RNST

Successful Transitions to and from Home Care

Course Learning Outcomes

As a result of participating in this learning activity the learner will be able to:

  • Demonstrate knowledge of the process for successful transitions to/from home care, to/from skilled nursing facilities, and to/from outpatient therapy for home care clients as evidenced by passing the final exam with a score of 80% or higher at the end of the on-line learning activity.

Description
This course is designed to help health care providers understand the process for successful transitions to/from home care, to/from skilled nursing facilities, and to/from outpatient therapy for home care clients. Participants will have the opportunity to reflect on what they are learning through case scenarios.
Delivery

This is a self-paced course with knowledge check activities. These non-graded activities allow you to check your understanding before proceeding on in the course. At the end of the course, you will be  required to take the final exam. You must score 80% or higher to pass the course and complete the evaluation in order to obtain a certificate of completion.

Objectives
  • Determine type and level of care needed for a client
  • Explain steps involved in transitioning from home care to a skilled nursing facility
  • Describe situations where the PT, OT, or RN may not be able to fully meet the needs of their clients in the home setting
  • Explain the importance of Informed Consent
  • List special payer considerations
  • List possible referral sources and the importance of coordination of care
  • Compare and contrast successful and unsuccessful client transitions
Contact Time

1.5 Contact Hour: based on 60 minute hour

Estimated Time

The estimated time for completion for this activity is 1.5 hour(s).

Intended Audience

This course is designed to meet the continuing education requirements of health care professionals such as Registered Nurses, Physical Therapists, Speech Therapists, and Occupational Therapists.

Course Planning Team

Beth Schoenfeld, RN, BSN, MSN, Cindy Krafft PT, MS, HCS-O; Kathy L. Richie, RN, BSN

Course Expiration Date

As required by ANCC, this course will be reviewed and updated or discontinued on or before April 30, 2024.

Disclosure Statements:

Commercial Support: This course was developed in accordance with ANCC Commercial Support Guidelines. No commercial support was accepted for the development of this course.

Conflict of Interest: This course was developed in accordance with ANCC criteria regarding Conflict of Interest. No one in control of content of this course has any conflicts of interest.

Author Originating

Cindy Krafft - PT MS HCS-O

Cindy Krafft brings more than 20 years of home health expertise that ranges from direct patient care to operational and management issues. For the past 15 years, Cindy has been a nationally recognized educator in the areas of documentation, regulation, therapy utilization and OASIS. She has served on several CMS driven Technical Expert Panels as well as an expert resource for OASIS Updates. Her focus is on providing the knowledge and tools to operationalize external requirements while keeping the driver of care where it needs to be – the needs of each patient being cared for in the home setting. Cindy has been involved at the senior leadership level for the Home Health Section of the American Physical Therapy Association for more than 10 years and is the immediate past President of that organization. She has been working with APTA and CMS to clarify regulatory expectations and address proposed payment methodologies to ensure the long term participation of all services provided in the home health setting. Cindy is an active member of the National Association of Home Care and Hospice (NAHC) and currently serves on multiple committees. She has written 3 books – The How-to Guide to Therapy Documentation, An Interdisciplinary Approach to Home Care and the Handbook to Home Health Therapy Documentation – and co-authored her fourth, The Post-Acute Care Guide to Maintenance Therapy with her business partner Diana Kornetti PT, MA, HCS-D.

Copyright

Materials used in connection with this course may be subject to copyright protection. Retention of the materials for longer than the class term, unauthorized further dissemination of the materials, or use of copyrighted materials in any way other than intended for this class is prohibited by Copyright and Teach Act laws.

Acknowledgment

This course was developed with Rochester Community and Technical College's Center for Business and Workforce Education located in Rochester Minnesota.

Course Code
RNST
Course Category
Home Health