Patients are certified for services every 60 days from the date that the first Solace clinician completed an evaluation. To continue with services into the next upcoming 60 day period, we need to complete the process of recertification by Day 45. This process includes a full comprehensive assessment of the patient and updates to their Plan of Care. All disciplines in the home share the same 60 day certification period and will complete the recertification together. Similar to at initial evaluation, when completing recertification there are 2 different processes to follow, dependent upon whether you are the Case Manager or not.
At the 45 day mark, Case Managers are in charge of assigning the CPA to either themselves or another team member, and writing a communication note. For more info, please reference the 5 Day Window/CPA Page
Case Managers will complete the note type: ST/OT/PT Pediatric POC Recertification
Case Managers will also include in the Additional Notes Section:
Medication Interaction Statement
# of Missed Visits for Each Discipline
Any significant changes during the last 60 days (hospitalization, regression, etc)?
All other clinicians in the home will complete the note type: ST/OT/PT Pediatric Follow Up Visit
These note types are similar to your Initial Visit note, but have been slightly shortened to include only the information essential to your re-assessment.
As you remember from the Initial Evaluation, the Care Plan is a section of the medical chart where we add the Problems, Interventions and Goals that we plan to address through therapy. During the recertification process, the Care Plan needs to be updated to resolve any goals/interventions that have been met, add new therapy goals/interventions that are now appropriate or update any target dates so that they remain in the future if a goal was not met. We may occasionally also need to remove goals that are no longer appropriate for that patient or need to be modified to be more achievable in the next 60-day period.
Orders outline the requested frequency of services for your discipline AND schedule out those visits for 60 days in the Service Calendar so that you can document visits. In addition to a weekly or monthly visit frequency, we also include a request for PRN visits to allow scheduling flexibility for make-up sessions when needed.
Please see the video and flow sheet support below on how to enter discipline orders.
Written Orders are submitted by ALL clinicians at recertification time
If you are the Case Manager, you have an additional step to complete the recertification process. However, you cannot proceed to this step until you have verified that ALL CLINICIANS in the home have submitted their Discipline Orders. Once you have verified this, continue to generating your Plan of Care (POC) document.
If you are the Case Manager, your final steps of the recertification process will be generating a document: the Plan of Care.
Plan of Care: This document pulls together the full plan of care including info from the Pediatric POC note itself, your interventions and goals, orders and other required information to be signed off on by the prescribing provider- which gives us the ongoing okay to provide services.
Please see the flow sheet and video resources below on how to generate POC Summary and Plan of Care documents at recertification.
Please see the video and flow sheet support below on how to submit the POC document.
At recertification, there is no need to wait for a "Green Light" email. You can continue with services in the new certification period as long as you have not received a HOLD email.
However, we still do need to complete a Comprehensive Patient Assessment in the last 5 days of the certification period.