What is a (MAC) MEDICARE ADMINISTRATIVE CONTRACTOR? Test Your Knowledge.

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I am re-posting this article because I am surprised at the results of the quiz, many of those that did take the quiz and failed it got an average score of 40%. Knowing what a Medicare MAC may not seem that it has anything to do with running the chambers but it does have everything to do with your facility (if you bill Medicare) getting paid for the hyperbaric treatments performed at the department.

1. HERE IS THE MEDICARE MAC ARTICLE
2. HERE IS THE NCD’s, LCD’s, MAC’s, Medical Policies, HMO’s, PPO’s??? What about Insurance Coverage and Hyperbaric Oxygen Therapy? ARTICLE
3. TAKE THE QUIZ AFTER READING BOTH ARTICLES

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What Will The Hyperbaric Chamber Of The Future Be Like?

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Have you ever wondered what the hyperbaric chamber of the future would be like? Imagine the following; all in one monoplace chamber:

1. A built-in ohm meter for quick ground checks.
2. A built-in computerized treatment profile with printable charts or charts that could be imported into the patients EMR (Electronic Medical Record).
3. An integrated gurney system, or gurney system that could be stored under the chamber during treatments to minimize clutter in the department.
4. Built-in air break capabilities that would reduce the reliance on the patient to properly apply the air break mask properly – basically turn a knob and the air break starts immediately by filling the chamber with room air.
5. Built-in static dissipating device via the chamber mattress vs the static bracelet.
6. Chamber gurneys that go lower to the ground for patients in wheelchairs.
7. Electronic diagnostics for the manufacturer to diagnose any issues with the chambers prior to annual preventive maintenance dates.
8. A gas system that would help push the dirt on the bottom of the internal acrylic towards the entrace of the chamber so that it can be collected at the end of each treatment.
9. A semi-circular cleaning device with an extended pole that would assist in cleaning the internal acrylic of the chamber.
10. A built-in quick TCOM that would allow the techs to take TCOM measurements while the patient is in the chamber as well as outside of the chamber.
11. An immersive video entertainment system that could be projected onto a screen right above the chamber for better patient viewing of video entertainment.
12. External speakers that only pick up the patients voice and not the sound from the entertainment system, or a call button that the patient can press in order to get the techs attention – many techs turn down the volume from the patient in order to avoid hearing the patients movie or music, consequently the patient cannot be heard when they speak.
13. A built in camera monitoring system that can be viewed thru the HBO techs computer screen to monitor both patients at the same time.

Some of these items are already in existence, but not all in one monoplace chamber.

These are just some items that would help in daily operations and smooth out the day at any busy center. Some of these may also save some precious time and keep the facility less cluttered – and probably minimize the space requirements for each chamber.

Just a thought.

STOP (Stop, Think, Observe, Plan)? Should HBO Techs Implement a Time-out Prior to Treating the Patients in the Chamber?

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I read an article by Ken Capek, RRT, CHT in Focus Journal (Respiratory Care and Sleep Medicine) and it struck me as a similar situation I had many times. Patient’s sometimes attempt to “smuggle” items into the chamber or simply forget because they were not properly checked by the HBO tech prior to therapy. Busy clinics with a million things happening all at once can fluster even self proclaimed multi-taskers which can result in safety lapses. I always hear the line “That’s why we have a pre-treatment checklist” prior to placing the patient in the chamber. Are you really using that checklist though? I have seen techs simply check off the checklist after the patient is already in the chamber, especially when the checklist is on an Electronic Medical Record (on the computer).

This brings me to think that a “TIME-OUT” similar to what is performed prior to surgery (to evaluate whether the right part of the body is indeed the part that needs surgery) is necessary in any HBO setting. Mr. Capeks’ article on this subject is excellent and I commend him for letting us post it on this site. Furthermore, I believe that even if you do have an electronic checklist it would be advisable to have a printed checklist that may be on a clipboard, carried in your scrub pocket, or clipped onto your Hospital ID badge just as a 2nd safety reminder, this checklist maybe used to write pre and post treatment vitals as well. How many times have you had to dig thru the garbage to find that pair of gloves you wrote all the vitals on? C’mon, we’ve all done it. I hope that this article is helpful and it gives you something to think about.

READ KEN CAPEK’S ARTCLE ON “TO ERR IS HUMAN” HERE

DOWNLOAD THE PRINTED CHECKLIST HERE – NOTE: This checklist maybe used on a clipboard, or cut into strips and used per patient per treatment. It is not a Hospital or chart form, it is a temporary sheet of information that can be used while you are running around the clinic.

National Brain Injury Rescue and Rehabilitation HBOT Clinical Trial (NBIRR)

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Being that I am still a reservist (about to deploy) in the US Navy I really do appreciate what the NBIRR is doing for the US service men and women that have been injured overseas.

The (NBIRR) National Brain Injury Rescue and Rehabilitation clinical trial was established to prove the safety and efficacy of Hyperbaric Oxygen Therapy (HBOT) in treating Traumatic Brain Injury (TBI) and Post Traumatic Stress Disorder (PTSD). The primary patient targets are wounded veterans, but the target population is much broader.

To date, the Consortium has been using personal funds to put everything in place. They are reaching out to networks that are helping wounded warriors in hopes that they will pass the word about the NBIRR Clinical Trial and alert their donors about NBIRR. For more information please go to the Web Site www.nbirrfund.org.