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Handbook of Home Health Care Administration

by: Harris, Marilyn D.

Handbook of Home Health Care Administration

by: Harris, Marilyn D.

ISBN 13:
9780763732516
ISBN 10:
0763732516
Edition: 4th
Format: Hardcover
Copyright: 05/01/2004
Publisher: Jones & Bartlett

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Summary

Ideal for chiropractics students and professionals, athletic trainers, orthopedic surgeons, and sports medicine professionals.

Foreword

xxiii

Ruth Constant

Introduction

xxv

Marilyn D. Harris

Contributors

xxxiii

PART I---Home Health Administration

(24)

Home Health Administration: An Overview

(13)

Janna L. Dieckmann

Definition of Home Health Care

(2)

Description of Home Health Care

(1)

Initiation of Home Health Care Services

(1)

Early Sources for Home Health Care

(5)

Reasons for the Growth of Home Health Care

(2)

Conclusion

(2)

The Home Health Agency

(9)

Kathleen E. Williams

Historical Overview

(1)

Recent Developments

(1)

Scope of Home Care

(2)

Financial Categories

(1)

Range of Home Health Care Services

(4)

Conclusion

(2)

PART II---Standards for Home Health Agencies

(104)

Medicare Conditions of Participation

(36)

Peggie Reid Webb

SubPart B: Administration

(19)

SubPart C: Furnishing of Services

(15)

Conclusion

(2)

The Joint Commission's Home Care Accreditation Program

(8)

Maryanne L. Popovich

The Home Care Standards

(2)

The Survey Process

(2)

Unscheduled, Unannounced, and Random Unannounced Surveys

(1)

The Accreditation Decision Process

(1)

Early Survey Policy

(1)

Deemed Status Option for Medicare Certification

(1)

Benefits of Accreditation

(1)

Conclusion

(1)

CHAP Accreditation: Standards of Excellence for Home Care and Community Health Organizations

(10)

Theresa Sekan Ayer

Purpose of Accreditation

(1)

Benefits of Accreditation

(1)

The CHAP Philosophy

(1)

The CHAP Mission and Purpose

(1)

The Objectives of CHAP

(1)

The Governance of CHAP

(1)

Public Disclosure Under CHAP

(1)

Expert Site Visitors

(1)

CHAP's Consumer Focus for Quality Improvement

(1)

Key Concepts in CHAP Accreditation Standards of Excellence

(1)

Example of CHAP Standards: Outcome Measures

(1)

Benchmarking/Outcomes Management

(1)

The Advantages of CHAP Accreditation

(1)

Overview of the Accreditation Process

(1)

Types of Organizations Eligible for CHAP Accreditation

(1)

Conclusion

(2)

Accreditation for Home Care Aide and Private Duty Services

(5)

John I. Buck

History

(1)

Structure

(2)

Standards

(1)

Process

(2)

Recent Developments

(1)

Conclusion

(1)

ACHC: Accreditation for Home Care and Alternate Site Health Care Services

(6)

Thomas Cesar

History

(1)

Mission, Purpose, Values, Core Competency, and Quality Policy

(1)

Board of Commissioners

(1)

Accreditation Programs

(1)

Standards Development

(1)

Self-Assessment/Preliminary Evidence

(1)

Survey Site Visit

(1)

Scoring and the Review Committee

(1)

Conclusion

(1)

Certificate of Need and Licensure

(9)

E. Michael Flanagan

HHA CON Requirements

(4)

Summary

(1)

HHA Licensure

(2)

Conclusion

(3)

Credentialing: Organizational and Personnel Options for Home Care

101

(10)

Ann H. Cary

Credentialing and Credibility

101

(1)

Accreditation and Recognition of the Organization and Services

102

(1)

Certification of Home Care Personnel

103

(3)

Credentialing Options for Home Care Administrators

106

(2)

Conclusion

108

(3)

The Relationship of the Home Health Agency to the State Trade Association

111

(4)

