Archive: CSM 2012: Home Health Programming

  • This is archived programming for CSM 2012. See current programming.

    Browse Home Health sessions by day. Return to the main topic menu.

    Wednesday, February 8 | Thursday, February 9 | Friday, February 10 | Saturday, February 11 

    * Should you choose to preselect sessions during the registration process, please be advised that preselection is not a guarantee of a seat. Attendees are asked to preselect to better determine room size and all efforts will be made to accommodate sessions in the largest rooms possible. All attendees are encouraged to show up to sessions early. Attendees are also encouraged to select alternative sessions in the event their first choice is full. 

    Wednesday, February 8 (Preconference)

    Clinical Competency for the Home Health Therapist: Tests and Measures to Meet PPS-2011 Requirements

    Time: 8:00 am-5:30 pm (See Program for Room)

    Speakers: Diana L. Kornetti, PT, MA, Kenneth L. Miller, PT, DPT

    Level: Multiple Level

    Preconference Pricing: Standard 

    CEUs: 0.8 (8 contact hours/CCUs)

    The role of physical therapy in home care endures ever-increasing scrutiny from regulatory bodies and auditors. With the inception of prospective payment system (PPS) therapy clarifications on April 1, 2011, PTs must include objective measures that provide quantification of impairments on evaluation and offer a baseline from which to determine progress on subsequent reassessments. However, simply adopting a variety of standardized instruments will not ensure that useful data has been collected, putting the scores documented at risk of being invalid and unreliable. Achieving clinical competency as a home care PT will ensure you and your agency's therapists administer standardized instruments in a valid and reliable fashion. This session will provide attendees with an opportunity to become clinically competent in a variety of therapy measures appropriate for use with the Medicare home care population, as well as the tools and resources for establishing a competency program for their home care agencies. Tools included in 'a hands-on lab will be based on those included in the Home Health Toolbox, developed by the Home Health Section's Practice Committee Task Force.

    Upon completion of this course, you'll be able to:

    • Demonstrate competency in a variety of standardized instruments appropriate for use with the community-dwelling older adult and frail geriatric populations.
    • Implement a competency program for peer agency therapists in tests and measures.
    • Demonstrate knowledge of how and when to most appropriately utilize Section-approved standardized instruments with their geriatric patients.

    Thursday, February 9

    Measuring and Monitoring Trends in Home Health Therapy

    Time: 8:00 am-10:00 am (See Program for Room)

    Speaker: Roger A. Herr, PT, MPA

    Level: Intermediate

    This session will focus on the impact of therapy utilization on outcomes and clinical resources in home health agencies. Providers need to understand the implementation of additional regulatory requirements in providing therapy services. The speaker will include common therapy-related measures, benchmarks, and trends in national data. By comparing projected and actual utilization benchmarks providers will learn how to predict resources through exploring utilization by episode, diagnosis, and other characteristics. Finally, the session will correlate outcomes with utilization, as providers need to demonstrate value for the care patients receive.

    Upon completion of this course, you'll be able to:

    • Identify measures and benchmarks of therapy utilization.
    • Discuss changes in health policy requirements impacting providing therapy services.
    • Correlate OASIS outcomes and process measures related to public reporting.
    • Explore detailed areas and trends in therapy utilization, such as predicted vs. actual visits, diagnosis, and other characteristics and correlation with therapy utilization.

    Hot Topics in Home Health

    Time: 10:30 am-12:30 pm (See Program for Room)

    Speaker: Tonya Miller, PT, DPT, COS-C

    Level: Multiple Level

    This session will bring together industry experts to discuss the current and pertinent topics related to home health care and the practice of physical therapy.

    Upon completion of this course, you'll be able to:

    • Discuss current regulatory guidelines for home health care.
    • Demonstrate knowledge of current practice expectations for the home health setting.

