Saturday, April 4, 2009

Quick And Easy OASIS Documentation Tips


To carry out an accurate assessment, you need to understand the OASIS questions and use appropriate strategies. Read the OASIS Implementation Manual, Attachment B, which gives you item-by-item tips for each OASIS question.


MO230 Primary Diagnosis. Choose the diagnosis that reflects the chief reason for home care. This diagnosis must match the primary diagnosis listed on the POT.


MO240 Other Diagnoses. If the primary reason for home care is a manifestation code, use this code in the first slot of MO240 and list the etiology code in MO230.


MO250 Therapies the patient receives at home. Only include those therapies the patient is receiving or will receive as a result of this assessment at home.


MO390 Vision. Assess the patient's vision with corrective lenses if the patient normally wears them.


MO420 Frequency of pain interfering with patient's activity or movement. Identify frequency of pain interfering with activity with treatment if prescribed.


MO440 Does this patient have a skin lesion or open wound? A skin lesion is an alteration in skin integrity. It does not include: anything ending with 'ostomy' or peripheral IV sites. It does include: central lines, PICC lines, implanted infusion devices, venous access devices, bruises, age spots, sores, skin tears, burns, ulcers, rashes, surgical incisions with sutures or staples, pin sites, crusts, persistent redness without a break in the skin, etc.


MO450 Current # of pressure ulcers at each stage. The bed of the ulcer must be visible to stage the ulcer. If the ulcer is covered with eschar, necrotic tissue or a non-removable dressing, it cannot be staged. Do not reverse stage 3 or 4 granulating pressure ulcers.


MO482 Does this patient have a surgical wound? A surgical wound includes: orthopedic pin sites, central line sites, stapled or sutured incisions, incisions with approximated edges and a scab, debrided graft sites, wounds with drains, Mediport sites and other implanted infusion or venous access devices.


MO520 Urinary incontinence or presence of urinary catheter. If patient has anuria or an ostomy for urinary drainage, mark response #0. If patient is incontinent AT ALL, mark response #1. If patient requires the use of a urinary catheter, mark response #2. If patient is both incontinent and requires the use of a urinary catheter, mark response #2 and follow the skip pattern.


MO530 When does urinary incontinence occur? Any incontinence that occurs during the day should be marked with response #2.


MO640 - MO820 ADLs and IADLs. To assess the patient's ADL and IADL status, use direct observation supplemented by interview.


MO650 - MO660 Ability to dress upper and lower body. If patient uses dressing aids, assess ability using aids. If patient requires standby assistance for safety or verbal cueing, mark response #2. Consider physical limitations at the time of assessment and pain as well as clothing routinely worn.


MO670 Bathing. Assess the patient's ability to bathe the entire body and possible assistance to safely bathe. Use response #2 or #3 for patients requiring standby assistance or verbal cueing. If patient cannot use the bath or shower because they are restricted by an MD order or unable to access second floor tub or shower due to restriction from stair climbing, use response #4 or #5.


MO680 Toileting. Assess the patient's ability to safely get to and from the toilet or beside commode. This does not include ability to perform personal hygiene.


MO690 Transferring. Assess the patient's ability to transfer safely for the three transfers indicated. Only use the response #2 if the patient can both bear weight and pivot.


MO700 Ambulation/Locomotion. Assess ability to walk safely once in a standing position, or use a wheelchair, once in a seated position, on a variety of surfaces. If the patient requires standby assistance or verbal cuing, use response #1 or #2. A patient who is able to take one or two steps to transfer but is otherwise unable to ambulate, should be considered chair-fast, so choose #3 or #4.


MO826 For all Medicare fee-for-service patients. The total of all physical, occupational, and speech-language pathology combined visits must be reasonably estimated.



About the Author

I'd like to invite you to get your FREE Home Care Documentation Insider Report when you visit www.homecaredocinsider.com


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Wednesday, April 1, 2009

7 Ways To Earn Extra Income

Actually, extra income is an income that you earn over and above the regular income that comes in from employment or normal work.The best way to receive extra income is to seek out work from home opportunities.Do you know that one of the top ways for families with a stay at home parent to earn extra income is with a direct sales or party plan business.Extra income is anything you make outside of your primary source of income.It is very helpful and the repairs to the home are few and far between, making this venture very profitable.It is definitely what retirement plans are made of.

