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ICD-10 Diagnosis Coding in PDGM: Critical Concepts for Clinician/Coder Alignment

Dee Kornetti PT, MA, HCS-D, HCS-CCindy Krafft PT, MS, HCS-O


• Identify key elements of documentation to support primary group selection in the PDGM

• Identify requirements for inclusion of secondary diagnoses in documentation to capture available comorbidity adjustment in the PDGM

• Document defensibly to support coding and care plan decisioning in the PDGM

Learning Objectives


Chapter OneIntroduction to ICD-10 Coding


Patient Driven Groupings Model

Claims Data

OASIS Data


Claims data

Clinical Groupings (M1021)


Clinical Groupings (M1021) (cont.)

Medication management, teaching, and assessment (MMTA)MMTA: surgical aftercare

Assessment, evaluation, teaching, and medication management for surgical aftercare

MMTA: cardiac/circulatory

Assessment, evaluation, teaching, and medication management for cardiac or other circulatory related conditions

MMTA: endocrine Assessment, evaluation, teaching, and medication management for endocrine related conditions

MMTA: GI/GUAssessment, evaluation, teaching, and medication management for gastrointestinal or genitourinary related conditions

MMTA: infectious disease/neoplasms/ blood-forming diseases

Assessment, evaluation, teaching, and medication management for conditions related to infectious diseases, neoplasms, and blood-forming diseases

MMTA: respiratory Assessment, evaluation, teaching, and medication management for respiratory related conditions

MMTA: otherAssessment, evaluation, teaching, and medication management for a variety of medical and surgical conditions not classified in one of the previously listed groups


Anticipated Reimbursement in PDGM


Claims data

Comorbidity Adjustment (M1023)

Defined as a medical condition coexisting in addition to the primary diagnosis and are tied to worse health outcomes, more complex medical need, management and higher costs of care.

30-day periods having at least one comorbidity included with the adjustment group will receive an adjustment

Resources: Table 10: Low Comorbidity Adjustment Subgroups for CY 2020Table 11: High Comorbidity Adjustment Interaction Subgroups

for CY 2020

• Defined as a medical condition coexisting in addition to the primary diagnosis and are tied to worse health outcomes, more complex medical need, management, and higher costs of care

• 30-day periods having at least one comorbidity included with the adjustment group will receive an adjustment

Resources: • Table 10: Low Comorbidity Adjustment Subgroups for CY 2020• Table 11: High Comorbidity Adjustment Interaction Subgroups for CY 2020


Low comorbidity adjustment: a reports secondary diagnosis on the HH-specific comorbidity subgroup list that is associated with higher resource use

Comorbidity Adjustment (M1023) (cont.)


Comorbidity subgroup Description

Cerebral 4 Includes sequelae of cerebral vascular diseases

Circulatory 10 Includes varicose veins with ulceration

Circulatory 9 Includes acute and chronic embolisms and thrombosis

Heart 10 Includes cardiac dysrhythmias

Heart 11 Includes heart failure

Neoplasms 1 Includes oral cancers

Neuro 10 Includes peripheral and polyneuropathies

Neuro 5 Includes Parkinson’s disease

Neuro 7 Includes hemiplegia, paraplegia, and quadriplegia

Skin 1 Includes cutaneous abscess, cellulitis, lymphangitis

Skin 3 Includes disease of arteries, arterioles, and capillaries with ulceration and non-pressure, chronic ulcers

Skin 4 Includes stages two through four and unstageable pressure ulcers

Low Comorbidity Adjustment Subgroups for CY 2020


High comorbidity adjustment: two or more secondary diagnoses on HH-specific comorbidity subgroup interaction list associated with higher resource use when both are reported together




Handout available for download


CMS proposed three assumptions about behavior change that could occur in CY 2020 as a result of the implementation of the 30-day unit of payment and the implementation of the PDGM case-mix adjustment methodology

– Clinical group coding• HH will assign the primary code based on the highest payment

grouping– Comorbidity coding

• HH will include more secondary diagnoses than done so previously to capture the comorbidity adjustment

– LUPA threshold• HH will make the additional one to two visits to avoid the LUPA

What are CMS’ “Behavioral Assumptions”?


Behavioral Assumption “Adjustment”


• Payment is tied to primary and secondary diagnoses– Using the HH CLAIM (UB-04) vs. OASIS form for payment

increases the opportunity for inclusion of diagnoses • One primary on HH Claim and OASIS• Five secondary on OASIS: 24 secondary on claim

– Comorbidity adjustment can add up to 20% increase in 30-day period payment

• Fluency of grouping assignment (primary diagnosis), driven by the physician, is supported by home health clinical documentation – Admission/evaluation and visit note narrative statements– Individualized patient plan of care (485)– Determination of resource allocation (services, utilization)

Overview: Coding in PDGM


Understand the basics of coding for clinicians– What are official coding and reporting guidelines

related to assignment of diagnoses?– Whose responsibility is actual ”code assignment”?– What needs to be included in documentation? Why?