Joie Glenn

Association Structure

111

(1)

What Associations Do

112

(1)

Getting the Most Out of Membership

113

(1)

Conclusion

114

(1)

The National Association for Home Care and Hospice

115

(9)

Val J. Halamandaris

How NAHC Works

115

(1)

Code of Ethics

115

(1)

NAHC's Mission

115

(1)

NAHC's Values

116

(1)

NAHC's Goals

116

(3)

Governance

119

(1)

Committees

120

(1)

Communications and Information Dissemination

120

(1)

Departments

121

(1)

Affiliate Organizations

122

(2)

The Visiting Nurse Association of America

124

(5)

Carolyn S. Markey

Visiting Nurse Concept

124

(1)

VNAA: A Vision For Its Members

124

(1)

VNAA Mission

124

(1)

Who It Serves

125

(1)

Financing of VNA Services

125

(1)

Working with the Community for Quality Care

126

(1)

Using Technology to Enhance Effectiveness

126

(1)

Providing Support for Member Agencies

127

(1)

Conclusion

127

(2)

PART III---Clinical Issues

129

(170)

Self-Care Systems in Home Health Care Nursing

131

(4)

Joan Reynolds Yuan

Conclusion

134

(1)

Home Health Care Documentation and Record Keeping

135

(26)

Elissa Della Monica

Elizabeth R. Kane

The Changing Health Care Environment

135

(1)

Regulations Governing Home Health Care Documentation

136

(1)

Clinical Record Policy

137

(1)

Reasons for Documentation

137

(3)

The Key to Successful Documentation

140

(1)

Documentation of Skilled Care

141

(2)

Current Trends in Documentation

143

(1)

Critical Pathways

144

(1)

Computerized Documentation

144

(1)

Medical Record Department

145

(1)

Conclusion

145

(16)

COP Standards Pertaining to HHA Clinical Record Policy

147

(3)

Abington Memorial Hospital Home Care Clinical Records

150

(11)

Computerized Clinical Documentation

161

(15)

Donna R. Baldwin

Documentation Process

161

(1)

Defining Computerized Clinical Documentation

162

(1)

Impact of Health Care Trends on Documentation

162

(1)

Framework for Computerizing Documentation

163

(4)

Example of a Successful Computer Implementation

167

(8)

Conclusion

175

(1)

Home Telehealth: Improving Care and Decreasing Costs

176

(9)

Ann K. Frantz

Introduction

176

(1)

Home Telehealth Goals and Outcomes

177

(2)

Types, Connectivity, and Power Sources of Home Telehealth Technologies

179

(1)

Scope of Home Telehealth

180

(1)

Evaluating Home Telehealth Technology for Success

181

(3)

Conclusion

184

(1)

Implementing a Competency System in Home Care

185

(26)

Carol A. Clarke

Irma Camaligan

Margaret Golden

Organizational Assessment

185

(1)

Job Descriptions

186

(2)

Supervisor Competencies

188

(1)

Pre-Hire Phase

189

(1)

Interview Phase

190

(3)

Orientation

193

(2)

Competency Assessment During the Orientation Period

195

(5)

Ongoing Competency Assessment

200

(3)

Performance Improvement Program

203

(1)

Occurrence and Outcome Monitoring

203

(1)

Continuing Education

203

(4)

Policies and Procedures

207

(1)

Performance Evaluations

207

(3)

Conclusion

210

(1)

Meeting the Need for Culturally and Linguistically Appropriate Services

211

(13)

Mary Curry Narayan

Government Projections, Guidelines, and Mandates

211

(1)

Discrimination

212

(1)

National Standards for Culturally and Linguistically Appropriate Services

213

(1)

Efforts Toward Cultural and Linguistic Competence

214

(1)

Strategies for Achieving the CLAS Standards

215

(7)

Summary

222

(2)

Classification: An Underutilized Tool for Prospective Payment

224

(12)

