Home Health Excellence: Case Management Part 1

Presented by Kim Tate and Natalie Venable

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Video Runtime: 20 Minutes; Learning Assessment Time: 40 Minutes

In the home health industry, effective case management is often hindered by a lack of comprehensive understanding and consistent application of its core principles among clinicians. Many clinicians face challenges in consistently applying case management principles due to varying patient needs, complex care plans, and interdisciplinary communication barriers. This course addresses these challenges by equipping home health clinicians with the essential skills and core principles of successful case management. Through focused training on assessment, planning, ongoing monitoring, implementation, and effective communication, clinicians can improve patient outcomes and enhance their delivery of care.

Learning Objectives
  • Identify three key principles and core functions of case management
  • Highlight the roles and responsibilities of interdisciplinary team members in home health and the importance of effective communication and collaboration within the team
  • Recognize the importance of consistent evaluation and reassessment of patient needs to identify changes in condition and determine ongoing eligibility or the next phase of care
  • Identify effective communication strategies for collaborating with interdisciplinary team members and providers to ensure cohesive teamwork

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

Introduction to Case Management in Home Health

1. Introduction to Case Management in Home Health

This chapter will cover the fundamental principles and core functions of case management in the home health setting. Participants will learn about the role of the case manager and the importance of effective case management in promoting adherence to care plans, improving patient outcomes, ensuring quality assurance, and maintaining cost-effectiveness. Understanding these concepts is crucial for clinicians to provide coordinated, high-quality care that meets regulatory standards.

Patient Assessment and Care Planning

2. Patient Assessment and Care Planning

This chapter will delve into the processes of patient assessment and care planning within the home health setting. Participants will gain insights into the roles and responsibilities of interdisciplinary team members, emphasizing effective communication and collaboration for cohesive care delivery. By understanding how to utilize standardized assessment tools and identify patient needs, strengths, and challenges, clinicians will be equipped to develop individualized care plans that prioritize patient-centered goals, interventions, and collaboration. This comprehensive approach is essential for optimizing patient outcomes and ensuring high-quality care in home health settings.

Ongoing Monitoring and Reassessment

3. Ongoing Monitoring and Reassessment

This chapter will emphasize the significance of ongoing assessment and evaluation in home healthcare. Clinicians will learn to recognize the importance of consistent evaluation to identify changes in patient condition and determine the need for adjustments in care plans. Understanding how to monitor progress, make necessary adjustments, and document changes in the plan of care is essential for ensuring continuous improvement in patient outcomes and optimizing the effectiveness of care delivery.

Communication and Collaboration

4. Communication and Collaboration

This chapter will focus on identifying effective communication strategies for fostering collaboration among interdisciplinary team members and healthcare providers in the home health setting. By understanding the importance of timely updates, coordination, and the roles and responsibilities of each team member, clinicians can enhance teamwork and streamline communication channels, ultimately improving patient care outcomes and satisfaction.