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An Overview of Critical Areas in Home Health

presented by Diana 'Dee' Kornetti and Cindy Krafft

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Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

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What makes therapy care planning different in a home-based model? At face value it may seem that the delivery of therapy is fundamentally the same across all settings but being in a person’s home presents unique challenges and opportunities to maximize impact of functional ability. This course will set the stage for home based care by comparing and contrasting regulatory, care coordination and documentation expectations to facility based care.

Meet Your Instructors

Diana 'Dee' Kornetti, PT, MA, HCS-D, HCS-C

Diana 'Dee' Kornetti, a physical therapist for 30 years, is a past administrator and co-owner of a Medicare-certified home health agency. Dee now provides training and education to home health industry providers through a consulting business, Kornetti & Krafft Health Care Solutions. She serves as chief operations officer with her business partners Cindy Krafft and…

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Cindy Krafft, PT, MS, HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. Years spent in the homes of patients confirmed that she was in the best setting to focus on functionality and the specific challenges faced by each patient. Cindy recognizes that providing care in…

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Chapters & Learning Objectives

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1. Model of Care Delivery and OASIS Impact on Therapy Utilization

Home-based care is impacted by the patient-specific physical and psychosocial environment. Regulations regarding homebound status and treatment implementation impact the Medicare Part A population. The increasing focus on quality over quantity will shape the provision of both Part A and B moving forward.

2. Importance of Care Coordination and Documentation

Not being in the location of care provision at the same time means that coordination of care between disciplines must be an intentional activity as opposed to a product of the environment. The “one patient = one care plan” model improves the effectiveness and efficiency of the interdisciplinary team. Strategic documentation ensures all payers see clear evidence of medical necessity.

3. Understanding the ICF Model in the Home Health Setting

The International Classification of Function model is gaining traction in the larger healthcare community as a construct for clarity around the intertwining nature of impairments and functional ability. It provides a mechanism for acknowledging the role of the environment, which makes it particularly relevant to the provision of care in the home.

4. Utilizing the ICF Model for Care Planning in Home Health

Translation of a theoretical model into real life practice takes more than an understanding of concepts. Operationalizing the International Classification of Function model in the home setting requires knowledge application to specific patient populations being served in this setting.

More Courses in this Series

Home Health Assessment Part 2: Data Analysis and Care Planning

Presented by Diana 'Dee' Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

Home Health Assessment Part 2: Data Analysis and Care Planning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Once the data are collected, what should the therapist do with it? Documentation reveals that although some tests and measures are being used, the discussion often stops at the reporting of the results. Simply reporting a test score or numerical result is an incomplete representation of therapy skill. The SOAP format moves forward with the A – Assessment – and P – Plan – components.

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Home Health Assessment Part 3: Special Considerations for the Medically Complex Patient

Presented by Diana 'Dee' Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

Home Health Assessment Part 3: Special Considerations for the Medically Complex Patient

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
What does the “typical” patient receiving therapy in the home setting look like? It seems the days of mostly orthopedic or post-CVA patients have passed, to be replaced by patients with much more complex medical conditions. Therapists need to be prepared to address the unique issues connected to specific patient populations, whose numbers are growing, that seek out home based options for care.

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Home Health Assessment Part 1: Subjective and Objective Data Gathering

Presented by Diana 'Dee' Kornetti, PT, MA, HCS-D, HCS-C and Cindy Krafft, PT, MS, HCS-O

Home Health Assessment Part 1: Subjective and Objective Data Gathering

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Given the complexity of a home health assessment, where should the therapist start? Although the integration of electronic systems into home health have expanded the options for therapy documentation, the fundamental areas of the SOAP note continue to be the key elements for supporting medical necessity. This course will get “back to the basics” while moving practice forward by providing a structure for the S – subjective and O – objective components.

View full course details

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