Donna Ambler Peters

Classification Theory

224

(1)

Patient Classification Systems

225

(1)

Nursing Diagnosis Taxonomy

225

(1)

Clinical Management

226

(3)

Administrative Management

229

(5)

Conclusion

234

(2)

Analysis and Management of Home Health Nursing Caseloads and Workloads

236

(11)

Judith Lloyd Storfjell

Carol Easley Allen

Cheryl E. Easley

Background

236

(1)

Purpose of the Easley-Storfjell Caseload/Workload Analysis Instruments

236

(1)

Description of the CL/WLA Process

237

(1)

Instructions for Use of CL/WLA Instruments

237

(6)

Implications

243

(3)

Conclusion

246

(1)

Home Health Care Classification (HHCC) System: An Overview

247

(14)

Virginia K. Saba

Abstract

247

(1)

Background

247

(3)

HCCC System's Two Taxonomies

250

(5)

Next Steps

255

(1)

Summary

256

(5)

Nursing Diagnoses in Home Health Nursing

261

(13)

Carol Ann Parente

The Concept

261

(3)

The Process

264

(2)

The Effects

266

(8)

Perinatal High-Risk Home Care

274

(5)

Richela Stoddard-Johnston

Introduction

274

(1)

Making It Work

274

(1)

Management of the Most Common Diagnoses

275

(1)

Adequate Screening Process

276

(1)

Steps to Entering a Patient Into a High-Risk Home Care System

276

(1)

Initial Visit

276

(1)

Risk Management

277

(1)

Patient Satisfaction Evaluation

277

(1)

Conclusion

277

(2)

High Technology Home Care Services

279

(12)

Diana Acker

Thomas D. Brown

Major Categories of High-Technology Services

279

(1)

Respiratory Care

280

(1)

Durable Medical Equipment

280

(1)

Infusion Services

280

(1)

Pharmacy Services

280

(1)

Specialized Nursing Care

280

(1)

Education and Documentation Responsibilities

281

(1)

Benefits of High-Technology Home Care

282

(1)

Case Study

282

(1)

Types of Providers of High-Technology Services

283

(1)

Financial Considerations

283

(1)

Human Resources

284

(1)

Licensure and Accreditation Issues

284

(1)

Physical Location of Services

285

(1)

Acquisition of Supplies

286

(1)

Day-to-Day Operations

286

(4)

Summary

290

(1)

Discharge of a Ventilator-Assisted Child from the Hospital to Home

291

(8)

Andrea Gendelman

Funding for Home Care

292

(1)

Teaching Plan

292

(1)

Selection of a DME Vendor

293

(1)

Home Nursing Care

293

(1)

Home Assessment

294

(1)

Developmental Needs

294

(1)

Emergency Resources

294

(1)

The Home Nursing Care Plan

295

(3)

Conclusion

298

(1)

PART IV---Quality Assessment and Performance Improvement

299

(94)

Performance Improvement

301

(9)

Joan Reynolds Yuan

Implication and Implementation

302

(4)

Variation and Benchmarking

306

(2)

Acceleration

308

(1)

Process Measurement and Improvement

308

(1)

Conclusion

309

(1)

Evidence-Based Practice: Basic Strategies for Success

310

(5)

Lazelle E. Benefield

What is Included in an Evidence Report?

311

(1)

Evaluating the Report

311

(1)

How to Locate Evidence Reports

311

(1)

How Should Evidence Reports Affect My Practice?

