99374 Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision

Name of the Procedure:

Supervision of a patient under care of home health agency (patient not present)

Summary

This procedure involves healthcare professionals regularly monitoring and managing the care of a patient who is under the supervision of a home health agency. The patient is not physically present during this process. It is conducted in the patient's home, a domiciliary, or an equivalent environment, such as an Alzheimer's facility. This supervision is essential for patients requiring complex and multidisciplinary care strategies, encompassing routine updates and adjustments to their care plan.

Purpose

The procedure addresses the necessity of ongoing professional oversight for patients with complex medical needs who are receiving care at home or in specialized environments. The primary goals are to ensure the patient's care plan remains effective, to adapt strategies in response to any changes in the patient's condition, and to coordinate multidisciplinary care efforts effectively.

Indications

• Patients with chronic illnesses or conditions requiring continual care.
• Individuals with cognitive impairments such as Alzheimer's disease.
• Patients needing multidisciplinary care involving various healthcare professionals.
• Situations requiring regular development or updates to the patient's care plan.

Preparation

• No specific preparation required from the patient as they are not present during the procedure.
• Caregivers or family members may be informed ahead of supervisory consultations to provide updates or concerns.
• Possible review of the latest patient assessment records and care notes.

Procedure Description

1. Review of patient records and recent updates from home health caregivers.
2. Multidisciplinary team meeting to discuss patient status and care plan adjustments.
3. Development or revision of the patient's care plan based on current health status and needs.
4. Coordination with home health agency staff and possibly communicating with family members or caregivers for feedback.
5. Documentation of any changes or actions required.

Duration

Typically varies from 30 minutes to 1 hour, depending on the complexity of the patient’s needs.

Setting

Conducted in the patient's home, a domiciliary, or an equivalent environment such as an Alzheimer's facility.

Personnel

• Registered Nurses (RNs)
• Physicians or Medical Directors
• Social Workers
• Physical Therapists, Occupational Therapists
• Other relevant healthcare professionals as needed.

Risks and Complications

• Minimal risks as the patient is not directly involved.
• Potential for miscommunication or oversight without direct patient interaction.

Benefits

• Ensures ongoing, optimal, and coordinated care for complex patient needs.
• Provides timely adaptations to the care plan, enhancing patient outcomes.
• Supports caregivers and families by offering professional oversight.

Recovery

• Not applicable as the procedure does not involve direct patient intervention.

Alternatives

• Direct in-home visits by healthcare professionals.
• Hospital or clinic-based management for more intensive supervision.
• Telehealth consultations, although these may lack the collaborative, multidisciplinary aspect.

Patient Experience

• As the patient is not present, they are unlikely to feel or experience anything directly.
• There may be positive indirect effects such as better-coordinated care and improved health outcomes.

Pain management and comfort measures are not applicable as the patient is not present during the procedure.