Indeed, most people feel they are losing the battle in the work and family balance both in relation to time and income.If they have to work 12 hours a day away from home in order to get an income that does no more than barely reach survival level and then come home to the family too tired to spend any quality time with them, is it really worth the effort.Adding an extra income to their regular income with popular work from home opportunities seems the ideal way.

The reason that these extra income opportunities have become popular is because they offer a lot of flexibility in spending time with family and children and other social commitments.But most of all they offer financial liberation and the chance to be your own master and work your own times.How do you find a suitable extra income generating opportunity.Ask yourself about your current job satisfaction and the job satisfaction you might achieve with a suitable extra income.Find out what opportunities are available by talking to people who already have some income coming their way.

Any extra income is great for saving because you can set it aside without putting a crimp in your normal lifestyle.Many landowners are looking for ways to gain additional income.Hunting is one way a landowner can gain some extra income off their land while managing their property for wildlife habitat.It is usually used to pay off any outstanding debts, allow you to build up a capital account or even spend it on luxuries that are usually outside the scope of your regular income.All income options that are available today are aimed at generating employment specifically for people who can and want to use their dormant skills to make some more money for themselves.

In order to achieve even a moderate success in generating an extra money, they have to be aware of their strengths and weaknesses.This is the first step in helping to select the most suitable way to generate extra money.For example, if your skills are in the form of computer knowledge you might be able to earn extra income by helping your neighborhood in upgrades, repairs or installation of software.The Internet also offers a whole host of ideas on how to generate income with detailed information as to how to go about it.Everyone seems to want a second income but no one wants to work a second job, so the extra income is normally seen as a windfall.

Earning extra income can also be augmented by doing extra seasonal chores like raking leaves in the fall or clearing snow in winters.These are just a few ideas but making an extra money augmented with self analysis will take away the need for a second job.The internet also offers a host of other options like writing, advertising and simple technical and non technical jobs which can highly augment your regular income.The money that can be earned from these opportunities depends on how good your skills in the field of your selection.You can also find more confidence and a better life by investing time in the business of affiliate marketing.

In fact, investing time wisely in this arena can make you a lot of money.The fastest driving and growing industry on the internet today is affiliate marketing.The extra income can be used to payoff your bills, save money at the bank or spend it on nice things you could only dream about before.Purchasing residential income properties is still considered one of the more lucrative investments available.Single family homes which recently have averaged higher appreciation than many other types of property investments, can be a great way for an investor to earn a steady monthly income.


About the Author

Obinna Heche: Los Angeles - California


For the best home business ideas, opportunities and resources so you can work at home successfully visit.

.
http://www.home-incomeportal.com


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Tuesday, March 31, 2009

10 Creative Applications For Getting Your Mutifamily Deals Done

When you are trying to figure out how to get your multifamily deals done, there are techniques that you can use to do so.Any one of these techniques can be used individually or in a combination.They can be applied by rehabbers, wholesalers or buy and hold entrepreneurs.

1.First Mortgage: you go to a lender to get a first mortgage.

2.First Mortgage Paper Cash Out: you can get a seller to carry back a first mortgage and if he wants cash instead of payments, then you can sell the note.You can do this for private investors as well.A seller might want to be cashed out.

3.Second Mortgage: you can get a seller to carry back a second mortgage or you can get someone else to finance the second mortgage for you.

4.Second Mortgage Paper Cash Out: the seller is carrying back the second mortgage and there are people who will buy the second.You are simply keeping the first in place.There will be a heavier discount but there are people who will buy second lien positions and you can cash out the seller that way.

5.Blanket Mortgage: you're getting a seller to carry back a second but they want extra collateral.You allow their mortgage to blanket over another piece of property that you own.

6.Blanket Over Other Collateral: you want the seller to carry back the second mortgage but the seller wants more collateral.So, say you have a boat or a car or something else to offer as collateral.You can offer that piece of collateral and make that part of the lien.

7.Deferred Down Payment: This is a way to get an interest free loan.You buy the property and either assume that the seller has first mortgage or you get a new first mortgage.You then give a down payment 12 months from now.This is another way of rephrasing a second.Calling this a Deferred Down Payment implies that there is no interest being charged.