312

(1)

Summary

313

(1)

Internet Resources for Evidence-Based Practice

313

(2)

Quality Planning for Quality Patient Care

315

(5)

Marilyn D. Harris

Joan Reynolds Yuan

Professional Standards

316

(1)

Accreditation and Certification Considerations

317

(1)

Implementing Guidelines: One Agency's Experience

317

(1)

Benchmarking

318

(1)

Conclusion

318

(2)

Program Evaluation

320

(21)

Nancy DiPasquale Ruane

Joseph W. Ruane

Definitions and Characteristics

320

(1)

Issues

321

(1)

Influences on Program Evaluation

322

(3)

Development of a Program Evaluation System

325

(3)

Evaluation Models

328

(1)

Program Evaluation Tools

329

(1)

Collection of Information

330

(1)

Program Evaluation Report

331

(1)

Systematic Approach to Program Evaluation

332

(1)

Operational Considerations in Program Evaluation

333

(8)

Appendix 29-A---Formats for Presenting Program Evaluation Tools

336

(5)

Effectiveness of a Clinical Feedback Approach to Improving Patient Outcomes

341

(11)

Peter W. Shaughnessy

Kathryn S. Crisler

Types of Outcomes

342

(1)

Data Item Set

343

(1)

Two-Stage Continuous Quality Improvement Approach

344

(1)

Sample Outcome Report

345

(1)

Results of OBQI Demonstration Programs

346

(4)

Conclusion

350

(2)

Implementing Outcome-Based Quality Improvement into the Home Health Agency

352

(31)

Linda H. Krulish

No Regulatory Requirement for OBQI

352

(1)

Use of OBQI Reports in Compliance Surveys

352

(1)

Public Reporting of OBQI Outcomes

352

(3)

Accuracy of OASIS Data

355

(2)

OASIS Analysis and Refinement

357

(1)

OBQI Step One: Standardized OASIS Data Collection

357

(9)

OBQI Step Two: OASIS Transmission

366

(4)

OBQI Step Three: Outcome Report Interpretation

370

(1)

OBQI Step Four: Target Outcome Selection

371

(3)

OBQI Step Five: Process-of-Care Investigation

374

(1)

Avoid Tempting Care Review Pitfalls

375

(1)

OBQI Step Six: Plan of Action Development and Implementation

375

(5)

Balancing OBQI Idealism and Home Care Reality

380

(1)

Conclusion

380

(3)

Benchmarking and Home Health Care

383

(10)

Alexis A. Wilson

Beginning to Benchmark

384

(1)

Analyzing the Data

385

(3)

Building Organizational Capacity

388

(3)

Success Strategies

391

(2)

PART V---Management Issues

393

(124)

Administrative Policy and Procedure Manual

395

(4)

Marilyn D. Harris

Policy Development

395

(1)

Role of the Professional Advisory Committee

396

(1)

Policy Review Procedure

397

(1)

Approval Process

397

(1)

Conclusion

397

(2)

Discharge Planning

399

(22)

Joann K. Erb

Historical Development

399

(2)

Conceptual Framework for Discharge Planning

401

(1)

Goals and Objectives of Discharge Planning

402

(1)

Components of the Discharge Plan

402

(1)

Multidisciplinary Collaboration

403

(1)

Resources

404

(1)

Regulations

405

(1)

Integration of Discharge Planning Activities

406

(1)

Research Results

406

(1)

Steps in the Discharge Planning Process

407

(3)

Discharge Planning Models

410

(1)

Quality Assurance in Discharge Planning

410

(3)

Ethical Issues in Discharge Planning

413

(1)

Discharge Planning and the Home Health Agency

414

(4)

Conclusion

418

(3)

Strategies to Retain and Attract Quality Staff

421

(15)

Sharon D. Martin

Diane T. Cass

Introduction

421

(1)

Background

422

(1)

Task Force on Flextime

423

(1)

The Pilot Project

424

(2)

Results of the Pilot Project

426

(1)

Limitations of the Study

426

(1)

Experience Over Time

427

(1)

Conclusion

428

(1)

Clinical Ladders

429

(5)

Conclusion

434

(2)

Evaluating Productivity

436

(12)

Lazelle E. Benefield

What is Productivity?