Role of the HH Clinician in Diagnosis Coding


• Ultimate responsibility for diagnoses rests with the physician

• The physician has the responsibility of diagnosis assignment for all services, testing performed or ordered, including home health care

• Although the law provides for the physician to provide the diagnosis codes, HH providers do not always find this to be true

• Note: the hospital discharge diagnosis is not always the reason home care is provided– It is important for clinicians to review the referral paperwork in

preparation for patient admission/evaluation

Assignment of Diagnoses


• Patient referred to hospital for acute inflammation of the gall bladder due to presence of gall stones

• Patient underwent treatment for her cholecystitis with gallstones with physician determination that surgical intervention was not warranted

• Coding guidance instructs “when the condition remains, and is not fully resolved through medical intervention, it is appropriate to continue to code the diagnosis”

Hospital Scenario 1A

Primary diagnosis Diagnosis description

K80.00 Calculus of gallbladder with acute cholecystitis without obstruction


• Patient referred to HH following hospitalization for acute inflammation of the gall bladder due to presence of gall stones

• Patient underwent surgery for removal of her gall bladder and is referred for post-surgical nursing care

• Coding guidance instructs “if the condition is fully resolved with surgery, it is not appropriate to continue to list the diagnosis that exists”

Home Health Scenario 1B

Primary diagnosis Diagnosis description

Z48.815 Encounter for surgical aftercare following surgery on the digestive system


Primary Diagnosis Grouping


Sequencing diagnosis– List first code (M1021a), or primary code, as the diagnosis,

condition, problem, or other reason for the home health episode• Most related to the plan of care• Most acute condition• Requires the most intensive services (chief reason for care)

– List additional codes (M1023b-f), or secondary codes, that describe any coexisting conditions managed during the episode of care

• Must be relevant to the care delivered• Have potential to affect patient’s responsiveness to care

Primary and Secondary Diagnoses


• Currently in home care, agencies list “therapy diagnoses” when therapy is providing care– There are no “therapy diagnoses” in the ICD code set

• Therapists commonly list the impairments in body structure/function as the reason/diagnosis driving the provision of therapy– Therapists frequently do not list the underlying etiology for the

therapy conditions being treated– i.e. “Muscle weakness” or “gait abnormality”

• How should this be accurately reflected?– Should be occurring now, but will affect payment in PDGM

Coding the Reason for Therapy Care in PDGM


Strategic Healthcare Partners, Santa Barbara California

Questionable Codes

Source: Strategic Healthcare Partners, Santa Barbara California

Diagnosis Code Description Primary Diagnosis Category Questionable

Encounters

% SOC with Questionable

Encounter M62.81 Muscle weakness MS/connective tissue 115,322 25.9%

R26.89 Oth abn of gait and mobility Symptoms/ill defined conditions 27,994 6.3%

R26.81 Unsteadiness on feet Symptoms/ill defined conditions 17,513 3.9%

R29.6 Repeated falls Symptoms/ill defined conditions 16,226 3.6%

R53.1 Weakness Symptoms/ill defined conditions 16,146 3.6%

R26.9 Unspec abn of gait and mobility Symptoms/ill defined conditions 14.120 3.2%

R26.2 Difficulty in walking Symptoms/ill defined conditions 9,796 2.2%

M19.91 Primary OA, unspec MS/connective tissue 7,216 1.6%

M19.90 Unspec OA, unspecsite MS/connective tissue 6,526 1.6%

M06.9 Rheum arthr, unspec MS/connective tissue 6,526 1.6%


Strategic Healthcare Partners, Santa Barbara California

Questionable Codes

Source: Strategic Healthcare Partners, Santa Barbara California

Diagnosis Code Description Primary Diagnosis Category Questionable

Encounters

% SOC with Questionable

Encounter M62.81 Muscle weakness MS/connective tissue 115,322 25.9%

R26.89 Oth abn of gait and mobility Symptoms/ill defined conditions 27,994 6.3%

R26.81 Unsteadiness on feet Symptoms/ill defined conditions 17,513 3.9%

R29.6 Repeated falls Symptoms/ill defined conditions 16,226 3.6%

R53.1 Weakness Symptoms/ill defined conditions 16,146 3.6%

R26.9 Unspec abn of gait and mobility Symptoms/ill defined conditions 14.120 3.2%

