Coordination of Care and Services in Home Health
Presented by Nancy E. Allen
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Coordination of care and services is a fundamental tenant of safety and quality in home care. The process may be compared to the juggler that must keep the plates in the air spinning by making sure all parts are performing correctly. Example patient case scenarios will be presented that show effective care coordination, communication, and documentation. Communication with physicians from a regulatory perspective will be emphasized. This course provides examples, understanding, and solutions to achieve coordination of care and services while delivering quality care to the patient.
Meet your instructor
Nancy E. Allen
Nancy E. Allen is the owner and CEO of Solutions for Care, Inc., a consulting company specializing in community-based healthcare and care management. Her experience includes clinical, administrative, and provider roles, as well as 10 years as a state and accreditation surveyor. She has served as a corporate integrity monitor…
Chapters & learning objectives
1. Coordination of Care and Services Defined
The foundational knowledge of coordination of care and services is paramount to achieving positive patient outcomes. The Centers for Medicare and Medicaid Services (CMS) has established this as one of the riskiest areas for patients and have made it a Condition of Participation. In order to participate and receive payment under the Medicare and Medicaid programs this condition must be met.
2. Strategies for Your Organization to Improve Coordination of Care and Services
This chapter highlights key strategies that have the potential to improve the effectiveness, safety, and efficiency of home health systems. Care coordination that is well thought out and outcome-oriented can improve results for patients, providers, and payers alike. The Care Coordination Measurement Framework from the Agency for Healthcare Research and Quality will be introduced.
3. Identify Interactions, Activities, and Processes That Are a Part of Coordination of Care and Services
This chapter discusses best practice methods that are utilized throughout the United States. CMS requirements and recommendations from the Agency of Healthcare Research will be used to identify interactions, activities, and processes to include in effective coordination of care and services. These are specific actions taken in the delivery of care, such as communication and assessing needs and goals.
4. Apply Information and Examples to Improve Practice and Processes
Applying information and mechanisms for establishing quality care coordination to achieve interdisciplinary goals is a win for all involved. The patient, the agency, and the clinical staff reduce risk and negative outcomes with united measurable goals. This chapter explores how to establish and achieve interdisciplinary outcome-oriented goals to improve patient outcomes.
5. Describe Effective Documentation Practices to Meet Regulatory Requirements and Improve Coordination of Care and Services
What must be documented to demonstrate effective coordination of care and services and meet regulatory requirements will be discussed. The timing of documentation and what is documented are both important to demonstrate regulatory compliance, receive payment for services, and show effective care of the patient. This chapter seeks to educate to achieve success in documentation.