Home Health Excellence: Care Coordination and Collaboration

Presented by Kim Tate and Natalie Venable

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Video Runtime: 20 Minutes; Learning Assessment Time: 42 Minutes

In the dynamic landscape of home healthcare, effective care coordination, interdisciplinary collaboration, and meticulous documentation are paramount for ensuring optimal patient outcomes and regulatory compliance. This course delves into the core principles and best practices essential for addressing these critical aspects. Participants will explore the significance of care coordination in home health, understanding its pivotal role in enhancing quality of care, increasing patient satisfaction, and streamlining care delivery. Through insightful discussions, they will grasp the intricacies of interdisciplinary care coordination, learning how various healthcare professionals synergize their efforts to adhere to comprehensive care plans tailored to individual patient needs. The course sheds light on the key elements that should be documented to ensure continuity of care and compliance with CMS regulations. Participants will emerge equipped with practical strategies and actionable insights to elevate their care coordination practices, foster interdisciplinary collaboration, and uphold documentation standards.

Learning Objectives

Recognize the importance of care coordination in the home health setting
Compare interdisciplinary team members and recognize interdisciplinary care coordination
Identify best practices for demonstrating care coordination in documentation
Identify interdisciplinary collaboration strategies regarding patient and clinician safety

Meet your instructors

Kim Tate

Kim Tate is a registered nurse with over three decades of healthcare experience. She is a passionate clinical leader who strives to deliver quality care and positive patient outcomes. She has a bachelor of science in nursing with a proven track record of facilitating and leading the effectiveness of clinical programs,…

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Natalie Venable

Natalie Venable earned her bachelor of science in occupational science from Eastern Kentucky University in 2012, followed by a master of science in occupational therapy in 2014. Her extensive career as an occupational therapist spans various settings, including outpatient care for both adult and pediatric populations, skilled…

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Chapters & learning objectives

1. The Importance of Care Coordination

This chapter emphasizes the critical role of care coordination in home healthcare. It outlines how effective care coordination can enhance patient outcomes, reduce hospital readmissions, and ensure seamless transitions across different levels of care. The chapter will also address the specific needs of home health patients and the unique challenges faced in this setting.

2. Interdisciplinary Care Coordination

This chapter focuses on the importance of an interdisciplinary approach to care coordination. It highlights the roles and contributions of various healthcare professionals involved in home healthcare, including nurses, therapists, social workers, and primary care physicians. Effective strategies for communication and collaboration among team members will be discussed to ensure comprehensive and cohesive care plans.

3. Effective Demonstration of Care Coordination

This chapter underscores the importance of proper documentation in demonstrating care coordination. It provides practical guidelines on what aspects of care coordination should be documented and how to do so effectively. Emphasis will be placed on ensuring documentation is thorough, accurate, and compliant with CMS regulations to support quality improvement initiatives and continuity of care.

4. Collaboration Strategies for Safety

This chapter aims to equip home health clinicians with practical strategies for addressing various safety concerns in home health care, fostering an environment of collaboration, and ensuring the well-being of both patients and clinicians.