_AutoShape_7","class":"TODO::Senthil","instance":"Title_AutoShape_7","title":"HCHB Update - Enhanced Hospice Recertification Process ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_9","class":"TODO::Senthil","instance":"Text_Caption_9","title":"HCHB has developed a new Enhanced Hospice Recertification Process to enable agencies to have a more robust Hospice Recertification Order. This enhancement will allow agencies to use a new order to manage their Hospice Recertifications.  Overview of Changes The major enhancement to the process is the creation of a new order type. The new order type is called the Hospice Recertification Plan of Care Update order. The order will be populated with more content than the previous Hospice Recertification Order. As shown below, the new order adds content for Medications, Supplies and Levels of Care. Additionally, Order Text, Goal Text and Pathways/Care Plan are available. The content reasons of Calendar, Medications, Supplies and Levels of Care are selected by default. Note that Medications, Supplies and Levels of Care cannot be deselected. This is to prevent accidental removal of the content under these tabs as it cannot be recovered automatically. However, any transactions under Supplies can be removed at the user’s discretion.                                 Each tab on the order will be described in on the following slides.  A detailed training handout is also available for printing. 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Changes to the pathways on this tab will update the order and goal text tabs respectively. 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The effective date will default to the pending benefit period’s start of benefit period and is not editable. Upon approval of the Hospice Recertification Plan of Care Update order in the pending benefit period, the Levels of Care in the pending benefit period will be populated based upon the Level of Care established in the order.                         After approval of the order, the levels of care are populated to the benefit period. There is special functionality on this tab if the patient will be continuing or will start Respite Care at the beginning of the pending benefit period, Respite Care can be selected in the order and the effective date will default to the start of the pending benefit period and is not editable. The expiration date will need to be selected. The system will validate across benefit periods to make sure no more than five consecutive respite days are requested. Additionally, a Level of Care type will need to be selected for the remainder of the benefit period. The Level of Care type will have an effective date of one day after the expiration of Respite Care and will not be editable. 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The agency will plot visits for the pending benefit period on this tab. Upon approval of the Hospice Recertification Plan of Care Update Order, the visits will be transferred to the scheduling console for scheduling.                                       The calendar cannot be deselected, which makes it a hard stop, and you can't move through the order without making edits. The calendar frequencies must be adjusted to complete and approve the Hospice Recertification Plan of Care Update.        After approval of the order, the visits transfer to the scheduling console. 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The medications will be placed on the order as Add Transactions. Upon approval of the Hospice Recertification Plan of Care Update Order, the medications will be transferred to the patient’s medication list in the new pending benefit period. ","roles":{"textData":{}}},{"id":"Image_38","class":"TODO::Senthil","instance":"Image_38","roles":{"click":{"subtype":"button"},"question":{"quizId":379,"text":"Image ","type":"graded","interactionType":"choice","score":{"weight":1,"penalty":0}},"textData":{}}},{"id":"Image_39","class":"TODO::Senthil","instance":"Image_39","roles":{"click":{"subtype":"button"},"question":{"interactionId":"19923","quizId":379,"text":"Image ","type":"graded","interactionType":"choice","score":{"weight":1,"penalty":0}},"textData":{}}},{"id":"Text_Caption_34","class":"TODO::Senthil","instance":"Text_Caption_34","title":"Our agency uses elMOE for Medication management. Do not make any modifications to the patient’s medications in this Medications tab, it will not flow to elMOE. If changes are needed, please complete them via the elMOE application. After approval of the order, the medications will be transferred to the medication list ","roles":{"textData":{}}},{"id":"Slide19946","class":"Normal Slide","instance":"","thumbnail":"","children":["si15339","Button_19","si19798","si19811","Button_20","si19843","si19856","SmartShape_51","SmartShape_52","Text_Caption_25","Image_38","Image_39","Text_Caption_34"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide19946"}}},{"id":"Title_AutoShape_15","class":"TODO::Senthil","instance":"Title_AutoShape_15","title":"HCHB Update - Enhanced Hospice Recertification Process ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Button_21","class":"TODO::Senthil","instance":"Button_21","roles":{"click":{"subtype":"button"}}},{"id":"si20029","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si20042","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"Button_22","class":"TODO::Senthil","instance":"Button_22","roles":{"click":{"subtype":"button"}}},{"id":"si20074","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si20087","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_53","class":"TODO::Senthil","instance":"SmartShape_53","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_54","class":"TODO::Senthil","instance":"SmartShape_54","title":"Supplies Tab ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_26","class":"TODO::Senthil","instance":"Text_Caption_26","title":"This tab will populate with the patient’s current supplies from the current benefit period. The supplies will be placed on the order as Add Transactions. Upon approval of the Hospice Recertification Plan of Care Update Order, the supplies will be transferred to the patient’s supply list in the new pending benefit period. If the agency does not want a particular supply to carry over to the new pending benefit period, they can highlight the supply and select Delete Transaction in this tab. The agency can also add any new supplies they wish to include upon recertification.                                       