Home health care aides as extenders of therapy services: a managed care pilot program...reprinted from LA Treml and C Carter Schulman, Home health care aides as extenders of therapy services: a managed care pilot program. Home Health Care Management and Practice, Vol 10, No 5, pp 16-29, (C)1998 Aspen Publishers, Inc.
This project examined the feasibility of utilizing the home health care aide as extender of therapy services. The pilot was conducted over a one-year period involving four Kaiser home health agencies. A scope of practice analysis was completed. A resource manual and training program for home health...
| Publicado en: | Topics in Geriatric Rehabilitation Vol. 14; no. 4; pp. 34 - 53 |
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| Autores principales: | , |
| Formato: | case study research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jun99
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107089241&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107089241 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08827524 0OD jtl: Topics in Geriatric Rehabilitation issn: 08827524 maglogo: N pubinfo: dt: Jun99 vid: 14 iid: 4 pid: 5086 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 107089241 2000013582 10.1097/00013614-199906000-00004 107089241 ppf: 34 ppct: 19 formats: fmt: @attributes: type: P tig: atl: Home health care aides as extenders of therapy services: a managed care pilot program...reprinted from LA Treml and C Carter Schulman, Home health care aides as extenders of therapy services: a managed care pilot program. Home Health Care Management and Practice, Vol 10, No 5, pp 16-29, (C)1998 Aspen Publishers, Inc. aug: au: Treml LA Schulman CC affil: Kaiser Permanente, Northern California, Oakland, CA sug: subj: Home Health Aides Home Rehabilitation Outcomes (Health Care) Funding Source Home Health Agencies Managed Care Programs Scope of Practice Pilot Studies Evaluation Research Program Development Referral and Consultation Health Resource Utilization Surveys Structured Questionnaires Record Review Case Studies Functional Assessment Cost Benefit Analysis California Human ab: This project examined the feasibility of utilizing the home health care aide as extender of therapy services. The pilot was conducted over a one-year period involving four Kaiser home health agencies. A scope of practice analysis was completed. A resource manual and training program for home health care aides were developed. A case study approach was used to evaluate the feasibility and cost-effectiveness of this program in lieu of skilled nursing home rehabilitation. The findings of this study showed that therapists' attitudes, perceptions, and practice patterns are critical to successful implementation ofthis practice. Furthermore, management buy-in and leadership were also found to have a significant impact on the use of home health care aides. Recommendations included documentation and competency testing procedure redesign. Overall, this study concluded that there is opportunity to increase the therapist to home health care aide skill mix with positive clinical outcomes, but that further study is needed to identify optimum skill mix and appropriate case-mix indicators. Copyright (c) 1999 by Aspen Publishers, Inc. pubtype: Academic Journal doctype: case study research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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