Defensible Documentation in Home Health: Quantifiable Information
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 “O” portion of the SOAP note ("objective") is not a new concept when it comes to clinical documentation. Although the focus seems to be more on therapy than on nursing, all clinical documentation needs to contain a level of quantifiable information by which patient improvement or stabilization can be measured. The “A” portion ("assessment") goes hand in hand with the “O” as it is insufficient to just provide measures without analyzing the findings. This course will examine strategies for collecting and analyzing objective 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. What Is “Required”?
There are many real rules in home health, but there are also some that are not actually based on regulations. In order to create defensible documentation, clinicians need clarity around expectations. This chapter will explain the requirements surrounding both objective and assessment information.
2. What Is in the Toolbox?
A good mechanic needs more than one tool to complete the job, yet many clinicians include little or no objective information in their documentation to support skilled care and measure the impact over time. This chapter will examine objective measures that can be used by a variety of disciplines to expand the content of the toolbox.
3. Analyzing Findings
Collecting subjective information and reporting objective measurements are important components of defensible documentation but in and of themselves do not clearly support skilled care. It takes discipline-specific expertise to interpret findings and connect them to the need for intervention. This chapter will provide strategies for documenting clinical decision-making that takes skilled need to the next level.
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