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Discussion

Showing Improvement?

We keep getting told that we must show improvements in our patients between the SOC and DC. Yes, we can get the wounds healed, teach them about their meds/disease processes/safety in the home, but sometimes they just won't have any improvement.

At a recent staff meeting, they went over our individual improvement percentages on patients we had. Please tell me who can make a 90 yr old woman not be incontinent anymore???

Sometimes I feel like the majority our our patients (we're a Medicare agency) are just being maintained as-is, which is important for them, but Medicare isn't going to pay for us to be in the home if we don't show improvement.

Eldercare needs a complete overhaul, but I think it'll get worse before it gets better. Thoughts?

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    Agree with you. Personally, have not been able to make a 90 year old continent yet. Plenty of practice over the years, but no go. Perhaps I'm the one that needs the improvement!

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    I work for a home care agency, and yes sometimes it seems like they want miracles to happen. Patients that we take under home health services need to actually have a need for skilled nursing visits like a wound, unstable BGL's, unstable B/P, etc... these are all easy examples that will definitely need improvement, wound starts to granulate to completely healed, and BGL's and B/P stable and pt/cg knowledgeble on management and prevention. You're right we can't treat "old age" =) So the home care agency needs to specify at the SOC (most important) what is being treated.

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