436

(2)

What We Know About Productivity

438

(1)

Analyze Service Delivery: Efficiency, Effectiveness, and Equity

439

(1)

Evaluate Current Productivity

440

(5)

The Next Step: Developing A Productivity Standard

445

(1)

Conclusion

446

(2)

Labor-Management Relations

448

(11)

Jessica S. Eichner

Conceptual Framework

448

(1)

Factors Influencing the Labor Relations Climate

448

(2)

Communication and Interpersonal Skills

450

(2)

Problem Solving

452

(2)

General Recommendations

454

(2)

Collective Bargaining

456

(1)

Conclusion

457

(2)

Human Resource Management

459

(15)

Ann Marie O'Connell

The Human Resource Defined

459

(1)

The Human Resources Department and Its Role, Goal, and Structure

460

(3)

The Human Resources Department Staff

463

(2)

Finding the Right Candidate for Employment

465

(3)

Selection Process

468

(3)

Making a Meaningful Employment Offer

471

(1)

Benefits

472

(1)

Employee Relations for Retention

472

(2)

Staff Development in a Home Health Agency

474

(10)

Joan Reynolds Yuan

Role and Responsibilities of the Educator

475

(1)

Staff Development: Orientation

475

(1)

Staff Development: In-Service Education

476

(6)

Staff Development: Continuing Education

482

(1)

Academic Education

482

(2)

Transitioning Nurses to Home Care

484

(11)

Carolyn J. Humphrey

Paula Milone-Nuzzo

Definition of Home Care Nursing

484

(1)

Differences Between Hospital and Home Care

485

(4)

Key Content Areas Found in Orientation

489

(4)

Teaching Strategies

493

(1)

Conclusion

493

(2)

Case Management

495

(4)

Linda A. Billows

Case Management Defined

495

(1)

Components of Case Management

496

(1)

Quality Assurance

497

(1)

Training of Home Health Agency Staff

498

(1)

Conclusion

498

(1)

Managed Care

499

(8)

Mary Pat Larsen

Implications of Managed Care in Home Care

503

(1)

Contracting with Managed Care Organizations

503

(4)

Community-Based Long-Term Care: Preparing for a New Role

507

(10)

Pearl B. Graub

Emily Amerman

Long-Term Care Defined

507

(1)

Current Policy and Program Trends

508

(2)

The Area Agency on Aging: A Partner in Service Delivery

510

(4)

Becoming a Long-Term Care Provider: Observations and Recommendations

514

(3)

PART VI---Financial Issues

517

(52)

Understanding the Exposures of Home Health Care: An Insurance Primer

519

(8)

Brian M. Block

Types of Insurance

519

(6)

Risk Management

525

(1)

Purchasing Insurance

525

(1)

Conclusion

526

(1)

Budgeting for Home Health Agencies

527

(8)

Vern A. Peterschmidt

Road Map

527

(1)

Medicare

528

(2)

Medicaid

530

(1)

Insurance

531

(1)

Charity

531

(1)

Salary Costs

531

(1)

Fringe Benefits

532

(1)

Other Cost Items

533

(1)

Capital

533

(1)

Conclusion

533

(2)

Reimbursement

535

(14)

Patricia A. Sevast

Overview

537

(1)

Eligibility

537

(4)

Prospective Payment

541

(2)

Billing

543

(1)

PPS Issues

543

(1)

Cost Reports

543

(1)

Clinical OASIS Scoring

543

(1)

Diagnosis Coding

544

(1)

Significant Change in Condition

544

(1)

Therapy Threshold

544

(2)

OASIS Data Collection and Scoring

546

(1)

HHRG/HIPPS Code Assignment

547

(1)

Medical Review

547

(1)

Conclusion

547

(2)

How to Read, Interpret, and Understand Financial Statements

549

(9)

D. Scott Detar

Cash Basis or Accrual Basis

549

(1)

Schedule of Statistics

550

(1)

Income Statement

550

(2)

Balance Sheet

552

(3)

Functional Expenses

555

(1)

Cash Flows

556

(1)

Conclusion

556

(2)

Management Information Systems

558

(11)

