home health form 485

RNDP2012 · Oct 20, 2011

thank you angels for your help

Isabelle49 · Oct 21, 2011

What do you see as the difference between how to formulate the 485 and how to create one? It seems to be the same thing to me. Unless Dunya is asking about how to create a 485 worksheet that the RN would use to tick off assessments and interventions based on diagnosis? And I still believe that should be created by a qualified clinician, not an unlicensed person.

I'm still not sure what she is asking about. I know that the 485 is generated by information collected by a clinician when the patient is initially assessed on admit and for reverts. We have data entry personnel who input the data they receive from RN's who made the visit and the information is taken from the OASIS that the RN has completed. When this information is entered, the 485 is generated via a program our company uses called 'Patron'. The information input from the OASIS is in a format that Patron can recognize and accept. (to create the 485 is to input data that generates the 485 and this can be done by anyone, to formulate the 485 is to complete the appropriate OASIS, which also includes the care plan and must be done by appropriate licensed personnel)

My question is, how is the company generating (creating) their 485's, not how the information is formulated for the 485, since that must be done by an RN or PT.

KateRN1 · Oct 22, 2011

(to create the 485 is to input data that generates the 485 and this can be done by anyone, to formulate the 485 is to complete the appropriate OASIS, which also includes the care plan and must be done by appropriate licensed personnel)

I think you are confusing the OASIS with the 485. An OASIS is not necessary to complete a 485 and neither is a 485 necessary to the OASIS. You can have OASIS data collection without a 485 generated. The 485 IS the plan of care and should be completed by the assessing clinician in consultation with the patient and the patient's physician. It is not generated by the OASIS, although it should be driven by the data collected during the assessment process. Some software systems do have the ability to "plug and play" assessments, interventions, and goals included within the OASIS assessment software/forms, but it is not required and certainly not supplied by all vendors.

If by "create" you mean "type and print," then that is correct. Anyone can type the 485, or even handwrite it (as we used to do in the old days when dinosaurs were our patients). But it must be created, formulated, however you want to put it, by the assessing clinician. In other words, the assessments and interventions that are included in the patients Form 485 Physician Ordered Plan of Care must be decided upon by the assessing clinician in collaboration with the physician and the patient/caregiver.

finetune · Jan 22, 2012

KateRN1 : Would you please forward me your 485 template. I'd greatly appreciate it as I am new to hhc and my agency is sorely understaffed (little to no orientation for me

KateRN1 · Feb 5, 2012

Email me at KateRN1 at hotmail dot com and I will forward it to you.

Susan317 · Feb 5, 2012

There should be a professional guiding you,but if not there is a nice guide Handbook of Home Health Standards I got it on Amazon. This book provides ICD9 codes and interventions for the care plan.

tiggerifficRN · Feb 12, 2012

i would be very intrested in obtaining a copy of this also if you don't mind..i am an RN new to the home care atomsphere and this may be a godsend..As i am having difficulty..I have been an ER nurse for most of my carreer and writing careplans and goals and interventions is over my head as i have not had to do this since nursing school...thanks so much