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Welcome to Home Care: An Overview

presented by Kim Corral and Tina Marrelli

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Disclosure Statement:

Financial: Tina Marrelli is an employee and share holder of Marrelli and Assoc. Inc, with book sales. Tina Marrelli is  a share holder with book sales of Innovative Caregiving Solutions LLC. Tina Marrelli is an author who receives book royalties from Sigma Theta Tau International Publishing. Tina Marrelli receives compensation from MedBridge for this course. Kim Corral is an employee and share holder of Chelta, Inc  Kim Corral receives compensation from MedBridge for this course. For both instructors there are no financial interests beyond the production of this course.
Non-Financial: Tina Marrelli and Kim Corral have 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 support@medbridgeed.com. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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This foundational course offering provides a big picture overview of home care. Home care comprises many models of care delivery systems and types of home care. A brief history of home care, a snapshot of where we are now by the numbers, and the differences between home care and any other health care practice setting are addressed. A holistic and practical definition of home care is also presented. Additionally, this course will also explain why having exemplary clinical, self-motivational, organizational, and people skills is key to success in home care practice and management.

Meet Your Instructors

Kim Corral, RN, BSN, MA Ed, COS-C

Kim is a registered nurse with a master's degree in education and more than 30 years of home health experience. She is an experienced leader in home health care, having held both clinical and operational positions at regional and national levels for large corporate home health organizations. She brings a passion for providing the clinical…

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Tina Marrelli, MSN, MA, RN, FAAN

Tina Marrelli is the president of Marrelli and Associates, Inc., a publishing and consulting firm working in home care for more than 30 years. Tina is the author of 13 books, including the Handbook of Home Health Standards: Quality, Documentation, and Reimbursement (6th edition, 2018). Other books include A Guide for Caregiving: What’s Next? Planning…

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Chapters & Learning Objectives

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1. Welcome to Home Care: The Health Care Setting of the Future

This chapter sets the stage for why home care is so different from other practices and business settings. Because the patients and families served are "out there" in the community, this different foundational construct has implications for care delivery, operations, and management, and sometimes home care team members feel "alone" because of this. In fact, this feeling, when reported, can be addressed and supported. This chapter provides a snapshot of some quantifiable data that helps make clinicians and managers know they're part of a large and growing community.

2. What Is Home Care, Exactly? An Inclusive Definition

This chapter provides a practical and working definition of holistic home care and health care services provided at home. In this chapter we address the varying models and structures of the kinds of home care programs that provide unique and specialized services.

3. The Environment of Care: The Biggest Difference

Generally, we only go into people's homes or get invited in when we know them. The person who lives in the home and their family members are truly the "unit of care" in home care. This chapter addresses some of these differences and nuances that impact practice and operations. From a practical perspective, this means that we function on somebody else's turf and home place. Though we may have been a clinician or manager where we had operational responsibility for a large group of patients in a hospital or nursing home or other facility, it is learned that in home care, this power shifts to the patient.

4. The Environment of Care Safety Implications

This summary chapter begins by describing a home visit or a shift in home care by showing an example of a patient, an older woman with chronic conditions that demand skilled care and visits. This chapter delves into the kinds of specialties that are seen in home care, another quality and safety factor when skill-matching patients and clinicians. The topic of how to make a home visit, which, of course, has implications for any type of home care, is presented in its own 60-minute CE course offering. Similarly, there is another course offering entitled Team Member Safety in the Community and Patient Home.

More Courses in this Series

Orientation: An Overview of Documentation Requirements in Home Care

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Orientation: An Overview of Documentation Requirements in Home Care

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
Today's home care clinicians must have an understanding of the trends, regulations, and other external factors that impact care provided and the documentation surrounding care. Home care is a global term, and home care services can range from solely personal care services (non-medical) to very skilled levels of care with licensed nurses providing care to medically fragile adults and children. Because of this, there are many models and methods of delivering home care. For purposes of this course, we will be focusing primarily on the provision of “visits” as the primary model of home care vs. hourly care. Medicare is the largest payer of home health services, and visits are the usual unit of care delivery. Medicare sets the standards for home care, regardless of the payer. It is for this reason that an overview of documentation requirements is the first course. The differences in documentation requirements for home care versus other settings (e.g., OASIS) will de discussed, and the purposes of documentation, supporting medical necessity, and coverage criteria will also be addressed. This course is designed to provide tangible tools for both clinicians and leadership/management to apply as they improve their processes and practices related to effective documentation in home care.

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Orientation: Care Planning

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Orientation: Care Planning

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The ability to perform an accurate comprehensive assessment and develop an individualized plan of care for home care patients is the foundation for care delivery in home care. This course will review the steps of the care planning process, a type of problem solving method. A discussion will be provided regarding the application of this process and the value it brings to patient care.

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Orientation Program: Team Member Safety in the Community

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Orientation Program: Team Member Safety in the Community

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This course addresses the common safety-related factors in the community and home environments. Home care team members can be exposed to a number of potentially serious hazards which range from dangerous pets (eg. biting) to firearms (ie. guns) in homes. Environmental hazards include smoke, needlesticks, unhygienic homes, germs and pathogens, structural house problems, hoarding and many others. This course seeks to identify some of these safety hazards and dangers so that clinicians and managers/leaders can better understand and apply their risk management and safety policies related to such situations and protect their team members.

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Medicare Coverage and Documentation Requirements: The Fundamentals

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

Medicare Coverage and Documentation Requirements: The Fundamentals

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The value of the clinical documentation that supports the tenets of coverage and quality cannot be overstated. Clinicians and managers/leaders need to proactively describe care and services in the terms detailed in the Medicare Benefit Policy Manual, Chapter 7. This, then, is the guidebook when seeking answers, examples, and clarity. This overview describes the fundamentals of Medicare coverage and the associated required documentation to support medical necessity, the individual patient's need for the skilled care and service, and the tenets of the home care program.

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What is Case Management in Home Care?

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

What is Case Management in Home Care?

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
The home health industry demands that patient care be provided in an efficient and effective manner. Case management is a strategy which supports this demand. This course defines the concept of case management and discusses the skills and core knowledge concepts required to manage not only individual patient episodes but entire caseloads of patients. Strategies for applying this process to individual patients and caseloads will be discussed with practical examples that can be applied in the care practice setting.

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How to Make an Effective Home Visit

Presented by Kim Corral, RN, BSN, MA Ed, COS-C and Tina Marrelli, MSN, MA, RN, FAAN

How to Make an Effective Home Visit

Subscribe now, and access clinical education and patient education—anytime, anywhere—with video instruction from recognized industry experts.
This foundational course addresses the three parts of the patient home visit and information and processes that surround and support effective and holistic home visits. This includes a practical and holistic definition of a home visit, the use of the care planning process through the visit, the patient-related and other activities that occur during a skilled visit, and strategies to document care that was provided during the visit. This course will also explain why having exemplary organizational, clinical, and interpersonal skills is key to making value-based home visits. This is because numerous and complex facets of care, including the patient's goals, the plan of care, physician orders, care team members, the patient's environment, care coordination, and communication, all come together in this structured, person-centered encounter.

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