Kristy Wright

Brian C. Thomas

The Evolution of Managing Information

558

(1)

Using Information to Manage the Organization

558

(1)

Types of Information Systems Available in the Home Care Market

559

(1)

Selecting the Right Information System for the Organization

560

(5)

Home Tele-Monitoring Systems

565

(2)

Conclusion

567

(2)

PART VII---Legal/Ethical/Political Issues

569

(122)

Legal Issues of Concern to Home Care Providers

571

(19)

Ann P. Sherwin

Introduction

571

(1)

Antitrust

571

(1)

Corporate Liability of Providers

572

(1)

Torts and Civil Liability

573

(1)

Fraud and Abuse

574

(2)

Decision Making, Privacy, and Informed Consent

576

(2)

Advance Directives

578

(1)

Labor and Employment Issues

579

(2)

Americans with Disabilities Act

581

(5)

Tax Matters

586

(1)

Environmental Issues

586

(1)

What to Consider in Selecting An Attorney

587

(3)

Understanding the Basics of Home Health Compliance

590

(26)

Deborah A. Randall

Introduction: Why Compliance Plans and Compliance Programs?

590

(1)

The Governmental Organizations Involved in Compliance and Home Health Agencies

590

(4)

Compliance and the Laws

594

(3)

The Essential Elements of an Effective Compliance Plan

597

(4)

Hot Topics In Home Health Compliance Reviews

601

(3)

Conclusion

604

(12)

Appendix-50A

605

(4)

Appendix-50B

609

(4)

Appendix-50C

613

(3)

The HIPAA Standards for Privacy of Individually Identifiable Health Information

616

(50)

Larri A. Short

Information

616

(2)

Interplay Between Federal and State Health Information Privacy Laws

618

(2)

Agency Handling of Individually Identifiable Patient Health Information

620

(23)

Individual Privacy Rights

643

(11)

The Privacy Compliance Program

654

(3)

Home Health Agencies and Hospices As Employers

657

(2)

Enforcement

659

(7)

Ethical Practice in the Daily Service to Home Care Client, Their Families, and the Community

666

(9)

Julie K. Tennant

Getting Excited About Bioethics

666

(1)

Getting Started: The Four Principles Approach

667

(3)

Getting Educated: A World of Resources

670

(1)

Getting Started: The Bioethics Advisory Committee

671

(2)

Getting the Word Out: Building Trust

673

(1)

Summary

674

(1)

Participating in the Political Process

675

(16)

Kathleen Carlson Mebus

Barbara Kovalcin Piskor

Proactive Behavior

675

(6)

Building Relationships with Legislative Leaders

681

(3)

Reactive Behaviors

684

(1)

Tips for Communicating with Your Elected Officials

685

(4)

Conclusion

689

(2)

PART VIII---Strategic Planning/Marketing/Survival Issues

691

(78)

Strategic Planning

693

(15)

Edward R. Balotsky

David B. Smith

Introduction

693

(1)

How Organizations Change

694

(6)

How Strategic Planning Shapes Change In Organizations

700

(2)

Steps in Developing Strategic Planning Capacity

702

(2)

Pitfalls to Avoid in the Strategic Planning Process

704

(1)

Conclusion

705

(3)

Marketing: An Overview

708

(15)

Karen L. Carney

What Marketing Is and Isn't

708

(1)

The Role of Marketing in Home Care

709

(1)

The Market Analysis

710

(3)

Market Trends and Forces

713

(2)

Market Preparation and Planning

715

(1)

The Marketing Mix

716

(3)

Implementation

719

(1)

Measurement and Adaptation

720

(1)

Conclusion

721

(2)

The Internet in Home Health and Hospice Care

723

(13)

Linda Q. Thede

Virginia K. Saba

Introduction

723

(1)

What is the Internet?

