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Coordination of Care and Services in Home Health

presented by Nancy Allen, BSN, RNC, CMC

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Disclosure Statement:

Financial: Nancy Allen receives compensation from MedBridge for this course. Nancy Allen is the owner and Senior Consultant for Solutions for Care Inc.. This course makes no product or services recommendations. There is no financial interest beyond the production of this course.

Non-Financial: Nancy Allen has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 51 Minutes, Learning Assessments: 47 Minutes

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 Allen, BSN, RNC, CMC

Nancy E. Allen, BSN, RNC, CMC, 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 ten years as a state and accreditation surveyor. She has served as a Corporate Integrity Monitor for the…

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Chapters & Learning Objectives

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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.

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