Plan of correction/frequencies

[renerian, BSN, RN]

As most of you know I started with a home health agency the begining of the month. Of course they did not tell me they were just audited by the state and had to write a huge plan of correction which I did with the clinical director since I had been there only 24 hours LOL.

Here is what I need your thoughts on. One of the areas in need or correction was frequencies following the plan of care. They were off badly. I have done an expanded reaudit and found it is pandemic still. I am recommending a 100% audit with the help of all clinical staff as there are about 450 charts that are active. My super tells me not do look at the issues for charts until after the plan of correction date. My concern is I know for a fact that nearly 100% of the charts have missed visits or extra visits for which there are no orders for/or not notification to the doc on missed visits.

I do not think this is right. An ADR would show up that issue. They are telling me to ignore it. There are about 5,000 visits that I know of they processed that have no notes/orders. I have informed them if they do not do something, ANYTHING, it is approaching the "F" word we in health care never want to hear about. The billing person has confered with me and we are in agreement that you just cannot ignore this fact. NOw that I know, crap, I am obligated to do something that no one wants to do.

Anyone care to give me your thoughts,

renerian:

[dragonfly954]

Hi renarian. I am in the process of returning to home health.Have finished part of the orientation,but the home health care company can't seem to get it together.I replied because this company got into big trouble several years ago for the same types of things you mention(missed visits,chart deficiencies,and more serious things such as fraud)that I am with.Didn't realize it was the same company from years ago.Now I see a lot of disorganized chaos in the day to day setting in the office.Not sure if I should go elsewhere.You are not alone.:)

[renerian, BSN, RN]

Thanks for the reply. I have seen some companies run smooth as glass and others that struggle and are constantly in turmoil. I wish you the best.

renerian