-: Welcome to the IRF and LTCH
Virtual Training Program
Part One. I'm Lisa Newton
and I'll be discussing the case study.
I'm a registered nurse with experience
in direct patient care, clinical education
and executive level administration
in the acute care and LTCH settings.
Currently I'm a senior staff associate
at Econometrica in Bethesda, Maryland.
The purpose of this presentation
is to review the design framework of the case study
and provide instructions for completing the activity
and preparing for the coding workshop.
Let's begin with an understanding
of the primary objective for the case study.
At the conclusion of this activity
you should be able to apply the knowledge
that you acquired during your review of the presentations
in part one of the IRF and LTCH Virtual Training Program
to accurately code an integrated clinical case study
using select data elements.
The case study activity consists of two components.
Part one is an independent self study.
To begin you'll need to download two documents
from the training platform.
The case study narrative which is a document
providing the clinical data for coding the patient scenario
and the case study coding response sheet
which is a blank template to record your coding responses.
Part Two of the case study activity will occur
during the live virtual coding workshop
to be held in June of 2022.
During the coding workshop, the case study will be discussed
and the correct coding responses
and rationale will be provided.
Let's briefly review the clinical scenario
that you'll be coding.
The patient Mr. P, is a 68 year old
African American Filipino male
admitted to an acute care hospital
on April 10th, 2022 after a fall.
His acute care admission diagnoses included
fall without injury, embolic cerebral infarction,
dysphagia and right-sided weakness.
Mr. P was transferred to a post-acute care facility
on April 15th, 2022 for anticoagulation,
nutritional and pain management,
and ongoing physical and occupational therapy.
The instructions for the case study are as follows.
First, as I mentioned, you'll download
or you can also print the documents
that you'll need to complete this activity.
They are the case study narrative
and the case study coding response sheet.
Read the case study narrative and code the subset
of admission and discharge items identified for Mr. P
and provide your answers on the
case study coding response sheet.
Then bring your completed case study materials
to the live virtual coding workshop in June.
This is the subset of admission assessment items
you'll be coding for Mr. P.
The items include social determinants of health,
hearing and vision, the pain interview,
nutritional approaches, high risk drug classes
and special treatments, procedures, and programs.
This is the subset of discharge assessment items
you'll be coding.
As you can see a number of these items
were also coded on admission.
And in addition, the discharge assessment also includes
the transfer of health items A2121 through A2124.
As you're reviewing and coding the case study
there are several other resources you can use
for assistance in addition to the case study narrative.
For example you can refer to other presentations
in the IRF and LTCH Virtual Training Program Part One
for information to support coding
and for additional guidance,
please refer to your settings QRP manual
for coding instructions and tips.
Finally bring your case study narrative
and the completed coding response sheet
to the live virtual coding workshop in June.
We'll debrief and provide a review of the correct
coding and rationale for the subset of admission
and discharge items that were coded.
This activity was designed to help you integrate
the coding concepts provided in the
IRF and LTCH Training Program.
If you have any questions about the case study
as you're getting started or completing the activity
please submit them to PACTraining@econometricainc.com
by June 3rd, 2022.
Thank you for reviewing this presentation,
and we look forward to your attendance
at the coding workshop.