R26.2 Difficulty in walking Symptoms/ill defined conditions 9,796 2.2%

M19.91 Primary OA, unspec MS/connective tissue 7,216 1.6%

M19.90 Unspec OA, unspecsite MS/connective tissue 6,526 1.6%

M06.9 Rheum arthr, unspec MS/connective tissue 6,526 1.6%

“Therapy

Codes”


Most Profitable Diagnosis 2018: Not Allowed Under PDGM

Source: Ability Network-Minneapolis, MN

ICD-10 code

Avg margin

per standard episode

Avg SNV per episode

Avg therapy

per episode

Avg costs per

episode

Avg reimbursement

per episode

Acceptable under PDGM

Clinical group PDGM

2. R26.81: Unsteadiness on feet

33.4% 1.8 12.2 $2,609 $3,765 No NA

4. M62.81: Muscle weakness

25.3% 3.8 13.0 $2,814 $3,650 No NA

5. M29.6: (Repeated falls)

24.2% 4.1 13.3 $2,821 $3,627 No NA

9. R53.1 (Weakness) 21.9% 4.4 12.0 $2,773 $3,438 No NA


• Patient referred to HH by PCP following three falls in last 30 days. MD orders “therapy for muscle weakness and repeated falls due to gait abnormality”

• Physical and occupational therapy are ordered services. Medical history includes: poorly controlled DM2 with peripheral neuropathy, retinopathy with macular edema

Home Health Scenario Two

M-Item ICD10 Code Diagnosis DescriptionM1021(a)Primary M62.81 Muscle weakness

(generalized)M1023(b)

Secondary R26.89 Other abnormalities of gait and mobility

M1023(c)Secondary R29.6 Repeated falls

M1023(d)Secondary E11.9 Type 2 diabetes mellitus


• Primary diagnosis of M62.81 falls into “questionable episode” and not a PDGM grouping

• Result: return to provider (RTP), as CMS will not be able to assign a 30-day period to one of the 12 defined PDGM clinical groups

Primary and Secondary Coding in PDGM

Clinical grouping (from principle diagnosis)

ICD-10-CM code Clinical group

Comorbidity subgroup

Primary diagnosis: enter a valid ICD-10-CM code

M62.81: Not found in clinical grouping classification None None


Alpha-numeric ICD-10 code assignment to the identified diagnoses should be completed (or under the supervision) of a trained and credentialed ICD-10 coder

– The clinician is not responsible for• Abiding by official coding and reporting guidelines• Selection of the correct alpha-numeric code• Proper sequencing of diagnosis codes

– The clinician is responsible for• Determining the primary, and comorbid diagnoses that will be

addressed during home health• Providing clinical rationale and care planning to support

diagnoses, as coded and sequenced

Who Assigns the Code?


Chapter TwoPrimary and Secondary Diagnosis Selection


ES

SE

NTI

AL

DO

CU

ME

NTA

TIO

NEssential Documentation

Clinical documentation

Skilled

Reasonable

NecessaryClinician judgment

Patient-centered

care


• Definition: the conclusion or enlightened opinion at which a clinician arrives following a process of observation, reflection and analysis of observable or available information or data1

• Decision-making supports skill of clinician

1. Margot Phaneuf, R.N., Ph.D. 12/17/2008

Clinical Opinion/Judgment

Observation Reasoning Critical Thinking

Clinical Judgment


Documentation “do’s”– Document the specificity of disease, disorders and

conditions of the patient receiving care by nursing• i.e. Wound type and staging/depth

– Physician confirmation of type of wound– Clinician documentation of pressure ulcer stage/non-

pressure ulcer depth

– Document conditions as specifically as possible• i.e. What type of heart failure?

– Systolic, diastolic, acute, chronic?

Capturing Nursing Specificity in PDGM Coding


Documentation “don’ts”– Document superficial wounds (i.e. skin tears) as

traumatic wounds without including the mechanism of injury (how it happened)

• Traumatic wound should be accompanied by external cause

– Document a list of diseases, disorders and conditions without including what is the primary reason for services

• Answer the question: what is driving care in the home health setting?

Capturing Nursing Specificity in PDGM Coding (cont.)


Documentation “do’s”– Document the underlying etiology of the impairment in

body structure/function– Use objective, standardized tests and measures with

age/gender normative data• Incorporate qualitative assessments that are patient-specific

– Tie impairment(s) to specific functional deficits of the patient

– Use prior level or “normal” functional status of patient as baseline

Capturing Traditional “Therapy” Codes in PDGM


Documentation “don’ts”– Document resultant impairments as the actual condition

or diagnosis• i.e. Gait abnormality and lower extremity weakness in a

patient with DM2 with neuropathy, LOPS• i.e. Reduced strength and endurance in patient recently

hospitalized with acute on chronic HF

– Use non-specific, non-measurable statements• i.e. “Reduced household mobility status” or “severely poor

endurance” or “slow walking speed”

Capturing Traditional “Therapy” Codes in PDGM (cont.)


