QualityNurse38

When I worked in hospital quality, I helped with the development of core measure cue cards that would be placed on the front of the chart for the physician and nurse accountability. As the quality director, I would collect the cards and if we had a fallout, I would pull the card to see what, who and how the fallout happened and coordinate one-on-one training from there. It was an ongoing PI project and I loved it. Our core measure scores soared from 50-75% to 90-100%. Make everyone that touches that chart accountable. The physicians loved it. On discharge the LVSD, ACE/ARB's were never missed and the discharge instructions were documented as given. If your facility utilizes agency nurses, that may be an issue of non-compliance or forgetfulness. I really hate the charts that started as a CHF, but ended up being coded as a Pneumonia; there is nothing that you can do in those instances. As for your VTE question, SCD's count! Per the abstraction data dictionary for SCIP VTE prophylaxis "mechanical VTE prophylaxis does not require a physician order to be abstracted; there is no order or copy of hospital protocol required. Abstract any form of mechanical VTE prophylaxis that is documented as ordered or as placed on the patient at any time from hospital arrival to 24 hours after Anesthesia End Time." I hope that this helps!!

If you are looking for a solid quality job from home, this is the real deal!! I'm an employee of the company and I LOVE MY JOB!!! You must have abstraction/inpatient core measure experience.

I feel that MBARNBSN is correct. If she wants to be an inpatient hospital case manager and a good one, then she would qualify for entry level and receive the proper training. Now, if she wants to be a home health or a hospice case manager, then you are correct mclennan!! When I was a Director of Case Managment, no experience = entry level so that they could be properly trained and mentored.