A cousin of mine just passed away a few months ago after a long illness. He was fortunate to be able to spend his last few weeks at home with the family and friends he loved around him, either looking out the window at his beautiful backyard or some days, on the back porch. “Fortunate” is a relative word: he was in his early 50’s and should have lived a lot longer. On the other hand, after weeks in hospitals and long term acute care (LTAC) facilities, he (and his family) were grateful that he was able to spend his last days at home. During those last weeks, he tapped into the durable medical equipment industry more than most people do in a lifetime.
HQAA fields quite a few questions about ventilator care and whether or not the care is “clinical” in nature or non-clinical. It may be helpful to clarify some points about ventilator care and review the definition of clinical respiratory services.
Towards the end of the Provision of Services (PS) standards, almost to the end of the section, is the very simple accreditation standard PS 9: The Coordination of Care. The standard, in very simple, straightforward language, reads:
The organization documents the coordination of care between all those involved in the delivery of services or equipment/devices to the client. The organization documents communication with the client and between providers in a standardized manner within the client medical record.
Clinical respiratory services (CRS) are hands on care, assessment, or treatment, governed by state regulations including Respiratory Practice Acts and Licensure Laws. It is usually physician-prescribed in conjunction with medical equipment services. Most of the DME organizations that provide CRS do not get paid for the services and do them as an adjunct to providing some kind of equipment services, such as an oxygen or ventilation program. Because of the limited opportunities for reimbursement for these services, organizations
“Ride alongs” are home visits that are performed with a new orientee or current staff member where an evaluator rides along to teach and observe the staff member performing the visit. These visits are typically done during orientation/training and on an on-going basis for competency assessment. These visits ensure that all of job-related tasks are being performed in a correct manner while the staff member is unsupervised in the field.
Now available from HQAA: Facility-Based Ventilator Unit Accreditation
HQAA’s newest accreditation product, Facility-Based Ventilator Unit (FBVU), is starting conversations about quality throughout the long-term care industry.