Archive: CSM 2013: Home Health Programming

  • This is archived programming for CSM 2013. See current programming.

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

    Sunday, January 20 | Monday, January 21 | Tuesday, January 22 | Wednesday, January 23 | Thursday, January 24 

    * Should you choose to preselect regular (not preconference) Tuesday-Thursday 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. 

    Sunday, January 20 (Preconference)

    Therapy Leadership in Home Health: Building Your Executive Portfolio, Part 1

    Location: Hilton Bayfront | Aqua 304

    Time: 8:00 am - 5:00 pm

    Speakers: Diana L. Kornetti, PT, MA; Sherry L. Teague, PTA, MS, ATC; Kenneth L. Miller, PT, DPT; Kristin Mattson, PT; Cynthia J. Krafft, PT, MS

    Level: Intermediate

    CEUs: 1.6 (16.0 contact hours/CCUs)

    Preconference Pricing: Standard (2A) 2 Day

    Therapy leadership is crucial for success in the home health industry. However, there are often many barriers to physical therapists taking leadership roles within agencies. By recognizing the fundamentals of physical therapy leadership and industry metrics, physical therapists will be able to build a personal leadership portfolio needed for successful industry leadership. This 2-day preconference course will cover key areas integral to physical therapy leadership in the home health agency setting. Industry leaders will present the following content to assist physical therapists interested in leadership development: infrastructure: rules and regulations related to corporate compliance and conditions of participation; dashboards: understanding financial, clinical, and operational metrics for success; and leadership: developing your portfolio to attain a leadership position within your organization.

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

    • Identify 3 key regulatory resources/guidelines integral to Medicare home health.
    • Identify 3 pieces of data/dashboard statistics that contribute to the "health" of an agency's therapy services.
    • Recognize the fundamentals and skills needed to become a leader within an agency.
    • Verbalize strategies to develop/enhance an agency's evidence-based practice approach to therapy services.

    Monday, January 21 (Preconference)

    Strengthening Your Exercise Intervention: Effectively Using Thera-Band®

    Location: Hilton Bayfront | Aqua 310

    Time: 8:00 am - 5:00 pm

    Speakers: Wendy K. Anemaet, PT, PhD; Kate Nemetz, PT, DPT; Emily Neel, PT, DPT

    Level: Multiple Level

    CEUs: 0.8 (8.0 contact hours/CCUs)

    Preconference Pricing: Standard (1A)

    This hands-on course provides the evidence basis for resistance training with the older adult and describes practical methods to provide this effective intervention to patients in the home care setting. The speakers will discuss resistance training, including important exercise parameters and how to manipulate those parameters in order to maximize the therapeutic exercise intervention. Attendees will learn how to assess patients' strength with Thera-Band® and use that assessment to establish an effective exercise program. Case examples will augment the presented principles and interactive, hands-on sessions will allow attendees to practice presented skills.

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

    • Describe indications for prescribing exercises for strength, power, and endurance.
    • Establish exercise parameters to best target improving functional activities, such as sit-to-stand transfers, gait velocity, and ADL.
    • Use Thera-Band® to objectively assess strength.
    • Prescribe upper- and lower-extremity exercises using Thera-Band®.
    • Problem-solve exercise positions and prescriptions for specific patient situations.
    • Cite evidence for resistance training with the older adult.

    Therapy Leadership in Home Health: Building Your Executive Portfolio, Part 2

    Location: Hilton Bayfront | Aqua 304

    Time: 8:00 am - 5:00 pm

    Speakers: Diana L. Kornetti, PT, MA; Sherry L. Teague, PTA, MS, ATC; Kenneth L. Miller, PT, DPT; Kristin Mattson, PT; Cynthia J. Krafft, PT, MS

    Level: Intermediate

    CEUs: 1.6 (16.0 contact hours/CCUs)

    Preconference Pricing: Standard (2A) 2 Day

    Therapy leadership is crucial for success in the home health industry. However, there are often many barriers to physical therapists taking leadership roles within agencies. By recognizing the fundamentals of physical therapy leadership and industry metrics, physical therapists will be able to build a personal leadership portfolio needed for successful industry leadership. This 2-day preconference course will cover key areas integral to physical therapy leadership in the home health agency setting. Industry leaders will present the following content to assist physical therapists interested in leadership development: infrastructure: rules and regulations related to corporate compliance and conditions of participation; dashboards: understanding financial, clinical, and operational metrics for success; and leadership: developing your portfolio to attain a leadership position within your organization.