724

(3)

World Wide Web

727

(1)

Browsers

727

(1)

URLs

728

(1)

Finding Information on the Web

728

(1)

Journal Information on the Web

729

(1)

Evaluation of Web Information

730

(2)

Design of a Web Page

732

(2)

Conclusion

734

(2)

Disease Management Programs

736

(20)

Miriam Cannon Wagner

Introduction and History

736

(1)

Published Disease Management Program Results

737

(2)

Definition of Disease Management

739

(1)

Setting Up A Disease Management Program

739

(8)

Outcome Collection and Reporting

747

(4)

Summary

751

(5)

The Process of Visiting Nurse Association Affiliation with a Major Teaching Hospital

756

(13)

Marilyn D. Harris

Preface

756

(1)

Historical Perspective

756

(1)

The Negotiation Process

757

(1)

The Decision-Making Process

758

(1)

The Transition Process

758

(6)

``Feelings'': The Impact On Board and Staff

764

(1)

Adjustments for Staff

765

(1)

Change in Professional Relationship with Peers

765

(2)

Conclusion

767

(2)

PART IX---Other Types of Relationships

769

(128)

Grantsmanship in Home Health Care: Seeking Foundation Support

771

(7)

Jennifer W. Campbell

Wendy Yallowitz

Jane Isaacs Lowe

Assessing the Agency Infrastructure: Mission, Capacity, and Community Support

771

(1)

Identifying Ideas that Are Fundable

772

(1)

Researching Funders

773

(1)

Approaching Funders Versus Responding to Requests for Proposals

774

(1)

Preparing and Writing the Proposal

774

(2)

Tracking Grants and Building A Relationship with Funders

776

(1)

Conclusion

777

(1)

Home Care Volunteer Program

778

(18)

Carol-Rae Green Sodano

The Notion of Volunteerism

778

(1)

Health Care Volunteerism

779

(1)

Home Care Volunteerism

779

(1)

The Philosophical Basis for a Successful Volunteer Program

780

(4)

Program Design

784

(2)

Program Structure

786

(9)

Conclusion

795

(1)

The Manager as Published Author: Tips on Writing for Publication

796

(14)

Suzanne P. Smith

Blocks to Writing

796

(1)

Rejection

797

(1)

Manuscript Critique

798

(1)

Getting Started

799

(1)

Selecting the Appropriate Journal

800

(2)

Writing the Paper

802

(1)

Submission Checklist

803

(2)

Research

805

(1)

The Publishing Process

806

(1)

Ethics

806

(1)

The Benefits of Publishing

807

(1)

Conclusion

808

(2)

Student Placements in Home Health Care Agencies: Boost or Barrier to Quality Patient Care?

810

(8)

Ida M. Androwich

Pamela A. Andresen

Boosts

810

(2)

Barriers

812

(1)

Graduate Students

813

(2)

Recommendations

815

(1)

Cost-Benefit Considerations

816

(2)

A Student Program in One Home Health Agency

818

(16)

Marilyn D. Harris

Considerations for the Administrator

819

(14)

Conclusion

833

(1)

The Role of the Physician in Home Care

834

(6)

Todd R. Cote

Leona Wilneff

Introduction

834

(1)

Is Anyone Home?

834

(1)

Benefits of House Calls

835

(1)

Physician Education

835

(1)

Changing Trends in Home Care

836

(1)

Home Health Parallel

837

(1)

Conclusions

838

(2)

Research in Home Health Agencies

840

(10)

Karen Beckman Pace

Introduction

840

(1)

Definition of Research

840

(1)

Potential Roles in Research

840

(1)

Research Utilization and Evidence-Based Practice

841

(1)

Participating/Collaborating in Research

841

(1)

Conducting Research

841

(1)

Types of Research

841

(1)

Research Process

842

(3)

Validity of Research Design

845

(1)

Statistical Concepts

845

(1)

Using Research Methods in Agency Practice

846

(1)

Product Evaluation

846

(1)

Quality Improvement/Performance Improvement

847

(1)

Clinical Intervention Evaluation

847

(1)

