Defensible Documentation in Home Health: Patient-Centered Care
Presented by Cindy Krafft and Diana (Dee) Kornetti
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Financial: Dee Kornetti and Cindy Krafft are co-owners of the consulting business, Kornetti & Krafft Health Care Solutions. They receive compensation from MedBridge for this course.
Dee Kornetti is a chapter contributor to the Handbook of Home Health Care Administration, 6th edition, and co-author of the book, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.
Cindy Krafft has written two books—The How-to Guide to Therapy Documentation and An Interdisciplinary Approach to Home Care and co-authored her third, The Post-Acute Care Guide to Maintenance Therapy, for which she receives compensation.
Nonfinancial: Dee Kornetti is the president of the Home Health Section of the APTA. Additionally, Dee Kornetti serves as the president of the Association of Homecare Coding and Compliance, and is a member of the Association of Home Care Coders Advisory Board and Panel of Experts.
Cindy Krafft has been involved at the senior leadership level of the Home Health Section of the American Physical Therapy Association. She has worked with CMS to clarify regulatory expectations and address proposed payment methodologies.
The “S” portion of the SOAP note ("subjective") is not a new concept when it comes to clinical documentation. With recent revisions to the Home Health Conditions of Participation, there is a renewed focus on the ability to speak to the patient experience and individualized care planning. This course will examine strategies for collecting subjective information and incorporating it into defensible documentation.
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…
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…
Chapters & learning objectives
1. “Patient Focused”
How much more of a “patient-focused” setting can there be than home health? Yet clinicians often miss opportunities to speak to specifics in their documentation. This is not just a suggestion as it is required in the Conditions of Participation. Repeated checking of boxes on a form will not meet these expectations. This chapter will outline how the Conditions of Participation address the need to be patient focused, and will provide strategies for compliance.
2. ICF in Home Health
Creating documentation that is patient focused is not about making a better checklist within each note but about seeing the big picture when approaching each encounter. The International Classification of Functioning, Disability and Health (ICF) model can provide a framework to assist clinicians in documenting patient-focused concepts. This chapter will provide an overview of the ICF model and its applicability in the home health setting.
3. Getting Back to Basics: Subjective Information
Use of the SOAP note in its traditional form may not be clearly seen in many of the home health documentation tools, but the principles remain. With all of the other requirements that must be met on every note, subjective details can be overlooked. This chapter will examine strategies for collecting and documenting meaningful subjective information.
More courses in this series
Defensible Documentation in Home Health: Fundamental Concepts
Diana (Dee) Kornetti and Cindy Krafft
Defensible Documentation in Home Health: Patient-Centered Care
Diana (Dee) Kornetti and Cindy Krafft
Defensible Documentation in Home Health: Quantifiable Information
Diana (Dee) Kornetti and Cindy Krafft
Defensible Documentation in Home Health: Care Planning & Goal Setting
Diana (Dee) Kornetti and Cindy Krafft