survey sucess with kinnser

8/3/2019 Survey Sucess with Kinnser

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An insiders guide

Survey success with Kinnser

Presented By:Deb Cupps, RN, CWS, HCS-D, COS-C David Tapia, MBA, ACHE

Regional Manager Managing Partner

Home Health Partners, LLC Exegete Consultants, LLC


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Objectives

Learn how to easily prepare for survey using Kinnser

Confidently navigate and pull necessary information during

survey

Review the most common survey deficiencies and how to

prevent them

Successfully implement and track changes post survey


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What you can do now to prepare

Use Kinnsers dashboards to get asses the scope of outstanding

documentation

Ensure that your agency is using the Kinnser flags accurately

DC patient charts need review

Ensure personnel file licensures are up to date

Use key reports in Reports/Admin section to check for areas of

vulnerability

Consider a mock survey, using auditors who know Kinnser

Use the remote capabilities to ensure changes are made


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How to use Kinnser during

survey

Pulling an unduplicated census

Click on Go To

Patient ManagerorReports/Admin

Click Create Patient Roster

Scroll down the patient roster form

Select option no.3 and enter the date range that you need

Click Create Roster

Print roster for surveyor


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How to use Kinnser during

survey

Printing a patient chart

Click on Go To

Patient Manager

Click on the first letter of the

last name to open the chart

Go to the episode requested

and click on Tools then Print Chart

Repeat process until all charts requested have been printed


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Limit your exposure

Delegate someone in the agency to remove the yellow stickies if

you feel thats necessary (some agencies leave them on as

training opportunities for nursing staff on documentation)

Have your internal auditor or consultant look for high profile

patients

Call in outstanding notes from field staff

Send a K-mail informing staff that agency is under survey


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What to do if your surveyor

wants a log in

You might offer to print the charts, but the surveyor can request

a log in

Create a user name and password for the surveyor

Recommended roles to give surveyor:

Clinical Review and Clinician

Set up access hours for thesurveyor underEdit Profile

Inactivate User promptly after the exit interview


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Most common deficiencies and using

Kinnser to prevent them

*Problem areas usually are in the narrative mitigated by

Continuous Quality Improvement efforts

Example of the form that the

surveyor uses

Form can be found at

www.cms.gov-cmsforms-downloadscms1572
http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/


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Most common deficiencies and

using Kinnser to prevent them2/3 of all deficiencies are related to the Plan of Care

1. G156 Acceptance of patients, Plan of care, and Medical SupervisionNot Admit PatientSurveyors will often ask to review your not admit files, Make sure your narrative documentation

includes that the referral source was notified of non admit/whyPlan of care must be developed, followed, reviewed, and updated

2. G 158 When care does not follow a written plan of care

Missed visit reports

CHHA reports

Scheduling

3. G159 Appropriate development of plan of care

Oasis red/pink sections

Minimal is better. Specific needs of that patient for treatment and goals

4. G 165 The appropriate administration of drugs and treatments as ordered on plan of careDressing changesWeights
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Most common deficiencies and

using Kinnser to prevent them5. G164 The prompt notification of physician when changes in patients health suggest the need to alter

the plan of careVS parametersCommunicationOrders

6. G337 Standard: Drug regimen ReviewMedication data baseReconciliation/snapshotFound under Misc tab

7. G143 All personnel furnishing services maintain liaison to ensure that their efforts are coordinated

effectively and support the objectives outlined in the plan of care.K mail

Communication

8. G251 Clinical record review

60 day summary/chart audit

Vs graph

Use of 486
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Using Kinnser post survey

Develop Plan of Correction and Action Plans

Issue list of action items via K-Mail

Monitor changes via Reports/Admin

Open OASIS report

Past due visits report

Orders Management

Schedule Report look for Missed visits

Visit Exception Report

Therapy Episodes
http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/


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Thank you!

Questions or comments?
http://www.cms.gov-cmsforms-downloadscms1572/http://www.cms.gov-cmsforms-downloadscms1572/

survey sucess with kinnser

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