    Integrating Functional Assessment Into the Home Health Plan of Care

    Time: 3:30 pm-5:30 pm (See Program for Room)

    Speakers: William Walsh, PT, MA, MBA, Kathryn K. Brewer, PT, MEd, GCS, CEEAA

    Level: Intermediate

    The physical therapy assessment of a geriatric client forms the foundation for our interventions and demonstrates the efficacy of care. Integrating assessment tools into the plan of care contributes to clear documentation and validation of the need for skilled physical therapy. Like a photograph, the correct assessment can speak 1,000 words, when only 20 have been documented. This session will provide an overview of an evidence-based assessment of the geriatric client and demonstrate how to integrate the assessment into a home health plan of care.

    Upon completion of this course, you'll be able to:

    • Identify appropriate standardized assessment tools based on the geriatric client's profile.
    • Describe the risk factors and deficits that identify the "frail elder" from the "non-frail elder".
    • Develop and implement a plan of care to address fall risk, frailty, balance, and strength based on chosen assessment tool(s).
    • Integrate standardized tools in your documentation to paint a clear picture of functional deficits and validate the need for skilled physical therapy interventions.

    Contemporary Examination of Physical Therapy Professional Liability

    Claims: Metrics and Scenarios

    Time: 3:30 pm-5:30 pm (See Program for Room)

    Speakers: Ellen Wodika, MA, MM, CPHRM, Michael Loughran (Aon Affinity/HPSO)

    Level: Multiple Level

    Healthcare Providers Service Organization (HPSO) and their insurance carrier partner, CNA, continue to analyze malpractice actions involving physical therapy professionals. The speakers will provide background and analysis on the updated claims study by CNA HealthPro. The study was developed to create awareness of professional liability claims brought against physical therapy professionals, identify areas of risk for physical therapy professionals, and outline risk management strategies to help reduce those risks.

    Upon completion of this course, you'll be able to:

    • Learn the leading allegations made against physical therapy professionals in malpractice lawsuits.
    • Define the average cost to defend and the indemnity for physical therapy professionals in malpractice lawsuits.

    Home Health Roundtables 2012

    Time: 6:30 pm-8:30 pm (See Program for Room)

    Speaker: Tonya Miller, PT, DPT, COS-C

    Level: Multiple Level

    Come and join this exciting event where you will be able to have the opportunity to discuss current issues in home health. Industry leaders will be available for small-group discussions. This is a great opportunity to share ideas. A dinner will be served and the session will be followed by a home health networking event.

    Upon completion of this course, you'll be able to:

    • Discuss industry issues with peers and industry experts.
    • Demonstrate understanding on new industry regulations.
    • Connect outcomes, patient care, documentation, and regulations.

    Friday, February 10

    *Fear of Falling in Older Adults: Evidence-based Strategies

    Time: 8:00 am-10:00 am (See Program for Room)

    Speaker: Dennis Klima, PT, MS, PhD GCS, NCS

    Level: Intermediate

    This session addresses the fear of falling disorder from a thorough review of current evidence-based examination and intervention strategies. Appropriate attention is given to pertinent demographic and cultural perspectives of the disorder along the patient management model continuum. The session reviews current instruments used to identify and measure deficits in balance confidence among older adults, along with applicable psychometric strengths and weaknesses of each tool. It describes relevant factors associated with fear of falling, including gender differences, assistive device use, and comorbidities such as depression and anxiety. A discussion of current management strategies targets best practice interventions aimed at reducing fear of falling in older adults living in a variety of residence domiciles.

    Upon completion of this course, you'll be able to:

    • Operationally define "fear of falling" and discuss demographic and cultural perspectives related to the disorder.
    • Discuss the relationship between fear of falling, balance performance, and fall risk.
    • Describe major instruments used in both research and clinical practice used to measure fear of falling and related balance confidence deficits among older adults.
    • Contrast the psychometric strengths and weaknesses of the above mentioned tools, including administration feasibility in a variety of clinical settings.
    • Describe current best practice interventions used to prevent or reduce the fear of falling in older adults, including a review ofmetanalyses, randomized controlled trials, quasi-experimental designs, and descriptive studies.

