Home Health PT Flashcards
1
Q
Certified home care agencies
A
- certified by centers for medicare and medicaid (CMS)
- HOMs, Private insurance
2
Q
Licensed Home care agencies
A
- can do private duty care
- may be paid through insurance or private pay (should still document the same)
3
Q
Interdisciplinary teams in home care
A
- nursing
- PT
- OT
- SLP
- social work
- dietician
- home health aide
- physician
not exhustive list
4
Q
What is the common continuum of care
A
- hospital
- skilled nursing or inpatient rehab
- home health services
- outpatient rehab
5
Q
What patients populations are seen in home care
A
- peds: early intervention
- acute care adult: skilled services, short-term/restorative, improvement anticipated
- long-term: personal care assistance program, funded by medicaid, maintain health and wellness
- Hospice: palliative care for terminally ill, physical, emotional, and psychosocial needs, < 6 months to live
6
Q
Common diagnosis for home health
A
- fall preventions
- joint replacements
- fractures
- cardiopulmonary issues
- neurology, stroke, MS, PD
- wound care
7
Q
What is considered home for home health
A
- patient’s home
- family member’s home
- independent living facility
- assisted living facility
- group home
8
Q
Who qualifies for home care
A
- conditions of participation (federal)
- medicare benefit manual: homebound, skilled service, physician ordered, reasonable/neccessary, intermittent: acute change in condition, unique and individualized care plan
- maintence therapy through medicare
9
Q
Benefits of home care PT practice
A
- 1:1 patient care
- 45-1 hr session
- 5-6 patients/day
- changing work environment
- autonomy and flexable schedule
10
Q
time management in home health
A
- autonomous practice
- maximize time with the patient
- organizational skills
- scheduling/travel route
- flexibility with scheduling: patients may not be available though
- integrating documentation into the visit
- exit strategy
11
Q
Considerations with Home health
A
- distance between homes
- weather
- safety and security: pets, crime, infection risk, patient saftey
- need to see someone so many times per week
12
Q
Home health: family support considerations
A
- concerns about abuse or Neglect
- APTA ethics: PTs shall report suspected cased of abuse involving children or vulnerable adults to the appropriate authroity subject to law
- Social work: adult protective services, child protective serivces, community resources
13
Q
PT assessment in home care
A
- PMH and previous level of function
- gait
- ADL/iADL
- cognitive and mental status
- cardiopulmonary
- integumentary
- neurological
- MSK
- social support
- environmental/home
14
Q
A
15
Q
Where do we discharge
A
- discharge with HEP
- discharge with caregiver to assist
- discharge with OPPT
- discharge to day program
16
Q
A
