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HCCIntelligence™ Webinar Recording: Integrating Oc ...
Webinar Q and A
Webinar Q and A
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Pdf Summary
The HCCIntelligence™ webinar held on August 19, 2020, focused on integrating Occupational Therapy (OT) into home-based primary care and palliative programs. One key discussion point was the role of OT in hospice and palliative care, emphasizing caregiver education, managing chronic conditions, and enhancing patient engagement in meaningful activities. OT has shown efficacy in improving functional performance, patient satisfaction, and quality of life across various chronic and terminal conditions, and is available through hospice and palliative care teams.<br /><br />For non-homebound patients, there is an emerging trend called "Mobile Therapy." These are typically private practitioners or Medicare Part B providers who deliver extended outpatient services within patient homes without the requirement for homebound status. <br /><br />When assessing environmental characteristics for a patient's functional potential, it's essential to consider the patient's expected activities and specific needs. An assessment will look at self-care tasks, safety elements like toilet seat height and grab bars, and overall accessibility. The goal is to ensure a proper fit between the person and their environment, similar to ergonomic assessments.<br /><br />Regarding orders for home-based OT, practitioners benefit most from knowing any medical contraindications, primary diagnoses, and specific functional or activity limitations. Having access to detailed patient medical records can enhance the treatment planning process.<br /><br />Staff in these programs typically manage caseloads of 35 participants at any time, with annual totals reaching between 90 and 105 patients. Tracking savings and interventions varies by organization but often involves cooperation with payers or research metrics. Interventions are flexible and can continue if a patient stabilizes or experiences new health issues.<br /><br />For vetting handyman services involved in home modifications, it’s crucial to work with reputable, licensed, and bonded providers or nonprofits like Habitat for Humanity. This ensures quality work and safety for the older adult clients, avoiding the need for extensive individual vetting processes.
Keywords
Occupational Therapy
home-based primary care
palliative programs
hospice care
caregiver education
chronic conditions
Mobile Therapy
environmental assessment
home modifications
patient engagement
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