NOTES FROM NAHC 2014 – KORNETTI & KRAFFT BOOTH

WE HAD THE OPPORTUNITY TO MEET MANY OF YOU IN PHOENIX AND WE ARE THANKFUL THAT YOU TOOK THE TIME TO STOP BY OUR BOOTH AND SHARE YOUR ISSUES. WE ARE VERY ENCOURAGED BY THE LEVEL OF COMMITMENT TO THE PROVISION OF HOME BASED CARE IN THE MOST APPROPRIATE AND DEFENSIBLE MANNER.

WHEN ASKED ABOUT YOUR AGENCY’S THERAPY QUALITY, WE FREQUENTLY HEARD, “WE DON’T KNOW WHAT TO LOOK FOR IN THERAPY NOTES.”

MOST OF THE QUALITY ASSURANCE/IMPROVEMENT FOLKS THAT STOPPED BY KORNETTI & KRAFFT’S NAHC BOOTH WERE NOT THERAPISTS. IN FACT, MOST, IF NOT ALL, WERE NURSES. WE EVEN HAD EXTERNAL AUDITORS (NURSES AS WELL) STOP BY FOR CLARIFICATION OF THERAPY DEFENSIBILITY IN CHARTS THEY AUDIT. ALL OF THESE QUESTIONS GOT US THINKING…. “WHO IS TRAINING THE AUDITOR?

WE HEARD YOUR QUESTIONS AND WE KNOW THAT THIS UNCERTAINTY IS A REFLECTION ON THE AUDITING PROCESS AS A WHOLE. AUDITING IS REQUIRED AS PART OF THE CONDITIONS OF PARTICIPATION AND IS THE ONLY WAY, SANS ON SITE COMPETENCIES, TO GET AN IDEA OF WHAT IS HAPPENING IN THE PATIENT’S HOME. IT IS A CRITICAL ELEMENT OF AN AGENCY’S OVERALL CORPORATE COMPLIANCE PROGRAM.

EVEN THOUGH IT IS A REQUIREMENT, MANY PEOPLE DEMONSTRATED PHYSICAL DISCOMFORT WITH THEIR AUDITING SKILLS IN RELATION TO A DISCIPLINE OTHER THAN THEIR OWN. WE ACTUALLY WITNESSED FACIAL GRIMACING AND BODY LANGUAGE THAT SAID, “I DO IT…BUT…” THESE AUDITORS ARE VERY AWARE OF THE RESPONSIBILITY THEIR AGENCY PLACES ON THEM AND THEY WERE LOOKING FOR HELP. WE HEARD, FROM EVERY AUDITOR, THAT PULLING A PHYSICAL THERAPIST FROM THE FIELD TO COMPLETE THESE AUDITS WAS NOT AN OPTION.

OVERALL OUR TAKEAWAYS, FROM THESE INTERACTIONS, ARE:

  • Auditors need assistance through education to improve their skill and comfort with auditing all disciplines with equal competency; and
  • Auditors are looking for resources to assure they are “on the right track” when auditing therapy documentation.