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Doody's Review ServiceReviewer: Lynn N. McKinnis, PT, OCS (Concordia Care Home Health Agency)
Description: This comprehensive, information-packed handbook is a concise examination of all the aspects of home care therapy promised in the title. The editors, an RN and a PT, each well-accomplished in this field, have expertly brought together all the components necessary to demonstrate how to best provide services to the homebound patient within the present parameters of the healthcare system.
Purpose: The editors' goal is to provide information and resources to enhance the coordination, appropriate utilization, and quality of therapy provided to patients in their homes.
Audience: This book is written for all members of the rehabilitation team, and is not discipline-specific. This does not detract from the value of the book— it is, in fact, its strong point. Only when each member of the rehabilitation team understands the other's role and what each has to offer can early identification of patient needs and cost-effective services be provided.
Features: The book is divided into ten parts. In the first part, the "big picture" of what home care is and how it exists is presented with an overview of the reimbursement, clinical, and operational issues of any home care agency. Part Two is brief, but useful insight to two specialty areas of practice — pediatrics and hospice — is provided. In Part Three the roles of the PT, OT, and SLP are specifically defined, including up-to-date information from each discipline's professional associations' standards of care and guidelines to practice. Assessment tools, interventions, and specialized services of each discipline are outlined. In Part Four the process of obtaining accurate assessments and evaluations of the patient is emphasized. This information serves as the foundation for all care planning and outcome achievement. The correct completion of HCFA Form 485, which encompasses the above, is explained in detail. Part Five is devoted to explaining the role of the OASIS document as used at present. It is well illustrated via a patient case scenario with a correcponding HCFA Form 485 and a corresponding OASIS. Part Six is comprised of numerous specific care guides that help identify the patient's rehabilitation needs. The care guides chosen represent the holistic approach that is evident throughout the book. Correlation of OASIS items are identified where applicable, and this further enhances familiarity with the OASIS tool. Parts Seven through Ten contain information that can be found elsewhere, but their inclusion here makes this book a good singular reference source to keep handy at all times. Included are equipment considerations, wheelchair prescription assessment, personnel job descriptions, competency tools, entire reprints of HCFA's "Coverage of Services" Section for Therapists and "Correct Completion the HCFA Form 485, therapy abbreviation lists, glossary, state licensing board addresses, and a directory of educational resources for clinicians. A minor criticism is the difficult-to-read table of contents, but a detailed index is provided and proves helpful. The small trim size of the book makes it handy to travel along with the clinician, but results in information-crammed pages. Thumbnail border markings would be a helpful addition on future editions.
Assessment: As a veteran PT but a novice to home care, I strongly recommend this book to PTs, OTs, SLPs, RNs, and their specialized assistants on the care team, no matter what their level of experience. The editors are to be congratulated for presenting an excellent cross-discipline learning and teaching resource that will strengthen the home health team and enhance the quality of patient care.