Get 60 Day Chart Review - Home Health Forms

Completing the 60 Day Chart Review - Home Health Forms online is essential for maintaining accurate patient records in home health care. This guide provides step-by-step instructions to help users fill out the form efficiently and accurately.

Follow the steps to complete your form successfully.

1. Press the ‘Get Form’ button to access the form and open it in your digital editing tool.
2. Begin by filling in the patient name and certification date at the top of the form. Ensure accuracy as this information is critical for medical records.
3. In the 'The POC' section, confirm that the plan of care (POC) is signed both by the registered nurse (RN) and the medical doctor (MD). Additionally, ensure there is a date stamped on the POC upon its return.
4. Check if all medications are listed with their respective route, dosage, and frequency, identifying any that are new or have been changed.
5. Verify that all necessary supplies are included and that the goals set within the POC are realistic and measurable, providing an end date for daily visits if applicable.
6. In the 'Orders' section, confirm that there is an order for admit or recertification, and ensure all necessary disciplines are included as needed based on the patient's requirements.
7. Ensure all orders are signed or cosigned by the RN and updated with new goals when necessary.
8. Continue by reviewing the 'Case Conference' section, ensuring that case conferences occur at least every 60 days and accurately reflect the patient's status, plan, treatment, and prognosis.
9. Check if documentation is present to support coordination of care between disciplines, indicating that the chart was reviewed in the case conference.
10. Complete the 'Nursing Assessment' section by confirming that assessments are completed, signed, and dated by the assessing nurse, matching with the diagnosis.
11. Ensure the plan of care reflects the assessment accurately, listing the dates of any onset or exacerbation of conditions.
12. After filling out the relevant sections, verify that all nursing notes document the plan of care effectively and that they include the patient's response to interventions.
13. In the medication profile section, ensure it agrees with the plan of care, is updated as needed, and includes dates for when medications were started or discontinued.
14. Complete all sections for therapies and services provided, indicating whether the required frequencies were met and that communication with physicians occurred for any missed visits.
15. Finally, ensure that the RN signature and date are provided at the end of the form, confirming that all information is reviewed and correct.
16. Once all sections are complete, make sure to save your changes, download, print, or share the completed form as needed.

Complete your documents online today for efficient health care management.