• Reason for referral– 83-year-old male patient referred for HH services following six-day

hospitalization for acute exacerbation of his long-standing COPD due to Novel A type influenza-induced pneumonia

– PNA is cultured (+) for pseudomonas, per physician discharge summary– Patient transferred for six days SNF stay for inpatient rehabilitation, and is

now discharging home with referral for continued therapies for strengthening, ADL re-training and medication and disease process management (new to O2)

• PMHx– HTN, generalized OA, BPH, COPD, DM2

• SHx– Patient resides alone in one-story private residence; previously drove self

to medical appts, to complete IADLs and monthly social outings– He has a part-time housekeeper two times per week and supportive

neighbors who check on him several times during the week

Home Health Scenario Three


• On admission, the RN discovered a partial thickness wound on patient’s buttock during completion of the comprehensive assessment of the integumentary system

– The physician was contacted, and confirmed the wound was a pressure ulcer• Nursing clinical documentation reflects right buttock stage two PU per WOCN

guidance• PT and OT evaluations are completed on the following day (after SOC) and

included the following findings

Home Health Scenario Three (cont.)

Objective test Patient baseline results Data analysis

PT: gait velocity (GV) .51 meters per second with use of RW

Limited community ambulator status; (+) fall risk

PT: 30-second chair stand (CST) Four reps 40% of age/gender norms =

10 to 15 repsOT: two minute step

test (2MST) 38 steps 53.5% age/gender norms = 71 to 103

OT: modified RPE Pre ADLs: 2/10; Post ADLs: 9/10

Light activity to at rest; very hard activity post exertion


Admitting SN narrative note– Patient is a motivated, yet anxious 83-year-old male with recent hospital

and SNF stay following a diagnosis of Novel A influenza with pneumonia with acute exacerbation of his long-standing COPD

– Patient was also found to have a stage two pressure ulcer on his right buttock and physician communication confirmed wound type and presence

– Patient continues to demonstrate generalized weakness and unsteady gait that warrant continued physical and occupational therapy services, as patient resides in alone at home and previously was independent in his self-care activities of bathing, grooming and dressing in his accessible shower, as well as community-level mobility where he previously ambulated without use of an assistive device

– Additional diagnoses of HTN, OA for complaints of joint pain and compromised mobility, and DM2 will be actively monitored through disease process and medication management by nursing



Evaluating PT/OT narrative notes– Patient appropriate for skilled PT for individualized prescriptive

progressive resistive exercises to address hospital associated deconditioning and weakness, with resultant gait abnormalities and increased fall risk

• Patient is unable to re-enter the community consistent with his prior functional abilities and is currently using a temporarily using a RW during mobility

– Patient has been evaluated by OT and demonstrates impaired aerobic capacity as evidenced by 2MST and subjective reports of exertion during completion of showering and dressing with set-up and standby assistance

• Patient previously independent in ADLs using his accessible shower set up prior to recent hospitalization



Capturing Correct Coding in PDGM

OASIS item ICD-10 CodeM1021(a) J09.X1: Influenza d/t identified novel influenza A virus

M1023(b) J15.1: Pneumonia d/t pseudomonas

M1023(c) J44.0: COPD with acute lower respiratory infection

M1023(d) L89.312: Pressure ulcer of right buttock, stage two

M1023(e) E11.9: DM2 without complications

M1023(f) M15.0: Primary generalized (osteo-)arthritis

Additional Dx I10: HTN

Additional DxM62.81: Muscle weaknessZ91.81: History/risk of falls

Z99.81: L/T (current) use of O2


Accurate 30-day period coding (per 2020 proposed rule)– Source: CMS current version PDGM Grouper Tool– Result: primary group = MMTA-respiratory + high comorbidity adjustment

• Average reimbursement by clinical group = $1,600.94 + comorbidity adjustment additional

Capturing Correct Coding in PDGM (cont.)

Timing Admission sourceEarly Institutional




J09.X1: Influenza due to ident novel influenza A virus with pneumonia MMTA_RESP Resp3



Comorbidity adjustment (from secondary diagnosis)

Capturing Correct Coding in PDGM (cont.)