8.Barter: trading something for something.This is getting in the creative arena.Let's say you have talent as a bookkeeper and you want to buy the property, you could barter your services against the down payment on that property.You could provide 12 months of bookkeeping services and if you need the seller to carry back $20,000, then you provide $25,000 of bookkeeping services.You then have the seller carry back a note on the property.

9.Barter Assets: instead of putting a mortgage, for example, on your boat, you give it to the seller as consideration for a down payment on the property.

10.Turn Around Joint Venture: You could approach landlords of distressed properties that may be out of state.The landlords are amenable to terms that you can agree on so you agree to a joint venture.You come in and turn the property around and they give you half ownership in the equity that they have.This is a great way to get in a deal with no cash.

Your ability to put together multifamily deals is only limited by your imagination.Think creatively.There are plenty of other options available to you.


About the Author

Lance Edwards is living proof of his mantra that you don't have to "graduate" from single family to multifamily - you can start with multifamily; using none of your own money and not dealing with tenants and toilets.

For FREE information, visit http://www.ApartmentWealthMachine.com.

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Monday, March 30, 2009

Importance of Productivity during Down Times

In the summer of 1900...

-The average life expectancy in the United States was 47.
-A three-minute call from Denver to New York City cost $11, which was an incredible sum because the average American made .22 cents an hour, or about $400 per year.
-Most women only washed their hair once a month and used borax or egg yolks for shampoo.
-Only 6% of all Americans had graduated from high school.
-Marijuana, heroin, and morphine were all available over the counter at corner drugstores.
-There were about 230 reported murders in the US annually.

Amazing what a century will change.Amazing what a few months will change.Growth ends, recession sets in, the stock market stops booming, and companies go bust.The recession is impacting our clients in various ways: we're hearing of layoffs, hiring freezes, reduced budgets, not rehiring for positions as people leave, go on maternity, etc.

Tough economic times are packing a one-two punch in the workplace.

First, everyone is forced to do more with less (POW!).

Second, you have to do it all while dealing with the nagging anxieties that come with an uncertain economy - threats of downsizing, bankruptcies, cost containment, you name it (POW, again!).

So how do we cope as leaders and as productive employees?

To succeed and keep their doors open, companies must make more money but spend less money and create greater results with fewer resources.You could attempt to cut salaries, benefits, staff, costs, or the quality of your products - all poor options.A better choice?Increase employee productivity.If you have 10 people, and you can get them to improve their productivity by 10%, you just effectively added another staff person without increasing salary expense - a much more attractive response.To do this, your employees need your help.

First of all, get a grip on your personal negative feelings that result from your lack of control.You DO have control over your friends, your love relationships, and your career.You decide for yourself what's right and what's wrong, whether you should stay in this weekend or go out, whether to vote Democrat or Republican.You decide who to see, what to wear, what to eat.

However, you have VERY LITTLE control over the government, economic policy, the rise and fall of the stock market, Mother Nature, international events, and even your company direction.Changes can often disrupt your life and force you to change your plans.Often there is little you can do and yet you are overwhelmingly affected by it.Accepting what is means realizing you can't control certain things and to stop trying.You can sit around and wonder, "Oh, my gosh, how is this going to affect me?What if I'm next to go?How will I pay the bills?I'm going to be a bag lady!" You stew and worry and literally make yourself sick.

These things will happen.They just will.You will get no warning, and nobody will prepare you.And that's frustrating.Because people will tell you to "reach for the stars, you can achieve whatever you want!" But they don't mention you might get hit by a comet in the process.

It's time to accept the things that you cannot change and focus on the things you can.What can you do?

Give yourself a break.Try to stay positive, despite the doom and gloom.Overdosing on pessimistic, overly dramatic news coverage is just going to weigh you down with bad thoughts - not good for those looking to clear their heads and get things done!It's important to be informed about what is happening in the world, but you definitely don't want to overdo it.

For months now, we've been bombarded with bad economic news every time we turn on the television or pick up a newspaper.No wonder everybody seems to be in a rut.Follow the daily news as much as you need to so that you feel in the loop and understand the issues that affect your industry.Other than that, it might be time to shut off the TV and catch up on some fun reading or spend some more time with family.

Know your job.Seems like this one should be a no-brainer, but you'd be amazed at how often our responsibilities can change and evolve without our even knowing it.Small incremental changes in how employees or departments do business can add up over time, leaving groups of people that work hard, but aren't contributing to business objectives as effectively as they once did.

