Home Health Blogger

Hip Replacement: Assessment, Patient Teaching & Recall Guide

A home health assessment of the post-operative status of a patient with hip replacement surgery focuses on the following five elements: 1. surgical wound healing, including assessing for signs of site infection2. pain control3. bed-chair transferring ability4. transferring ability to...

Posted by Melissa Cott on Feb 17, 2024

Teach Home Safety for OASIS-E B1000 Vision Deficit

Are you Careplanning for a Vision Deficit? 

Patients typically have risk factors that make clinical and rehabilitative care more complicated – confusion, non-compliance, lack of family support…and a vision deficit. These are just a few example of factors that create impediments to a...

Posted by Melissa Cott on Feb 14, 2024

Pain Management: PDGM Utilization Recommendations

A home health pain management program can be executed by either nursing or therapy. Patients requiring pain management should use a combination of medical (chronic pain medications) and non-medical intervention such as guided imagery, distraction, relaxation - among others. ...

Posted by Melissa Cott on Feb 7, 2024

Hip Replacement: 2024 PDGM Utilization Guidelines

Hip replacement recovery for many patients will take place in the home. Hip replacement patients will likely receive formal physical therapy from home health and/or outpatient physical therapy.

Posted by Melissa Cott on Feb 6, 2024

To Be a 5-Star Agency, Pay Close Attention to Rehabilitation Potential

Value-based Purchasing (VBP) & Medicare Reimbursement

Medicare's Value-Based Purchasing (VBP) became effective for all certified home health agencies on 1/1/2023. Under VBP your Agency's Medicare payments are determined by three conditions: (1) CAHPS - patient satisfaction scores, (2)...

Posted by Melissa Cott on Jan 30, 2024

OASIS-E M1306 Pressure Ulcers: Home Health Careplan & Teaching

Any person who is in a bed or chair for 8 hours or longer is at risk for pressure ulcers. Pressure ulcers - also known as bed sores, decubitus ulcers, pressure sores and skin ulcers - often develop in patients with the following conditions: diabetes mellitus, deep venous thrombosis,...

Posted by Melissa Cott on Jan 25, 2024

OASIS E: Four (4) Questions on Patient Nutrition

Medicare's OASIS-E assessment, effective January 2023, expanded its data collection on the patient's nutritional status to include four (4) more questions on Start of care, Resumption and Discharge.

The presence of Parenteral/IV feeding and Feeding tube (e.g., nasogastric or abdominal...

Posted by Melissa Cott on Jan 16, 2024

Guidance for OASIS M1041/6 Flu Vaccine

Medicare added the status of a patient's vaccination for influenza (as M1040) in 2009. The answer to "Influenza Vaccine Data Collection Period" (now M1041) is collected at transfer/discharge and discharge but many EMRs - home health software - capture the data on admission, resumption...

Posted by Melissa Cott on Jan 2, 2024