QA Role Still Critical in Clinical Management

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Karen Utterback By Karen Utterback 
Vice President, Product Marketing and Strategy, McKesson

Home Health Software Clinical Management QA Role CriticalI’ve been writing about clinical management strategies a lot lately, and with good reason. The time is ripe for home health and hospice agencies to embrace the power that a clinical management home health software solution and evidence-based practices can have on the optimal performance of the organization – from both clinical and operational standpoints.

Your QA staff has a critical role to play in making sure that regulatory requirements are being respected and that research-based and evidence-based care is being delivered to each patient. A well-designed clinical management software solution can help your QA staff perform their jobs at a higher level and improve the consistency of care delivered by your clinical staff.

As you well know, every patient is different and requires a care plan that meets his or her conditions and abilities. The prevalence of one or more chronic diseases, which may or may not be the reason for the home care intervention, must be taken into account. Mobility is an issue, as is the person’s risk of falls, housing situation, security and many other considerations a clinician assesses during the initial home visit.

A comprehensive clinical management solution should offer a streamlined method for a clinician to document the health, home conditions, prognosis and goals for the patient without filling out each form separately. By saving time and effort during the documentation process, the clinician has more time to concentrate fully on the patient and his/her needs, positioning your organization to establish stronger care plans early on in the care process.

Providing clinical decision support tools directly in the clinical management solution enables the system to create a suggested care plan based on the clinician’s findings to streamline the process for the clinician and help improve the probability that an individualized and holistic plan will be established. Deviation from the care plan should signal QA review. By using research-based and evidence-based practice as the basis for recommending the needed components of the care plans, your QA staff can concentrate on those deviations rather than comprehensive reviews that are commonplace today.

Care planning is not an exact science, so deviations from care plans often are expected; however, supporting the care planning process with research-based and evidence-based practices contributes to consistency, appropriateness, improved care and patient outcomes.

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