- 72 hour eeg cpt code and billing - August 12, 2023
- Weight Loss Medical Doctor that does injections - February 4, 2023
- Digital Therapeutics Company - February 1, 2023
Time needed: 1 hour and 10 minutes.
- Risk of Medication Use for Pain Tx in Elderly
• Decrease in muscle mass
• Increased fat mass
• Decreased renal clearance
• Reduction of hepatic phase I reactions
(oxidation, hydrolysis, reduction)
• Decreased serum albumin
• Increased sensitivity to centrally acting drugs - Standard Survey Process
Pre survey sample selection (facility quality
indicators)
• Survey sample phase 1 & 2
– Comprehensive/focused resident review +
case-mix stratified (statutorily required)
• Resident review quality of life (5C)
– Meals, treatments, medication, ac -
Resident QOL assessment
– Interviews
– Observations of residents
• Medication pass & Pharmacy services (5E) - CMS Investigative Protocol for
Pain Management (F309)Who states he/she has pain
• Who displays possible indicators of pain not
readily attributed to another cause
• Who has a disease or condition or receives
treatments that cause or can cause pain
• Whose assessment indicates that
he/she experiences pain - Procedures F309
Care plan review
• Observations
• Resident/representative interviews
• Nurse aide interviews
• Record review
– Pain assessments
– Pertinent nonpharmacological interventions
Criteria for Compliance with F309 for a
Resident with Pain or the Potential for Pain
• The facility is in compliance with F309 Quality
of Care as it relates to the recognition &
management of pain, IF each resident & the
facility has provided the necessary care &
services to attain or maintain the highest
practical physical, mental & psychosocial wellbeing, in accordance with the comprehensive
assessment & plan of care
• Review: right to refuse treatment (F155)
Non Pharmacological Treatment
Options for those who want an alternative to prescription drugs or are addicted and want to refrain from pharmacological options.