Secondary diagnosis: enter up to 24 valid ICD-10-CM codes

ICD-10-CM code Clinical group Comorbidity subgroup

J15.1: Pneumonia due to pseudomonas MMTA_RESP Resp2J44.0: Chronic obstructive pulmonary disease with acute

lower respiratory infection MMTA_RESP Resp5

L89.312: Pressure ulcer of right buttock, stage 2 Wound Skin4E11.9: Type 2 diabetes mellitus without complications MMTA_OTHER Endocrine3

M15.0: Primary generalized (osteo)arthritis MS_REHABI10: Essential (primary) hypertension MMTA_OTHER

M62.81: Not found in Clinical Grouping Classification

Z91.81: Not found in Clinical Grouping Classification




• Source: CMS current version PDGM Grouper Tool

• Result: primary group = wound + no comorbidity adjustment– Average reimbursement by clinical group = $1,972.00

• What documentation would be needed to support this coding?

Addressing “Upcoding” Behavior





L89.312: Pressure ulcer of right buttock, stage 2 WOUND skin4



Addressing “Upcoding” Behavior (cont.)

Comorbidity adjustment (from secondary diagnosis)Secondary diagnosis: enter up to 24 valid ICD-10-CM codes



J15.1: Pneumonia due to pseudomonas MMTA_RESP Resp2

J44.0: Chronic obstructive pulmonary disease with acute lower respiratory infection MMTA_RESP Resp5

E11.9: Type 2 diabetes mellitus without complications MMTA_OTHER Endocrine3M15.0: Primary generalized (osteo)arthritis MS_REHAB

I10: Essential (primary) hypertension MMTA_OTHERM62.81: Not found in Clinical Grouping ClassificationZ91.81: Not found in Clinical Grouping ClassificationZ91.81: Not found in Clinical Grouping ClassificationZ99.81: Not found in Clinical Grouping Classification


• Source: CMS current version PDGM Grouper Tool• Result: primary group = MMTA-other + high comorbidity adjustment; avg

reimbursement by clinical group = $1,567.92 + comorbidity adjustment additional

• What documentation would be needed to support this coding?

Addressing “Upcoding” Behavior




E11.9: Type 2 diabetes mellitus without complications MMTA_OTHER Endocrine3



Comorbidity adjustment (from secondary diagnosis)

Addressing “Upcoding” Behavior (cont.)

Secondary diagnosis: enter up to 24 valid ICD-10-CM codes



J15.1: Pneumonia due to pseudomonas MMTA_RESP Resp2

J44.0: Chronic obstructive pulmonary disease with acute lower respiratory infection MMTA_RESP Resp5

L89.312: Pressure ulcer of right buttock, stage 2 WOUND skin4M15.0: Primary generalized (osteo)arthritis MS_REHAB

I10: Essential (primary) hypertension MMTA_OTHERM62.81: Not found in Clinical Grouping ClassificationZ91.81: Not found in Clinical Grouping ClassificationZ91.81: Not found in Clinical Grouping ClassificationZ99.81: Not found in Clinical Grouping Classification


• Determination of primary reason for home health services will drive grouping of each 30-day period of care – Is is respiratory? Is it wound? Is it endocrine?

• Specificity of diseases/disorders/conditions should be documented to support coding specificity– Unspecified stage two PU of buttocks vs. stage two PU of right

buttocks = comorbidity adjustment

• Ensure that narrative statements, care planning and service utilization is consistent with code sequencing

• Tie functional deficits experienced by the patient to the underlying cause(s) for coding purposes

Clinician’s Role in Proper Coding in PDGM


Key Documentation Elements

Agency level– Policy/procedure for

clinical narrative notes– Consistent location

within the electronic medical record (EMR)

– Bulleted queries to facilitate desired content

Clinician level– Consider use of a

template • i.e. SBAR

– Summarize findings to demonstrate clinical judgment

– Demonstrate communication with

• Responsible/active physician(s)

• Other members of interdisciplinary team


How to Build a Culture of “Value”

Quality Value

✓


Kornetti and Krafft Health Care Solutions

• Dee Kornetti: owner/founder

• [email protected]

• Cindy Krafft: owner/founder

• [email protected]

Our mission:Empower home health agencies with

revenue protection strategiesOur core values:

Innovation/trust/integrity

@DKornetti @cindy_krafft

@KornettiKrafft


Question and Answer Session

ICD10 Diagnosis Coding in PDGM: Critical Concepts For Clinicians and Coders

PAGE 1

Comorbidity Adjustment (M1023)Dee Kornetti PT, MA, HCS-D, HCS-C and Cindy Krafft PT, MS, HCS-O