For example, in an effort to provide an exceptional level of service, you might find yourself doing work that is below your pay grade.Maybe you end up doing a large portion of the administrative work associated with a project that needs your input.Consider the value of your time!

Make sure that the things that occupy your time are worthy of your talent and expertise and hold your staff to the same standard.With any project, you should be able to look at the time spent, multiply by the pay rate of the ones doing the work, and still feel that your resources were well spent.

If you've got a $40,000/year employee stuffing a bunch of envelopes (even just that one time) or a six-figure manager assembling an important presentation page-by-page, then that work becomes awfully expensive!

These examples might seem outrageous to you, but believe me, it happens all the time.Never make the mistake of treating your time like it's free.Time and other resources are limited, and we need to treat them that way.

As your company and your department are undoubtedly being asked to do more with less, now is the time to step back and take stock of the type of work you're doing.Many times roles and responsibilities change, but job descriptions do not.As a result, we end up drifting away from core priorities and towards dong work that, while challenging, doesn't really meet the organization's immediate needs.

Now might be a good time to step back and ask that all important question: "Why am I (or we) doing this?" If you can't answer that, or the answer doesn't make sense, it's time to purposefully make a change.

Break habits, build systems.Every office that has been around for any length of time has certain unwritten policies and procedures that exist simply because "we've always done it that way." Now is a great opportunity to analyze your existing business practices and find opportunities to break the bad habits that may be bogging your operation down.Take you entire department for example.Do you and your people have a clear idea of your area's specific responsibilities?Do you have the confidence and determination to say "no" when someone is asking you to do work that is outside your scope of responsibility?

Perhaps over the years your group took on the responsibility of coordinating quarterly meetings with senior managers.It might have made sense for you to be doing the legwork then, but now that the work has become routine, is it really the best use of your talent and resources?

That's just one specific example, but there are many more out there.Usually, these are the kinds of tasks and responsibilities that make employees want to ask the all-important "Why am I doing this?" question.Rather than spend another day mindlessly plowing though projects that may or may not be a good use of your time, force yourself to take a hard look at what you are doing and why you are doing it.

If you had to pick three tasks or responsibilities that should be the top priorities for your department, what would they be?Once you know, evaluate how much time and energy is dedicated to those things.You might be surprised at how much time we can spend doing things that aren't even close to the top of that priorities list.

It isn't always easy to say "no," but fortunately, that's where your systems can come in.As you work to create smooth, efficient systems to do work within your department, you can give yourself some ammunition to fend off others in the company that might be inclined to slide work onto your plate where it doesn't belong.If you don't have firm policies and procedures in place to identify who should be doing what, it is much more difficult to make the case for "no."


Analyze your relationships with other departments.

Have trouble turning down work coming from other areas of the company?Now is a perfect time to start fresh and rebuild your department's boundaries.In a frank and honest way, simply explain to others that in light of the current economic situation, your group has taken a critical look at its daily operations and needs to decline certain types of requests in order to build efficiency.

Perhaps you need to apply a little systems thinking and rethink the flow of information.Is there a procedure in place for other business units to request your assistance or input?If there's not, you're probably being hit from all angles with requests that may or may not be the best use of your time.Diagram how work moves through your department.Where does it come in from and go out to other departments?

Interview your internal customers and find out how you can provide value through reduced services.Can you provide a report monthly instead of quarterly?Can you cancel the weekly project meeting and get everyone to email updates instead?Question travel requests if you feel a conference call will do.One of the best ways to take stock of the situation is to survey your group, ask them what gets in the way of productivity, and to genuinely ask how they would redesign things if they could.

Find the bottom line.Right now, businesses everywhere are taking stock of their must-haves versus their nice-to-haves.From an organizational perspective, which are you?

Economic necessity can force budget cuts and cost containment that might otherwise be unnecessary.One way to prepare yourself for this reality is to make sure you have a good understanding of how you and your people contribute to the company's bottom line.

Sometimes, it's easy.If you work in sales, for example, the correlation between what you do every day and the company's financial success might be very straightforward - my group sells our most profitable product, which makes the company money.

Sometimes that correlation is not so obvious.If you operate in a support role, like Human Resources, you may want to start looking at your various responsibilities and deciding which among them have the greatest influence on the company's bottom line - either by somehow driving revenue or by controlling expenses.Perhaps you help contribute to developing talent within the company, which clearly has an impact on the overall success of the organization.