After approval of the order, the supplies will be transferred to the supplies list. ","roles":{"textData":{}}},{"id":"Image_40","class":"TODO::Senthil","instance":"Image_40","roles":{"click":{"subtype":"button"},"question":{"interactionId":"20142","quizId":379,"text":"Image ","type":"graded","interactionType":"choice","score":{"weight":1,"penalty":0}},"textData":{}}},{"id":"Slide20177","class":"Normal Slide","instance":"","thumbnail":"","children":["si15339","Button_21","si20029","si20042","Button_22","si20074","si20087","SmartShape_53","SmartShape_54","Text_Caption_26","Image_40"],"roles":{"slide":{"durationInFrames":90},"navigation":{"navid":"Slide20177"}}},{"id":"Title_AutoShape_11","class":"TODO::Senthil","instance":"Title_AutoShape_11","title":"HCHB Update - Enhanced Hospice Recertification Process ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_16","class":"TODO::Senthil","instance":"Text_Caption_16","title":"The Enhanced Hospice Recertification Process The new Hospice Recertification Plan of Care Update order will be generated at the same time the current Hospice Recertification Order is today. Once the order is generated, the workflow Review/Edit/Approve Hospice Recert Order will be generated as well. This workflow can be used to make any adjustments to the order. This workflow will be used to approve the New Hospice Recertification Plan of Care Update order as it is today to approve the current Hospice Recertification Order. Upon approval, the pending benefit period will be updated with all the content of the order (medications, levels of care, etc.).  Recertification Window – Keeping data in sync from current to pending benefit period To help understand this process, let’s start with a few definitions. Current benefit period – This is the benefit period under which the patient is currently being seen. The current date is within this benefit period’s start and end dates. Pending benefit period – This is the benefit period created for recertification and contains the new Hospice Recertification Plan of Care Update order. Recertification Window – This is the time period between the date the Hospice Recertification Plan of Care Update Order is created and the start of benefit period of the pending benefit period. With the enhanced process, HCHB will be implementing a recertification window feature. This feature will keep the current benefit period data in sync with the pending benefit period data if changes are made via an order in the current benefit period. For example, in the current benefit period an order is written to add a new medication. Upon approval of that order, the medication will be transferred to the current benefit period’s medication list. Additionally, if the patient is within the recertification window, the new medication will also be applied to the pending benefit period. The changes made to medications, supplies or diagnoses in the current benefit period will be applied to the pending benefit period as follows: If the Hospice Recertification Plan of Care Update Order is unapproved in the pending benefit period at the time of approval of the order in the current benefit period, the transactions from the order in the current benefit period will also be applied to the transactions on the Hospice Recertification Plan of Care Update Order in the pending benefit period. When the Hospice Recertification Plan of Care Update Order is approved, those transactions along with any other transaction already present on the order will be transferred to the pending benefit period (medication list, supplies list etc.). If the Hospice Recertification Plan of Care Update Order is already approved in the pending benefit period at the time of approval of the order in the current benefit period, the transactions from the order in the current benefit period will be automatically applied directly to the pending benefit period (medication list, supplies list etc.) ","roles":{"textData":{}}},{"id":"SmartShape_31","class":"TODO::Senthil","instance":"SmartShape_31","title":"Go Live: March 4, 2024 ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Button_13","class":"TODO::Senthil","instance":"Button_13","roles":{"click":{"subtype":"button"}}},{"id":"si18628","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si18641","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"Button_14","class":"TODO::Senthil","instance":"Button_14","roles":{"click":{"subtype":"button"}}},{"id":"si18673","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si18686","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"Button_23","class":"TODO::Senthil","instance":"Button_23","roles":{"click":{"subtype":"button"}}},{"id":"si20329","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"si20356","class":"TODO::Senthil","roles":{"click":{"subtype":"button"}}},{"id":"SmartShape_69","class":"TODO::Senthil","instance":"SmartShape_69","title":" ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"SmartShape_70","class":"TODO::Senthil","instance":"SmartShape_70","title":"Diagnoses Tab ","roles":{"click":{"subtype":"button"},"textData":{}}},{"id":"Text_Caption_35","class":"TODO::Senthil","instance":"Text_Caption_35","title":"This tab works the same as the Hospice Recertification Order. It is not required content for this order. If changes need to be made to the diagnoses effective with the recertification, the changes should be made in this tab. Otherwise, the diagnoses will be carried over to the new pending benefit period as they currently do prior to this enhancement. 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