Comorbidity subgroup interaction

Comorbidity subgroup Description Comorbidity

subgroup Description

1 Behavioral 2 Includes depression and bipolar disorder Skin 3

Includes diseases of arteries, arterioles, and capillaries with ulceration and non-pressure,

chronic ulcers

2 Cerebral 4 Includes sequelae of cerebral vascular disease Circulatory 4 Includes hypertensive chronic kidney disease

3 Cerebral 4 Includes sequelae of cerebral vascular disease Heart 11 Includes heart failure

4 Cerebral 4 Includes sequelae of cerebral vascular disease Neuro 10 Includes peripheral and polyneuropathies

5 Circulatory 4 Includes hypertensive chronic kidney disease Skin 1 Includes cutaneous abcess, cellulitis, lymphangitis

6 Circulatory 4 Includes hypertensive chronic kidney disease Skin 3


chronic ulcers

7 Circulatory 4 Includes hypertensive chronic kidney disease Skin 4 Includes stages two through four and unstageable

pressure ulcers

8 Circulatory 7 Includes atherosclerosis Skin 3Includes disease of arteries, arterioles, and

capillaries with ulceration and non-pressure, chronic ulcers

9 Endocrine 3 Includes diabetes with complications Neuro 5 Includes Parkinson’s disease

10 Endocrine 3 Includes diabetes with complications Neuro 7 Includes hemiplegia, paraplegia, and quadriplegia

11 Endocrine 3 Includes diabetes with complications Skin 1 Includes cutaneous abcess, cellulitis, lymphangitis

12 Endocrine 3 Includes diabetes with complications Skin 3

Includes disease of arteries, arterioles, and capillaries with ulceration and non-pressure,

chronic ulcers

13 Heart 10 Includes cardiac dysrhythmias Skin 3Includes disease of arteries, arterioles, and


14 Heart 10 Includes cardiac dysrhythmias Skin 4 Includes stages two through four and unstageable pressure ulcers

15 Heart 11 Includes heart failure Neuro 10 Includes peripheral and polyneuropathies

16 Heart 11 Includes heart failure Neuro 5 Includes Parkinson’s disease

ICD10 Diagnosis Coding in PDGM: Critical Concepts For Clinicians and Coders

PAGE 2

Comorbidity subgroup interaction

Comorbidity subgroup Description Comorbidity

subgroup Description

17 Heart 11 Includes heart failure Skin 1 Includes cutaneous abcess, cellulitis, lymphangitis

18 Heart 11 Includes heart failure Skin 3Includes disease of arteries, arterioles, and


19 Heart 11 Includes heart failure Skin 4 Includes stages two through four and unstageable pressure ulcers

20 Heart 12 Includes other heart diseases Skin 3Includes disease of arteries, arterioles, and


21 Heart 12 Includes other heart diseases Skin 4 Includes stages two through four and unstageable pressure ulcers

22 Neuro 10 Includes peripheral and polyneuropathies Neuro 5 Includes Parkinson’s disease

23 Neuro 10 Includes peripheral and polyneuropathies Skin 3


chronic ulcers

24 Neuro 3 Includes dementias Skin 3Includes disease of arteries, arterioles, and


25 Neuro 3 Includes dementias Skin 4 Includes stages two through four and unstageable pressure ulcers

26 Neuro 5 Includes Parkinson’s disease Renal 3 Includes nephrogenic diabetes insipidus

27 Neuro 7 Includes hemiplegia, paraplegia, and quadriplegia Renal 3 Includes nephrogenic diabetes insipidus

28 Renal 1 Includes chronic kidney disease and ESRD Skin 3


chronic ulcers

29 Renal 1 Includes chronic kidney disease and ESRD Skin 4 Includes stages two through four and unstageable

pressure ulcers

30 Renal 3 Includes nephrogenic diabetes insipidus Skin 4 Includes stages two through four and unstageable

pressure ulcers

31 Resp 5 Includes COPD and asthma Skin 3Includes disease of arteries, arterioles, and


32 Resp 5 Includes COPD and asthma Skin 4 Includes stages two through four and unstageable pressure ulcers

33 Skin 1 Includes cutaneous abcess, cellulitis, lymphangitis Skin 3


chronic ulcers

34 Skin 3


chronic ulcers

Skin 4 Includes stages two through four and unstageable pressure ulcers

ICD-10 Diagnosis Coding in PDGM: Critical Concepts for Clinician/Coder Alignment (Recorded Webinar)

Bibliography

MedBridge ICD-10 Diagnosis Coding in PDGM: Critical Concepts for Clinician/Coder Alignment

(Recorded Webinar) Diana (Dee) Kornetti, PT, MA, HCS-D, HCS-C

Cindy Krafft, PT, MS, HCS-O

1. Centers for Medicare and Medicaid Services (CMS). Medicare Benefit Policy Manual – Chapter 7: Home Health Services.

2. Centers for Medicare and Medicaid Services (CMS). Conditions of Participation (CMS-3819-F). www.cms.gov. 2018.

3. The How-To Guide to Home Health Therapy Documentation, Second Edit. Author: Cindy Krafft, MSPT. Published by Beacon Health, a division of HCPro, 2013.

