Appendix E. VNSNY Workflow Diagrams for Pilot Testing e-transitions

Development of Electronic Transition Tools for Home Health Care

Referral via e-transitions Web site 

This diagram shows the first steps in referral via the e-transitions Website. For further details go to [D] Text Description

[D] Select for Text Description.

 

Intake by Visiting Nurse and Signing of CMS-485

This diagram shows the workflow for intake by the visiting nurse and signinf of CMS-485. For further details go to [D] Text Description

[D] Select for Text Description.

 

Intake by Visiting Nurse and Signing of CMS-485 (continued)

This diagram shows the next section of the workflow chart of procedures for intake by the visiting nurse and signinf of CMS-485. For further details go to [D] Text Description

Notes:
*Text in bold/red refer to tasks that need to be performed either by RN on tablet or by MD with hard copy of e-485.
**If pilot MD says another MD must approve part of POC (e.g., medication and dose), usual procedure for processing modifier to cover orders not signed by primary physician will be followed. VN will notify Research Center and Research Center will update e-transitions database when approval (verbal or signed e-485) is received.

[D] Select for Text Description.

 

Intake by Visiting Nurse and Signing of CMS-485 (continued)

This diagram shows the last section of the workflow chart of procedures for intake by the visiting nurse and signinf of CMS-485. For further details go to [D] Text Description

[D] Select for Text Description.

 

Exchange of Information between Visiting Nurse and Primary Physician during Episode of Care

This diagram shows the workflow for exchange of information between a visiting nurse and primary physician during an episode of care. For further details go to [D] Text Description

[D] Select for Text Description.

 

Exchange of Information between Visiting Nurse and Primary Physician during Episode of Care (continued)

This diagram shows the last part of the workflow chart on exchange of information between a visiting nurse and primary physician during an episode of care. For further details go to [D] Text Description

[D] Select for Text Description.

Page last reviewed September 2007
Internet Citation: Appendix E. VNSNY Workflow Diagrams for Pilot Testing e-transitions: Development of Electronic Transition Tools for Home Health Care . September 2007. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/long-term-care/resources/hcbs/etransitions/etransitionsape.html