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

    • Identify 3 key regulatory resources/guidelines integral to Medicare home health.
    • Identify 3 pieces of data/dashboard statistics that contribute to the "health" of an agency's therapy services.
    • Recognize the fundamentals and skills needed to become a leader within an agency.
    • Verbalize strategies to develop/enhance an agency's evidence-based practice approach to therapy services.

    Tuesday, January 22

    Thriving Under Scrutiny: Surviving an Audit

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

    Speakers: Kenneth L. Miller, PT, DPT; Ronald "Bud" Langham, PT, MBA; Gretchen Anderson, PT, MSPT, GCS, COS-C

    Level: Intermediate

    The course will address the steps of the Medicare denial process as well as denial avoidance. Participants will gain an understanding of risk and vulnerability evaluation and the targeted medical review process. In addition, this course will address the denial process through the administrative law judge and beyond. The focus of this presentation is to develop best practices for denial management.

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

    • Identify factors that make your agency vulnerable to audits.
    • Strategies to audit for and improve performance in at risk areas.
    • Apply clinical best practices and documentation best practices that can be implemented in every agency to minimize risk of therapy denials.
    • Discuss the 5 levels of Medicare denial/appeals process.
    • Identify CMS contracted agencies charged with identifying fraud, abuse, and waste.
    • Describe the purpose of and processes associated with recovery audit contractors (RACs), zone program integrity contractors (ZPICs) and comprehensive error rate tests.
    • Present your case to maximize your return at the ALJ level.

    Changing Family Dynamics' Affect on Health Care

    Time: 11:00 am–1:00 pm (See Program for Room)

    Level: Multiple Level

    This is a joint program. See full description at Geriatrics programming.

    Home Health Hot Topics

    Time: 11:00 am–1:00 pm (See Program for Room)

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

    Level: Multiple Level

    This section will bring the latest information from the home health industry. Hear from industry leaders on topics related to legislative, clinical, and industry trends.

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

    • Identify key health care reform changes affecting the home health industry.
    • Understand lobbying initiatives by industry associations.
    • Identify key initiatives of the OIG and MedPAC.
    • Demonstrate knowledge of PPS 2013 changes.
    • Understand proposed revisions and concepts for OASIS -C1.
    • Demonstrate knowledge of the individual clinician's role in health care reform.

    Vertical Orientation in Older Adults: Evaluation and Intervention

    Joint Program: Geriatrics

    Time: 3:00 pm–5:00 pm (See Program for Room)

    Speakers: Patricia Scheets, PT, DPT, NCS

    Level: Basic

    This course will familiarize participants with backward disequilibrium (BD) and psychomotor disadaptation syndrome (PDS). Participants will gain an understanding of clinical assessment and interventions of individuals with BD and PDS. Clinical experiences and research literature will support case examples presented in the course.

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

    • Discuss the clinical findings of a patient with BD and PDS and the literature describing this syndrome.
    • Identify clinical characteristics of BD and PDS using case examples.
    • Develop an evidence-based treatment plan for a patient with BD and PDS.

    Home Health Round Tables

    Time: 6:00 pm–8:00 pm (See Program for Room)

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

    Level: Basic

    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.

    Wednesday, January 23

    Do I Really Need That Stethoscope? Vital Signs as Part of Practice, Part 1

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

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

    Level: Basic

    This 2-part course addresses vital sign and auscultation assessment of the acute medical patient. Because acutely medically ill patients are being seen at all levels of health care continuum, PTs need to be able to address the unique challenges of patients with a high level of medical acuity. The ability to assess a patient's vital signs and auscultations provides the therapists with a real-time assessment of the patient's activity tolerance. Using vital signs and auscultations part of the clinical decision making process allows for the determination of evidence based changes in a patient's activity program. This course will provide participants the needed skill set to appropriate evaluate vital signs and auscultations and apply the information to clinical decision-making.

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

    • Define the important components of a stethoscope.
    • Designate appropriate auscultatory sites.
    • Identify the characteristics of a normal breath sound.
    • Identify the characteristics of an abnormal or adventitious breath sound.
    • Determine the clinical implication of a particular breath sound as part of a treatment session.

    Practical Ethics and Home Health Therapy Services

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

    Speakers: Ronald "Bud" Langham, PT, MBA

    Level: Intermediate

    This course will use the most current APTA ethics documents, relevant ethical decision-making models, and relevant ethics literature in an effort to ensure that home health clinicians can recognize how ethics should be factored into practice and professional activities.

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

    • Locate the core ethics documents of APTA and other ethics resources.
    • Become familiar with APTA's ethics documents.
    • Use at least 1 ethical decision-making tool to address a home health therapy scenario.
    • Recognize the concept of a "moral agency."
    • Be an advocate for professional and ethical home health therapy practice.