Employee development always seems to be one of the first things to go during down economic times, but this is not the time to reduce training if you'd like to get more work from fewer people.Or maybe you're managing clerical or administrative functions that would be expensive to secure elsewhere.If you can't draw a line from what you do each day to the financial well-being of the company, then it might be time to do some hard thinking.Your other contributions might be valuable, but in difficult economic times, corporate leadership often becomes must more focused on dollars and cents, for better or for worse.

Where am I going with this?If it isn't obvious how your contributions benefit the company, be prepared to explain how they do.If you CAN'T explain why certain aspects of what you do are valuable, then it's time to stop doing them.

At the end of the day, productivity is about more than getting things done.It's about getting the RIGHT things done and getting them done efficiently.


About the Author

Laura Stack is a personal productivity expert, author, and professional speaker who helps busy workers Leave the Office Earlier(R) with Maximum Results in Minimum Time(TM).

To have Laura speak at your next event, call 303-471-7401.Visit http://www.TheProductivityPro.com to sign up for her free monthly productivity newsletter.

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Sunday, March 29, 2009

Do Start Your Own Jewelry Business

If you consider yourself a person who has a talent for creativity designing jewelry may be right up your alley.The market for jewelry will never be satisfied as long as fashion conscious people continue to exist.

In order to compete in the fashion arena new and unique jewelry is always searched after to adorn and compliment new garbs.And if you do have a creative flair selling your creations will be easy.

However, along with a natural ability for design you will have to incorporate a marketing strategy.Just designing and making your own jewelry creations and admiring your handicraft are enough to turn this labor into a profitable enterprise.

To get started you will of course need to purchase and acquire jewelry making stock.This is easily accomplished by investigating the hundreds of wholesalers to be found online.This researching will benefit your creative ability's.As you browse through the catalogues new design ideas will pop into your head.

Once you've decided on which supplies to purchase it's important to take a moment to do some calculating.Take out your calculator and total all the costs to be incurred and then do some division.

It's important before actually spending any money to know exactly how much costs like shipping, jewelry boxes, and gift wrapping effect the final product pricing.In order to get a good return on an investment you will need to be able to add at least a fifteen percent profit to the bottom line and still remain competitive.

Designing and making your jewelry creations will be the enjoyable aspect of going into business for yourself.The fact is no matter how great your products are they won't sell themselves.This is where the real work comes in.

Marketing your goods doesn't have to be something feared.Actually common sense will be your best ally.You already know where to find jewelry for your self.So instead of being a customer approach the same sources as a vendor.Make a list from your local phone book and create a list of Jewelry stores.Drop by and show them your creations and talk turkey.Many retailers are very open minded to consignment arrangements.

Check your newspaper to see if there are any county fairs or private events that may offer an opportunity to sell your jewelry creations and get some public exposure.Be picky about where and how you display your products.Flea markets have a good crowd flow but they're looking for a deal and you don't want to cheapen the status of your jewelry.

Going online has a lot of potential but remember that there's also a lot of competition and it's a proven fact that ninety five percent of new websites fail.Internet marketing has many layers of requirements that are necessary to know to even get a fighting chance.

Your jewelry designs can fall into two categories.They can be totally unique where each item is an independent creation.On the other hand you may want to offer bulk packages.A little of each will give you more sales flexibility.

No matter what you decide always try to use quality gems and stones.This is very important if you're looking for your jewelry business to have a long time success.In the beginning you may not be able to afford large quantities of these items.So purchase what your budget can afford and simply keep reinvesting your profits back into your inventory.

It won't take that long before you'll have the funds necessary to make a larger investment which means less cost per item and subsequently more profit.

It's been said that persistence and determination are omnipotent.If the idea of owning your own jewelry business is real then go for it.Be positive and be enthusiastic.Don't turn small obstacles into mountains.

Designing and making your own jewelry creations is going to be very rewarding.But don't try to succeed.Trying accomplishes nothing.It's doing that eventually leads to success.And nothing succeeds like success.


About the Author

Mr.

Rodgers is an independent Freelance article writer.Specializing in SEO web content.He is also

the owner and webmaster of www.
I-Like-Writing.com


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