Ethical/Regulatory Concerns

847

(1)

Conclusion

848

(1)

Resources

848

(2)

Hospice Care: Pioneering the Ultimate Love Connection About Living Not Dying

850

(16)

Rosemary Johnson-Hurzeler

Judith A. Conley

Rosemary Franco

David R. Goldfarb

Ronny J. Knight

Introduction

850

(1)

A Better Way

850

(1)

A Framework to Partner PAL

851

(1)

Hospice Defined

852

(2)

Population Defined

854

(1)

A Collaborative Energized by Patient/Family Decisions

854

(1)

Examples of Potential Environments of Care

855

(1)

HOSPAL™

856

(1)

Education, Training, and Research

856

(10)

Appendix 66-A---State of Connecticut Physician Assisted Living (PAL) Directive

863

(1)

Appendix 66-B---Summary Guidelines for Initiation of Advanced Care

864

(2)

Safe Harbor: A Bereavement Program for Children, Teens, and Families

866

(6)

Elissa Della Monica

The Bereaved Child

866

(1)

Safe Harbor Program Development

867

(1)

Program Startup

868

(1)

Program Design

868

(1)

Evaluation

869

(1)

Program Staffing and Volunteers

870

(1)

Funding

870

(1)

Summary

871

(1)

Planning, Implementing, and Managing a Community-Based Nursing Center: Current Challenges and Future Opportunities

872

(11)

Katherine K. Kinsey

Patricia Gerrity

Introduction

872

(1)

Overview

873

(1)

Evolution of One Urban Academic Nursing Center Model

873

(3)

Assessment

876

(2)

Strategic Planning

878

(1)

Program Development and Information Systems

879

(1)

Human Resource and Fiscal Management

880

(1)

The Future of Advocacy and Nursing Centers

881

(2)

Adult Day Services---The Next Frontier

883

(8)

Nancy Brundy

Judith A. Bellome

Paulette Bryan

History of Adult Day Services

883

(1)

The Adult Day Care Services

884

(1)

State Regulations and Adult Day Services

884

(1)

Financing Adult Day Care

885

(1)

Marketing and Promotions

885

(1)

Financial Management

886

(1)

Atmosphere and Design

886

(1)

HIPPA and Adult Day Services

887

(1)

National Accreditation

887

(1)

Consumer Demand

887

(1)

The Home Care-Day Service Connection

888

(1)

Adult Day Services in a New Health Care Market

889

(1)

Conclusion

890

(1)

Partners in Healing: Home Care, Hospice, and Parish Nurses

891

(6)

Karen Cassidy

A Brief History of Parish Nursing

891

(1)

Roles and Relationships

891

(2)

Is There a Need for Parish Nursing

893

(1)

The Role and Function of the Parish Nurse as Care Partner

893

(1)

How to Work with Parish Nurses

894

(1)

Barriers and Assumptions

894

(1)

Summary

894

(1)

Parish Nursing Online Resources

895

(1)

Tips for Working with Parish Nurses

895

(1)

A Conversation Between a Home Health Nurse (HHN) and a Parish Nurse (PN)

895

(2)

PART X---Strategies for Success

897

(8)

Meeting the Present Challenges and Continuing to Thrive in the Future: Tips on How to be Successful as an Administrator in Home Health and Hospice Care

899

(6)

Marilyn D. Harris

Today's Health Care Climate

899

(1)

Strategies for Survival

900

(1)

Successful Administrators Share Their Strategies

901

(3)

Conclusion

904

(1)

Appendix---List of Abbreviations

905

(6)

Index

911

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Handbook of Home Health Care Administration

Handbook of Home Health Care Administration

9780763732516

0763732516

Summary

Table of Contents

Supplemental Materials

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Amazon no longer offers textbook rentals. We do!

Handbook of Home Health Care Administration

Handbook of Home Health Care Administration

9780763732516

0763732516

Summary

Table of Contents

Supplemental Materials

Write a Review

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