    Do I Really Need That Stethoscope? Vital Signs as Part of Practice, Part 2

    Time: 11:00 am–1:00 pm (See Program for Room)

    Speakers:  

    Level: Basic

    Auscultation of breath sounds is an important skill for physical therapists in all practice settings. Use of the information auscultations provides yields information about airflow, presence of secretions and lung status. This course, part 2 of "Do I really need to use that stethoscope?" will focus on the use of didactic information, audio sounds, and clinical cases to integrate the use of auscultations into daily practice.

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

    • Define the important components of a stethoscope.
    • Designate appropriate auscultatory sites.
    • Identify the characteristics of a normal breath sound Identify the characteristics of an abnormal or adventitious breath sound.
    • Determine the clinical implication of a particular breath sound as part of a treatment session.

    Palliative Care Physical Therapy: Improving Quality of Life at the End of Life

    Time: 3:00 pm–5:00 pm (See Program for Room)

    Level: Basic

    This is a joint program. See full description at Oncology programming.

    Thursday, January 24

    Exercise Prescription: Are You Pushing Aging Adults Hard Enough?

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

    Level: Multiple Level

    This is a joint program. See full description at Geriatrics programming.

    Patient-Centered Care: Bringing Quality Toward End of Life

    Joint Program: Geriatrics, Oncology

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

    Speakers: Tracey L. Collins, PT, PhD, MBA, GCS; Edmund Kosmahl, PT, EdD; Barbara Reddien Wagner, PT, DPT, MHA

    Level: Multiple Level

    This session will focus on the physical therapy evaluation and the evolving plan of care needed to address quality of life for the hospice patient. The speakers will provide supporting literature for physical therapy evaluation, and case examples of interventions in hospices will be used to demonstrate how to address the unique needs of the individual at end of life.

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

    • Define the criteria necessary to qualify for hospice or palliative care.
    • Describe an appropriate hospice and palliative physical therapy referral.
    • Develop and implement a plan of care appropriate for patients receiving hospice or palliative care
    • Analyze and assess the plan of care for a patient receiving hospice or palliative care as their status changes.

    The Life Cycle of a Home Health Episode

    Time: 11:00 am–1:00 pm (See Program for Room)

    Speakers: Diana L. Kornetti, PT, MA; Chris Chimenti, PT

    Level: Basic

    The practice of home health physical therapy continues to advance, increasing the demands of the clinician's skill set. This interactive presentation will use a combination of lecture and case study to help physical therapists better understand the clinical decision-making that takes place in crafting and delivering a "best practice" plan of care. The speakers will explore the relationship between the OASIS (Outcome and Assessment Information Set) assessment and reimbursement, program integrity, and outcomes. Attendees will gain an understanding of the optimum care that is characteristic of industry-leading organizations.

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

    • Describe the relationship between the comprehensive admission assessment and the prospective payment system (PPS) episode reimbursement rate.
    • Explain claim submission and payment timelines associated with a 60-day episode.
    • Recognize the clinical decision-making used to develop a quality home health physical therapy plan of care.
    • Identify the best practice techniques used to optimize program integrity, patient satisfaction, and clinical outcomes.
    • Appreciate the leadership required throughout all levels of a home care agency to ensure high ethical standards.

    Updating Home Health Physical Therapy to Vision 2020

    Time: 3:00 pm–5:00 pm (See Program for Room)

    Speakers: Anna Pitassi, PT, COS-C; Jonathan Talbot, PT, MS

    Level: Intermediate

    As the physical therapy profession continues to move towards the objectives outlined in Vision 2020, those who implement comprehensive evaluation and patient management strategies will be well-positioned to meet the demands placed upon them. This course will provide the learner with the tools to improve OASIS (Outcome and Assessment Information Set) accuracy and use OASIS for care-planning and achieving optimal outcomes. Methods will be taught to think "outside of the box" during both the initial assessment and during the ongoing implementation of the plan of care. The speakers will review several evidenced-based measures appropriate for home care. This session also will provide methods to improve Home Health Consumer Assessment of Healthcare Providers and Systems (HH-CAHPS) scores, with emphasis on medication management.

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

    • Describe the importance of OASIS accuracy as it relates to outcomes, financial success, and survival of the homecare agency.
    • Demonstrate the use of key OASIS items and process measures in developing the patient care plan to provide the best care and achieve optimal outcomes.
    • Demonstrate a commitment to routine evidence-based practice to ensure that interventions are appropriate and consistent with best practice standards.
    • Recognize the HH-CAHPS survey content and demonstrate how physical therapy services can directly improve patient perception.
    • Describe the importance and content of Home Health Compare tool.
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