Satisfactory completion requirements: All disciplines must complete learning
assessments to be awarded credit, no minimum score required unless otherwise specified within the
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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.
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…
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…
1. Model of Care Delivery and OASIS Impact on the Therapy Assessment
Value based purchasing and outcome measurements need to be integrated into the therapy assessment and care planning process. Understanding external expectations brings a larger focus to the traditional areas covered by therapy services in the home.
Limited to absent documentation related to subjective information has led some software systems to drop that area from therapy documentation all together. Patient and caregiver provided details are critical to showing individualized care planning and response to interventions.
3. Selecting Tests and Measures Part 1
Choosing a formal test and measure as part of a home health assessment requires a clear understanding of the options available as well as how to administer them correctly.
4. Selecting Tests and Measures Part 2
No one would want to have the person hired to build a dream home arrive with a toolbox only containing a single hammer. Therapists need to have a wide range of tools available in order to be best prepared for the job of the assessment and care planning.
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.
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.
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.