MODULE 3- Person-Centered Home Health Care Management

Presenter: Jennifer LeDuc, RN, MSN, COS-C, Quality and Reimbursement Manager, Day Kimball Homecare

Health care reform is requiring better care resulting in better health at a lesser cost (the Triple Aim). Learn how expert person-centered care coordination, case management and interdisciplinary communication in home health are the keys to achieving the Triple Aim. Nurses and therapists will collaborate in this all-day session to hone their case management skills using real case examples as well as documentation, reimbursement and regulatory information learned from session one.

Goals & objectives to include:

• Reinforce important regulatory issues affecting home care
• Describe key elements of the intake/referral process
• Identify components of the admission, revisit, recertification, resumption of care, and discharge processes
• Describe the importance of concepts such as health literacy, motivational interviewing, chronic care management, palliative care and person-centered care
• Using case examples for both nursing and therapy, apply multidisciplinary case management and care coordination focused on person-centered care planning