Why did COMS expand from 31 to 58 Care Guides?
Patient-centered care. A resident’s course is almost always related to more than one disease. In fact, residents in skilled nursing facilities average 6-8 comorbidities and the typical cause of readmission is related to a secondary disease rather than the primary. To provide proper care, you need to be able to treat the individual resident, based on THEIR individual specific disease profile. That’s where the COMS’ care guides come in.
Let’s back up. What are Care Guides?
Care Guides are specific to COMS. They contain years of research and data and serve as disease-specific tools that drive the clinical engines that feed the COMS assessments and Care Review process. These Care Guides are dynamically applied based on the Resident’s specific disease profile.
With the recent Care Guide expansion to 58 Care Guides, COMS covers over 90% of the diseases present in the Resident Population. Further, COMS Care Guides cover all of the CMS High Risk Diagnoses and 38 of the episodes under the Bundles Payments for Care Improvement (BPCI) Initiative.
When assessments are performed, the Nurse is prompted to Assess – Identify – Intervene based on the specific Care Guides that have been assigned to the Resident. Patient-centered care.
Why are Care Guides important?
Care Guides are important for many reasons. The two main reasons:
1. Clinical Process – Nurses are over-burdened as it is. The expectations of them are high. They need standardization and process to provide care while managing multiple comorbidities. COMS Clinical Process provides the foundation for your Nurses to be efficient and successful in their care delivery. Care Guides are the foundation of that process.
2. Driving Documentation – The Care Guides contain everything necessary to provide complete care. The result of good clinical care is better documentation. Not only do the Care Guides within the assessment drive clinical care, they also assure that your documentation reflects all of the relevant care related to that resident’s specific needs.