An Overview of Critical Areas in Home Health

Presented by Cindy Krafft and Diana (Dee) Kornetti

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Video Runtime: 59 Minutes; Learning Assessment Runtime: 40 Minutes

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

Cindy Krafft

Cindy Krafft brings more than 25 years of home health expertise that started with direct patient care and evolved to operational and management issues. Cindy recognizes that providing care in the home environment is different from providing care in any other setting, which is evident in both…

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Diana (Dee) Kornetti

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…

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Chapters & learning objectives

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.

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