4. Clinical Documentation Strategies for Home Health. Author: Elizabeth I. Gonzalez, RN, BSN. Published by DecisionHealth, 2014.

5. Centers for Medicare and Medicaid Services (CMS) CY 2020 Home Health Prospective Payment System Rate Update; Home Health Value-Based Purchasing Model; Home Health Quality Reporting Requirements; and Home Infusion Therapy Requirements, Proposed Rule. 42 CFR Parts 409, 414, and 484 [CMS=1711-P] 2019. https://www.federalregister.gov/public-inspection/

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What is Case Management in Home Care? (MSW)Tina Marrelli, MSN, MA, RN, FAANKim Corral, RN, BSN, MA, Ed, COS-C

How to Perform a Comprehensive Home Health Assessment (Coming Soon)Tina Marrelli, MSN, MA, RN, FAANKim Corral, RN, BSN, MA, Ed, COS-C

Critical Thinking Skills in Home Care: Quality, Safety, and Care (Coming Soon) (MSW) Nathalie Rennell, MSN, RN, CNE

Providing Culturally Competent Care in the Home (Coming Soon) (MSW) Mary Narayan, MSN, RN, HHCNS-BC, CTN

Ethical Considerations for Home Care Personnel in the Digital Age (Coming Soon) (MSW) Nathalie Rennell, MSN, RN, CNE

Preparing the Caregiver for Home Care and Hospice: Their Role in Quality and Continuing Care (Coming Soon) (MSW) Tina Marrelli, MSN, MA, RN, FAAN

Effective Discharge Planning and Transitions for those with Complex Care Needs (Coming Soon) (MSW) Georgia Hockenjos, RN, BSN

OT in Home Health: Getting Started and Completing Evaluations Krista Covell-Pierson, OTR/L, BCB-PMD

How to Perform an Effective Medication Management and Reconciliation (Coming Soon) (MSW) Erica Wilson, PharmD, BS

Medication Errors and Polypharmacy: Implications for Practice and Care (Coming Soon) Erica Wilson, PharmD, BS

Identifying, Communication, and Documenting a Change of Condition (Coming Soon) (MSW)

Cathleen Armato, RN, CHPN, CHC, CHPCTina Marrelli, MSN, MA, RN, FAAN

Introduction to OASIS for SLPs (Coming Soon) Jennifer Loehr, MA, CCC-SLP, COS-C

Introduction to Home Health for SLPs Jennifer Loehr, MA, CCC-SLP, COS-C

Home Care & Hospice ProgramContinuing Education | Regulatory Compliance | Workforce Development


Orientation & Onboarding: Nursing + Therapy (continued) Instructor

An Overview of Critical Areas in Home HealthDee Kornetti, PT, MACindy Krafft, PT, MS

Home Health Assessment SeriesData Collection, Analysis, Care Planning, Special Considerations

Dee Kornetti, PT, MACindy Krafft, PT, MS

How to Make an Effective Home VisitTina Marrelli, MSN, MA, RN, FAANKim Corral, RN, BSN, MA, Ed, COS-C

Interdisciplinary Professional Teamwork for Better Outcomes (Coming Soon) (MSW) Kimberly Bennett, LSW

Understanding Diverse Patient and Family Populations in the Home: Anticipating the Unexpected (Coming Soon) (MSW) Nathalie Rennell, MSN, RN, CNE

Patient Education in Home Care (Coming Soon) (MSW)Tina Marrelli, MSN, MA, RN, FAANKim Corral, RN, BSN, MA, Ed, COS-C

OASIS Instructor

OASIS Part 1: Introduction to Key ConceptsDee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 2: ICD-10 CodingDee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 3: Getting to Know the PatientDee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 4: Assessing Sensory Status, Respiratory Status, & EliminationDee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 5: Integumentary AssessmentDee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 6: Neuro-Emotional-Behavioral Assessment & Addressing Medications

Dee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 7: ADL, IADL, & Mobility Functional Assessment Part 1Dee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 8: ADL, IADL, & Mobility Functional Assessment Part 2Dee Kornetti, PT, MACindy Krafft, PT, MS

OASIS Part 9: Patient Discharge & TransferDee Kornetti, PT, MACindy Krafft, PT, MS

