CHAP Audit Need Guidance.

[Oskie06]

Hello Everyone,

Well I actually have various questions. I was recently appointed ADON for an agency I have been working for. Unfortunately my DON is on medical leave the day right after I was promoted. I NEED GUIDANCE! So our administrator recently informed me we are going to get audited by chap. I was wondering what exactly do they audit? As soon as I got into the position she has gotten me doing QA on our charts and our Nurses visits. They aren't too great unfortunately...:\. I only got 2 years experience as a RN, I had my first 3 months of experience in a hospital and the rest 1year and 9 months has been Home health, which I LOVE!! I know I'm a quick learner, I adjust very easily to change, and I do consider myself a good nurse. I care about what I do and tend to be very meticulous, but sometimes I do need guidance, ESPECIALLY WHEN ITS SOMETHING COMPLETELY NEW TO ME! Since I really don't have anyone to reach out to at this time as a director, I figured I would try my luck here.

As I mentioned, I really would like to get some guidance to see what CHAP will really be looking at while they come and do our audits, and exactly how far back do they look at charting. Like I said, thus far I have been looking at our charts for the past two weeks visits, and OMG! I never realized how bad the documentation for the agency is... It really needs a fixer upper. I already intervened by educating our nurses on the dings we have on our documentation, but like I said I need more guidance to see what CHAP really looks at so I can complete the patch work where it really is needed.

In addition currently got a raise to 30.87 a hour for my ADON position, I feel like Im completing a lot of work for my position. Im doing QA, Case management, on top of all my visits which include P.H., SOC, D/C, RECERTS Transfers, REG visits, SUP Visits. Im getting paid P.H.-2.5 points, SOC-2.5 points, Recert-2.0 D/C- 1.5 points, Reg Visits-1.0, Sup Visits 1.0. I need to complete 40points a week for my 40 hours. If I spend time at the office doing QA I get paid hourly. And I cover my city and outskirt cities which is about a 70 mile radius. Do you think my pay is appropriate.

I really appreciate everyone's time to read on my thread and guidance!!! Now I need to get back to documenting.. I though Id sneak in hear to post a thread in hope and with gods prayer that I receive some guidance!! THANK YOU ONCE AGAIN :)!!!

[I<3H2O, BSN, RN]

You are doing two jobs! That is too much! The surveyor will be looking for so many things. S/he will go back a year or so plus current charts. The number of charts/home visits audited will depend on your admission numbers. Make sure every pt has EVERY.SINGLE.med they might take listed in their records. Make sure your home folder is in the patients home and accessible. Make sure your nurses are using proper bag technique, proper wound care, etc. All supervisory visits must be done appropriately. They also will check to make sure all of your HR files are put together and have the required information. Do you have any outsourced therapies? If so, make sure they have an HR file too and it has the proper credentialing.

If you work for a corporately owned facility, you should have a quality person to go to at the corp level that will guide you.

[Oskie06]

Thanks a lot for your help!!! And I do feel like im doing a thousand things at once! Im feeling pretty overwhelmed.

[toomuchbaloney]

CHAP provides the agency with guidelines for the survey, they tell you exactly what they are looking for. YOU should not be the point person for this audit, Administration is. Those people higher up the food chain should be developing the plan of action to prep the facility for the audit.