An Interdisciplinary Approach to Homecare Improve patient care through interdisciplinary teamwork Medicare is not concerned with outcomes specific to therapy, nursing, or social work. Since payments are based on the overall patient outcome, agencies need to encourage disciplines to work together to achieve the desired end results. Cindy Krafft, PT, MS, helps you develop a collaborative, interdisciplinary approach to patient care. You'll learn to make proper use of previously collected OASIS-C data to draft effective and thorough care plans that benefit your agency and its patients. Benefit from this book by: Ensuring collaborative patient care by communicating with members of the interdisciplinary team (IDT) despite infrequent face-to-face interactionsTaking advantage of information you already possess?such as OASIS-C documentation?to drive the care planning processEstablishing care conference best practices to make them effective and efficientDetermining medical necessity through an understanding of the viewpoint of other disciplinesInitiating appropriate referrals to other services as indicated Removing the task-oriented mind-set prevalent in agencies today and develop patient care plans with input from the entire IDT
Avoid the pitfalls that cost SNFs billions each year in preventable rehospitalizations An informed and proactive nursing home staff is a vital weapon in the struggle to keep residents from being readmitted to the hospital. Ending Hospital Readmissions: A Blueprint for SNFs delivers several practical strategies your facility can employ to combat this problem, such as enhanced resident assessment and documentation policies, provider partnerships that improve transitions of care, staff education tools, and methods to achieve resident and staff involvement
This is a timely and vital resource for new and seasoned gerontology nurses responsible for coordinating care and advocacy for their patients as health care shifts from hospital-based to community-based care. Comprehensive and organized for quick access to information, this clinical guide encompasses the broad network of community health resources available and describes how to access them on behalf of geriatric patients and clients.
a practical and comprehensive guidebook written concisely and without jargon or insider acronyms, making the book accessible to anyone whose work is connected to home care nursing services. Designed to provide chapters as stand-alone resources for readers with previous experience seeking updated guidance, Home Care Nursing is also an excellent guide for course or orientation material. Each chapter is packed with practical questions, discussion topics, and additional resources, such as a complete Medicare Benefit Policy for reference. Additionally, offering more than just an overview of the healthcare and home care markets, this book discusses the unique practice setting and environment of home care nursing, the laws regulations, and quality, and how to make the leap into the field, document your home visit, and improve your professional growth and development..
Homecare providers need to start focusing on patient education and engagement initiatives to ensure better outcomes and compliance, sustain high ratings and a good reputation, and continue to receive referrals for post-acute care. Quality Care in Home Health: Improving Patient Outcomes and Agency Scores provides home health agencies with the tools and tactics they need to address the measures and improve publicly reported survey results through training, systematic practices, and bedside clinical behavior.