Chris Seeley | The DME Guy

The DME guy. Getting patients home with the right equipment, on time. Health-system partnerships @ DASCO (40 locations, 12 states). Views my own.

[Chris Seeley | The DME Guy @seeleychris_]

@HomeCareOntario Happy RT Week! Home oxygen RTs are a big reason a lot of patients stay home instead of bouncing back to the ER.

[Chris Seeley | The DME Guy @seeleychris_]

@DrVelvetHammer Same on the DME side: hospice patients usually get their equipment through the hospice. Call early and you avoid a duplicate bed showing up at the house.

[Chris Seeley | The DME Guy @seeleychris_]

@BaptistHealthJx Love this. Hospital at home works when the equipment beats the patient there: oxygen set up, bed in place, and someone who's shown the family how it all works.

[Chris Seeley | The DME Guy @seeleychris_]

@HME_News @Medline Good news for continuity. Key bits: unplug except when repositioning, no extension cords, and only use Medline's authorized repair process. Worth a huddle with delivery techs this week.

[Chris Seeley | The DME Guy @seeleychris_]

@joncwarner Add one more owner to that list: whoever delivers the bed, oxygen and walker. They're often the first person in the home after discharge, and nobody invites them to the plan.

[Chris Seeley | The DME Guy @seeleychris_]

@ahahospitals Good to see. Staffing is behind a lot of "no SNF bed available" days, and those days back up the whole hospital.

[Chris Seeley | The DME Guy @seeleychris_]

@BeckersHR Throughput gets decided at the front door and the back door. A lot of back-door delays are equipment that wasn't ordered until the discharge order was written.

[Chris Seeley | The DME Guy @seeleychris_]

@BeckersHR One I'd add: stop chasing DME paperwork after discharge. Get the order and documentation right on day one and the denials drop.

[Chris Seeley | The DME Guy @seeleychris_]

@BeckersHR A quiet slice of that number: the patient who's medically ready to go home but is waiting on a bed or oxygen to get there. Fix the handoff and you get that day back.

[Chris Seeley | The DME Guy @seeleychris_]

@FierceHealth Interoperability win I'd love to see: a DME order that doesn't need a fax, a callback and a second fax to get signed.

[Chris Seeley | The DME Guy @seeleychris_]

@FierceHealth More surgery moving to ASCs means more patients going home same day with a walker, a cold therapy unit or a CPAP question. The equipment plan has to be ready before the anesthesia wears off.

[Chris Seeley | The DME Guy @seeleychris_]

@nikillinit Same gap in DME. A photo of the patient's bathroom doorway would answer more bariatric bed questions than any chart note.

[Chris Seeley | The DME Guy @seeleychris_]

@nikillinit DME intake is a great test case. Same documents every time, a payer checklist, and a human only needed when something's missing. The hard part is the face-to-face note that just says "pt needs walker."

[Chris Seeley | The DME Guy @seeleychris_]

Happy RC Week to the respiratory therapists who make home oxygen, CPAP, and vents actually work in the living room. The discharge order is step one. The RT at the door is step two. #RCWeek26 #DME

[Chris Seeley | The DME Guy @seeleychris_]

Medline update on its bed exit: existing Medline beds can stay in use until repaired or replaced. Unplug them except when repositioning, and no extension cords. Case managers: ask your DME partner about bed availability at admission, not on discharge day. #HME

[Chris Seeley | The DME Guy @seeleychris_]

@disprovetherule That's rough, and sadly common when post-acute options are thin. Hope he keeps progressing. Make sure that walker goes home with him.

[Chris Seeley | The DME Guy @seeleychris_]

@keithbell5529 Same with equipment. "DME ordered" doesn't always mean "DME delivered." Ask for the supplier's name and a delivery window before you leave.

[Chris Seeley | The DME Guy @seeleychris_]

@chadparkerlaw Such an important question for families. Same goes for equipment: ask before discharge what's covered and who's delivering it, not after you're home.

[Chris Seeley | The DME Guy @seeleychris_]

@michaelbeal1 Following. Would love to hear where AI breaks in post-acute handoffs. That's where we see the most friction on the DME side too.

[Chris Seeley | The DME Guy @seeleychris_]

@CMSANational Case managers are the reason patients get home safely. From the DME side: thank you for every Friday-afternoon oxygen order you've wrangled.