Misty M Wilmot

PURPOSE Our purpose is to provide comprehensive, compassionate, and high-quality healthcare to individuals in the care of our company by means of virtual services and technology, while committing to uphold standards of our pillars of excellence. It’s all about helping MORE people. Using virtual technology, we can provide quality care to more patients than with standard in-home services alone. Our team is committed to using advanced virtual assessment skills, next-level critical thinking, and creative teaching, training, and interventions to ensure this level of care is achieved. Our focus and goal is to provide high-quality care, improve patient outcomes, and enhance the patient experience while reaching more patients.

Virtual Care Virtual care consists of various types of patient encounters designed to provide additional support to Home Health agencies and their patients. Employing multiple approaches in a prescribed cadence, virtual care can assist in reaching more patients, increasing patient touches at critical points in time, and improving patient outcomes and satisfaction. Patient encounters are conducted by a team of ProCARE+ RNs, LPNs, and Call Specialists (Certified Medical Assistants). R8/15/24 Confidential ©2022, LHC Group, Inc. All rights reserved. ProCare+. ProCarePlusServices.docx 2 ProCARE+ Service Overview ProCARE+ Virtual Patient Encounters VIRTSN: Like an in-home skilled nurse visit. Comprehensive nursing visit using audio and video technology. Visit includes an ACH Risk Assessment, full system assessments, medication reconciliation, teaching and training, and nursing interventions from the patient’s plan of care. VIRTSN-PRN: Problem-focused assessment, interventions, and teaching to address PRN needs. Utilizes audiovisual technology. SNPCPHON: Like an in-home skilled nurse visit. Comprehensive nursing visit using audio-only technology. Visit includes an ACH Risk Assessment, full system assessments, medication reconciliation, teaching and training, and nursing interventions from the patient’s plan of care. Utilized when video technology is not warranted and/or is not possible (e.g., no device with audio/visual capabilities, unable to connect to OCM due to patient or technological barriers, etc.). SNPCPHOPRN: Problem-focused assessment, interventions, and teaching to address PRN needs. Utilizes audio-only technology

Job Summary:
Responsible for the timely review of plan of care and OASIS time points in the electronic medical record
to ensure accuracy of OASIS items, documentation, and utilization for quality and outcome management
through clinician collaboration and implementation of best clinical practices. Responsible for identifying
opportunities for improved OASIS accuracy and reporting these to OASIS clinical staff during scheduled
staff meetings.
Essential Functions:
􀀁 Thoroughly reviews the medical record as part of the OASIS review process and
recommend the most accurate codes, adhering to official OASIS guidelines as approved by
the Centers of Medicare and Medicaid Services (CMS). 􀀁 Reviews plan of care; recommends edits to clinician and makes edits to the plan of care
based on updated provider orders 􀀁 Consistently engages directly with clinicians to improve accuracy of OASIS assessments,
ensure proper development of the plan of care relevant to the primary focus of care and the
patient assessment, and assure clinically appropriate discharges. 􀀁 Assesses clinical documentation to ensure that it supports the recommended OASIS and
POC changes. 􀀁 Consults the clinician for clarification, via electronic alerts, when conflicting or ambiguous
documentation is present, and abides by the clinician's acceptance or declination of
changes. 􀀁 In the event a clinician's declination will violate an OASIS guideline, follows the escalation
process. 􀀁 Provides OASIS education to clinicians when opportunities arise (e.g., provide pertinent
official OASIS guidelines or conventions when the clinician questions a change
recommendation). 􀀁 Follows workflow/process exactly as outlined in training material without deviation.
􀀁 Meets or exceeds productivity expectations while maintaining excellent quality of reviews
and the upmost customer service 􀀁 Participates in staff meetings and educational sessions.Maintains accurate and timely review of OASIS time points and all related interdisciplinary
documentation via the workflow in the electronic medical record (EMR) for timely OASIS
locks and submission to the Centers for Medicare and Medicaid (CMS). Participates in
conferences or teleconferences with the Clinical Director, Patient Care Manager, and/or
home health clinicians regarding identified OASIS, utilization, or plan of care inconsistencies. 􀀁 Utilizes available tools and develops training strategies to improve outcomes. Collaborates
with Regional, Divisional, and Home Office support resources as needed for strategies. 􀀁 Develops and implements training based on evaluated competencies in documentation and
clinical practice, edits from Strategic Healthcare Programs (SHP) alerts, and SHP reports for
specific outcomes, adverse events, and utilization reports in conjunction with the OASIS
Analyst, Clinical Director (CD), Executive Director (ED), or PI Coordinator.
􀀁 Consistently demonstrates sound judgment and professional communication in the day-today
operations and interactions with co-workers and customers to facilitate coordination of
care. 􀀁 Collaborates with regional PI coordinator & agency to facilitate initiatives to improve quality
outcomes and agency ratings. 􀀁 Completes all required education timely.
􀀁 Adheres to established confidentiality standards as required by LHC and HIPAA concerning
community and patient information. 􀀁 Identifies educational trends for agency and/or per clinician and discusses with Clinical
Director and Quality Review Supervisor to further train/educate staff and improve OASIS
accuracy. Reports to supervisor and operational leadership any continued lack of
improvement or engagement from clinicians. 􀀁 QR Specialist may be required to relocate to a nearby office and perform PCM workflow
occasionally. 􀀁 QR specialist will continue to participate in on-call rotation for their originating agency if they
were in the on-call rotation prior to QR role. 􀀁 Performs other duties as assigned timely and effectively.

• Moved to Tennessee

• All duties required of a home health aide

• Tour bus driver; responsible for client safety

• All duties required of a correctional officer including, but not limited to; intake assessment of inmates, confidential recordkeeping, file maintenance, conflict management, transportation to and from prison facilities, hospitals, doctors’ offices. Assignment included working with maximum and medium security psychiatric inmates, both male and female.