Module 34
In this lesson, you will learn how to create comprehensive care plans that serve as blueprints for delivering services in skilled home care. The lesson highlights the importance of the initial assessment, especially the OASIS assessment, which provides a detailed picture of the patient's condition and informs reimbursement rates, visit frequencies, and outcome goals. You will explore how to manage care for patients with complex conditions who require multidisciplinary care, such as physical therapy, wound care, or medication management. Effective care plans are designed to improve patient outcomes while balancing the agency's operational and financial needs.
You'll also understand the role of reassessments in adjusting care plans, identifying training needs for staff, and ensuring care plans meet evolving patient needs. Communication, coordination, and documentation are critical elements to maintaining compliance and achieving the best results for patients.
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