An Interdisciplinary Approach to Homecare

Improve patient care through interdisciplinary teamwork
Medicare is not concerned with outcomes specific to therapy, nursing, or social work. Since payments are based on the overall patient outcome, agencies need to encourage disciplines to work together to achieve the desired end results. Cindy Krafft, PT, MS, helps you develop a collaborative, interdisciplinary approach to patient care. You'll learn to make proper use of previously collected OASIS-C data to draft effective and thorough care plans that benefit your agency and its patients.

Benefit from this book by:

• Ensuring collaborative patient care by communicating with members of the interdisciplinary team (IDT) despite infrequent face-to-face interactions
• Taking advantage of information you already possess--such as OASIS-C documentation--to drive the care planning process
• Establishing care conference best practices to make them effective and efficient
• Determining medical necessity through an understanding of the viewpoint of other disciplines
• Initiating appropriate referrals to other services as indicated
• Removing the task-oriented mind-set prevalent in agencies today and develop patient care plans with input from the entire IDT

Table of Contents

Chapter 1: The Changing Healthcare Environment
Chapter 2: Defining Homecare: The Clinician's Perspective
Chapter 3: What Are We Trying to Manage?
Chapter 4: Putting Together the Team
Chapter 5: Choosing a Road Map: Care Management and OASIS
Chapter 6: Communication
Chapter 7: Collaboration
Chapter 8: Documentation
Chapter 9: The Future of Care Management
Chapter 10: Specific Roles and Disciplines
Chapter 11: Leadership and Office Staff
Chapter 12: Nursing
Chapter 13: Physical Therapy
Chapter 14: Occupational Therapy
Chapter 15: Speech Language Pathology
Chapter 16: Medical Social Work
Chapter 17: Home Health Aide
Appendix
About the Author: Cindy Krafft, PT, MS, is the director of rehabilitation consulting services for Fazzi Associates, Inc. She works with agencies on developing their rehabilitation programs, training staff and management on appropriate therapy documentation, and providing therapy documentation audits so agencies can effectively navigate regulations and protect payment.