The Speech-Language Pathologist in Home Health Care,9780834209190

The Speech-Language Pathologist in Home Health Care

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ISBN13: 9780834209190
ISBN10: 0834209195
Format: Paperback
Pub. Date: 1999-01-01
Publisher(s): Pro Ed
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Summary

Communication Concepts and Consulting, Inc., Birmingham, AL. Presents a comprehensive descrip- tion of the nature of providing clinical speech, language, cognitive, and swallowing services to homebound individuals. Specific procedures are outlined and case studies are included to illus- trate the speech-pathologist's role. For clinicians. Softcover.

Table of Contents

Preface ix(2)
Acknowledgments xi
PART I--THE HOME HEALTH MODEL 1(40)
Chapter 1--Introduction and an Overview of Home Health Care
3(18)
Home Care Development
3(1)
Recent History
4(1)
Financial Concerns
4(1)
Scope of Home Care
5(1)
Range of Home Health Agencies
5(4)
Other Home Health Care Providers
9(1)
Description of Home Health Care
10(1)
Initiation of Home Health Care Services
11(2)
Reasons for the Growth in Home Health Care
13(3)
Current Trends and Definitions
16(3)
Conclusion
19(2)
Chapter 2--Scope of Home Health Speech-Language Pathology Practice
21(20)
The Principles of Rehabilitation and Home Health Care
21(4)
Distinguishing Characteristics of the Profession
25(4)
Traditional Service Settings
29(2)
Typical Home Care Case Types
31(1)
Assessment and Development of Intervention Strategies
32(2)
Special Skills Needed by the Speech-Language Pathologist
34(3)
Rural Home Health
37(1)
Conclusion
38(3)
PART II--STEPS IN THE ASSESSMENT PROCESS 41(88)
Chapter 3--The Referral and Home Visit Process
43(14)
Introduction
43(1)
The Referral Process
43(7)
Conducting a Home Visit
50(5)
Conclusion
55(2)
Chapter 4--Assessment Considerations in Home Health Care
57(38)
Introduction
57(1)
General Considerations
57(1)
Assessment Considerations
58(13)
Vital Parts of the Assessment
71(2)
Case Studies
73(10)
Conclusion
83(2)
Appendix 4-A: Summary of the Principles of Universal Precautions and Body Substance Isolation of OSHA's Bloodborne Pathogen Standards
85(6)
Appendix 4-B: Independent Skills Checklist: Speech-Language Pathology
91(4)
Chapter 5--Special Concerns in Home Care
95(34)
Hospice
95(4)
Patient and Family Interaction
99(1)
Discharge Planning
99(2)
The Patient Management Model for Development of the Patient Plan of Care
101(6)
Dysphagia Management in Home Health Care
107(5)
Conclusion
112(2)
Appendix 5-A: Home Health Examinations and Treatment
114(15)
PART III--DOCUMENTATION, REIMBURSEMENT, AND ACCOUNTABILITY 129(128)
Chapter 6--Business Aspects of Home Care for the Speech-Language Pathologist
131(34)
Employee versus Independent Contractor Status
131(1)
Program Administration
132(4)
Reimbursement
136(16)
Marketing
152(6)
Conclusion
158(2)
Appendix 6-A: Sample Fee-for-Service Rehabilitation Services Agreement
160(5)
Chapter 7--Program Integrity: Documentation and the Written Plan of Care
165(52)
Introduction
165(1)
The Principles of Documentation: An Overview
165(1)
The Increased Emphasis on Documentation
166(2)
Documentation Guidelines
168(3)
Documenting the Plan of Care
171(5)
Conclusion
176(2)
Appendix 7-A: Interpretive Guidelines for Speech-Language Pathology
178(18)
Appendix 7-B: Speech-Language Pathology Services
196(4)
Appendix 7-C: Speech-Language Pathology Adult Home Health Functional Outcome Measure
200(17)
Chapter 8--Professional Accountability through Continuous Quality Improvement
217(40)
Introduction
217(2)
Quality Assessment/Improvement: An Overview
219(1)
Continuous Quality Improvement
220(3)
Quality Definitions
223(1)
Methodology
224(7)
Outcome-Based Quality Improvement
231(3)
Critical Pathways
234(9)
Competency Assessment
243(3)
Appendix 8-A: Clinical Competency Appraisal: Speech-Language Pathology
246(11)
PART IV--THE FUTURE 257(36)
Chapter 9--Implications of the Interim Payment System on the Practice of Speech-Language Pathology in Home Health
259(20)
Background
259(2)
The Medicare Home Health Benefit
261(1)
Balanced Budget Act of 1997
262(1)
Impact of Key Provisions on Beneficiaries
263(3)
Impact of Key Provisions on Home Health Agencies
266(4)
Quality of Care
270(1)
Budgetary Impact Estimates
271(2)
Administrative Issues
273(2)
Conclusion
275(4)
Chapter 10--Future Trends in Home Health Care
279(14)
Introduction
279(1)
Changing Goals
280(1)
Preparing for Changes under Managed Care
281(2)
The Changing Role of the Speech-Language Pathologist
283(1)
Computerized or Automated Clinical Documentation
284(2)
Proposed Changes in the Conditions of Participation
286(1)
Fraud and Abuse Initiatives
287(2)
Other Federal Reimbursement Changes
289(1)
Anticipated Effects
290(1)
Conclusion
290(3)
Appendix A--Physician Certification and Plan of Treatment Requirements 293(12)
Appendix B--Generic Referral Form 305(2)
Appendix C--Service Codes for HCFA Forms 485 and 486 307(4)
Appendix D--Glossary 311(12)
Appendix E--General Abbreviations 323(4)
Index 327

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