    Activity With a Deep-Vein-Thrombosis Patient in the Home Care Setting: Is It Safe?

    Time: 10:30 am-12:30 pm (See Program for Room)

    Speaker: Deborah C. Wojcik, PT, MPT, MEd

    Level: Intermediate

    Deep Vein Thrombosis (DVT) is the third most common cardiovascular disorder seen by physical therapists. Mobility activities may increase the risk of DVT progressing to a pulmonary embolism. Therefore, much of physical therapy practice in the presence of DVT has been to limit patient activity. There exists much confusion over the appropriate timing of activity for patients with suspected or documented DVT. This session will address the concerns many therapists have over the appropriate balance of activity and rest for patients with DVT.

    Upon completion of this course, you'll be able to:

    • Identify patients at risk of developing a DVT in the home care setting.
    • Use a clinical tool to determine a patient's risk of DVT development as well as progression to a pulmonary embolism.
    • Compare the benefits and risks of ambulating a patient with a documented DVT.
    • Recognize the importance of activity as a treatment modality for DVT.

    Saturday, February 11

    Overcoming the Apprehension of Treating a Patient With Cardiovascular or Pulmonary Disease

    Time: 8:00 am-10:00 am (See Program for Room)

    Speakers: Pamela Bartlo, PT, DPT, CCS, Jeffrey Rodrigues, PT, DPT

    Level: Intermediate

    A large portion of the patients treated by physical therapists and physical therapist assistants in home health or in a skilled-nursing facility have cardiovascular or pulmonary pathologies. However, many therapists working in these environments have a lack of confidence in addressing these pathologies. This course will assist the PT and PTA in developing the skills and confidence needed to incorporate cardiovascular and pulmonary treatments into the home health, sub-acute rehab, or skilled-nursing facility rehab programs.

    Upon completion of this course, you'll be able to:

    • Identify appropriate vital signs and their response to activity.
    • Explain characteristics of common cardiovascular and pulmonary surgical procedures and the therapy guidelines following these surgeries.
    • Detail the process of examination and evaluation of patients/clients with impairments related to cardiovascular and/or respiratory systems.
    • Describe appropriate exercise parameters and progression for the management of patients with cardiovascular or pulmonary diagnoses, either as primary or secondary diagnosis.

    Home Health Therapy Leadership: A Key to Industry Success

    Time: 10:30 am-12:30 pm (See Program for Room)

    Speakers: Sherry Teague, PTA, MESS, ATC, Kristin Mattson

    Level: Multiple Level

    Over the past few decades, many areas of health care have seen a rise in physical therapists as industry leaders. However, some industries, such as home health, continue to struggle to find that same level of leadership. The home health industry calls for astute physical therapy leadership and direction; however, physical therapists do not tend gravitate toward a leadership role or responsibilities. This course will serve to motivate and educate physical therapists regarding the next frontier in home health, with physical therapy running the show.

    Upon completion of this course, you'll be able to:

    • Access and use all resources pertaining to the daily operation of a home health agency.
    • Recognize the steps to opening an agency from the ground up.
    • Identify barriors to leadership in the home health setting.
    • Become a resource in your current employment in home health and work toward advancing to a leadership position.

    Your Section's Practice Committee: What's the Latest in Home Health?

    Time: 3:30 pm-5:30 pm (See Program for Room)

    Speakers: Diana L. Kornetti, PT, MA, Kenneth L. Miller, PT, DPT

    Level: Multiple Level

    In 2011, the executive team of APTA's Home Health Section determined that the section would benefit from a practice committee. The focus of this committee has been to collect and synthesize accurate and current information related to the home health industry. From this information, the committee has developed resources and tools to assist membership in meeting the demands of working in the home health industry. This course will provide attendees with information on the mission, work, and resources developed by the practice committee. This is a do-not-miss session for any PT or PTA working in home health.

    Upon completion of this course, you'll be able to:

    • Identify resources currently available to section members.
    • Describe the role of the Home Health Section's Practice Committee.
    • Recognize how and why to become involved in the Practice Committee.
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