Upstream Home Care Services: Why Wait Until a Person Is Homebound to Intervene?
Section: Academy of Geriatric PT
Co-Section: Home Health Section
Session Code: GR-2B-5547
Date: Friday, January 25, 2019
Time: 11:00 AM - 1:00 PM
Location: Marriott Marquis
Room: Independence Salon C
Session Type: Educational Sessions
Session Level: Intermediate
While traditional home health care reimbursement models emphasize intervention after a medical or functional issue occurs, there is a role for preventative home-based physical therapist services for those at highest risk of becoming home-bound due to illness, injury, or functional limitation. In this session, the speakers will describe the implementation and results of a primary/secondary prevention clinical practice model administered by home health care physical therapists in partnership with a community referral partner. They will describe a direct access referral process from a municipal senior services department after staff members identified physical and functional decline of some seniors. Attendees will learn about a physical therapist-administered program that addresses common age-related risk factors. After program enrollment, a home physical therapist evaluation visit was followed by 6 in-person and 3 telehealth visits over 6 months. Objective pretest-posttest outcomes included self-reported health behaviors, telehealth efficacy, health behavior compliance, and fall risk using valid and reliable outcome measures. The protocol focused on prevention of homebound status with vulnerable elders via home safety, healthy lifestyles, and fall prevention to reduce long-term health care costs and institutionalization.
Learning Objectives: Upon completion of this course, you will be able to:
1. Discuss the benefits and barriers of a physical therapy direct consumer access model in the home health care practice setting.
2. Outline outcome measures and interventions and the rationale for inclusion in the described prevention practice model.
3. Synthesize discoveries of client outcomes utilizing the described evaluation and intervention protocol.
4. Discuss efficacy of implementing primary and secondary prevention home health care evaluations and interventions as a standard of care.
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