Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review
CPT4 code
Name of the Procedure:
Supervision of a Nursing Facility Patient (Patient Not Present)
Summary:
This procedure involves the oversight and management of a nursing facility patient who is not present during the supervision. It requires the coordination of complex and multidisciplinary care plans designed specifically for each patient, along with the regular updating and revising of these care plans. The supervising professional also reviews reports on the patient's status.
Purpose:
This procedure addresses the need for continuous and comprehensive care management for patients in nursing facilities who have complex medical conditions. The goals are to ensure that the patient receives appropriate care, monitor their health status, adjust care plans as needed, and coordinate between various healthcare professionals for optimal outcomes.
Indications:
- Patients with chronic conditions requiring ongoing supervision.
- Individuals needing multidisciplinary care approaches.
- Elderly patients with multiple health issues.
- Patients who are unable to manage their own care due to cognitive or physical limitations.
Preparation:
- No special preparation is required for the patient as they are not present during the supervision.
- Prior diagnostic assessments and current health records will be reviewed.
- Regular updates and communication with the nursing facility staff and other healthcare providers involved in the patient's care.
Procedure Description:
- Review the patient's current care plan and medical records.
- Conduct discussions with nursing facility staff and multidisciplinary team members.
- Update and revise the care plan as required, based on the latest health reports and assessments.
- Monitor subsequent reports of the patient's health status.
- Coordinate any necessary changes in the treatment plan or interventions.
- Document all changes and communications clearly in the patient's health record.
Duration:
The duration can vary but typically takes anywhere from 30 minutes to several hours depending on the complexity of the case and the thoroughness of the review required.
Setting:
The procedure is conducted in an office or clinical setting where the supervising professional has access to the patient's medical records and communication tools to interact with the nursing facility staff.
Personnel:
- Primary Care Physician or Specialist
- Nursing Facility Staff (e.g., Nurses, Support Staff)
- Multidisciplinary Team Members (e.g., Physical Therapists, Dietitians, Social Workers)
Risks and Complications:
- Miscommunication between healthcare providers.
- Misinterpretation of patient reports leading to inappropriate adjustments in care.
- Potential delays in implementing necessary care adjustments.
Benefits:
- Ensures continuous and comprehensive care for patients with complex needs.
- Enhances coordination among various healthcare providers.
- Improves patient outcomes by regularly updating care plans based on current health status.
Recovery:
There is no recovery period for the patient as they are not physically involved in the procedure. However, follow-up actions and care plan implementations can directly affect the patient's overall health and well-being.
Alternatives:
- Frequent in-person visits by the supervising professional.
- Telemedicine consultations with the patient directly.
- Delegating supervision to a less specialized healthcare provider, though this may not provide the same level of comprehensive care.
Patient Experience:
While the patient is not present during the supervision, they may notice improvements or changes in their care based on the revised care plans. Effective communication between staff and the supervisory professional ensures the patient's comfort and ongoing monitoring of their health status.