OASIS D Webinar Series Part 1: Are You Ready for the Changes? Modified and Removed Items Cindy Krafft, PT, MSOASIS D Webinar Series Part 2: Are You Ready for the Changes? New Items Cindy Krafft, PT, MS


Quality of Operations Instructor

Home Health 5 Star Ratings (MSW) Misty Kevech, MS, RN, CCP, CPTM

Initial Competency: Ongoing Annual Assessments and Reasassessing (Coming Soon) TBD

How to Have Difficult Conversations: How to Help Caregivers and Patients Make Decisions About End of Life and Hospice Care (Coming Soon) (MSW) Cathleen Armato, RN, CHPN, CHC, CHPC

A Preceptor Training Program: Education & Management for Success Doris Mosocco, HCE, RN, BSN, MHA

Caring for a Patient with Heart Failure: Reducing Hospitalization Risk (Coming Soon)

Lisa Gorski, MS, RN, IPCNS-BC, CRNI, FAAN

The Role of the Clinical Nurse Specialist: Advanced Practice in Home Healthcare (Coming Soon) TBD

HH-CAHPS Survey: Your Journey to Enhance your Patients' Experience Dawn Hohl, PhD, RN

Home Health QAPI (MSW) Misty Kevech, MS, RN, CCP, CPTM

Facilitating a Successful EHR Transition for Clinicians and Leadership (MSW) Dedee Culley, RN

Reducing the Risk for Acute Care Hospitalization (Coming Soon) TBD

Regulations & Compliance Instructor

ABN, IPCCN, and NOMNC: When and Which to Give! (Coming Soon) Annette Lee RN, MS, HCS-D, COS-C

Accreditation in Home Care: Choices and Processes for Success (Coming Soon) Nancy Allen BSN, RNC, CMC

Conditions of Participation: Patient Care and Agency ProcessesDee Kornetti, PT, MA, HCS-DTricia Twombly, RN, BSN, HCS-D, HCS-O

Creating an Environment of Quality in Home Care (Coming Soon) TBD

Fraud, Waste, and Abuse: Fundamentals of Compliance in Home Health and Hospice (MSW) Cathleen Armato, RN, CHPN, CHC, CHPC

Non-Medicare Opportunities in a Medicare World (Coming Soon) Nancy Allen, BSN, RNC, CMC

Survey Survival: Preparation and Survey Tasks (Coming Soon) Nancy Allen, BSN, RNC, CMC

Compliance Education Library: 40+ Short Courses MedBridge Compliance

Emergency Preparedness in the Home Setting (Coming Soon) Cathleen Armato, RN, CHPN, CHC, CHPC

Legal Implications in Nursing Documentation: What’s In It for Me? Cathleen Armato, RN, CHPN, CHC, CHPC

Observation and Assessment: When Will Medicare Pay? (Coming Soon) Annette Lee, RN, MS, HCS_D, COS-C


Clinical Excellence: Nursing Instructor

Adult Tracheostomy Care and Management (Coming Soon) TBD

Advanced Degrees in Diabetes Education JoJo Dantone, MS, RDN, LDN, CDE, FAND

Arthritis: Considerations for the Home Care Nurse Nathalie Rennell, MSN, RN, CNE

Cardiovascular Health and Blood Pressure Management (Coming Soon) TBD

Cancer Care and Pain at the End of Life (Coming Soon)J’non Griffin, RN, MHA, WCC, HCS-D, HCS-H, HCS-C, COS-C

Comfort Fundamentals for the Older Adult: Bathing, Environment, and Nutrition (Coming Soon) Carol O. Long, PhD, RN, FPCN, FAANComprehensive Care for the Older Adult: Advanced Dementia and End of Life (Coming Soon) Carol O. Long, PhD, RN, FPCN, FAANComprehensive Care for the Older Adult: Mild and Moderate Dementia (Coming Soon) Carol O. Long, PhD, RN, FPCN, FAAN

Diabetes Management Using Medications and Technology JoJo Dantone, MS, RDN, LDN, CDE, FAND

Fall Risk and Prevention in the Home (MSW) Dedee Culley, RN

Fundamentals of Chronic Condition Management (Coming Soon)Tina Marrelli, MSN, MA, RN, FAANCathleen Armato, RN, CHPN, CHC, CHPC

Home Oxygen and Safety: The Fundamentals (Coming Soon) Bryan Beatty, RRT, CPFT

Infection Control and Prevention (Coming Soon)Lisa Gorski, MS, RN, IPCNS-BD, CRNI, FAAN

Infusion Administration Methods: Heart Failure and Best Practices(Coming Soon)

Lisa Gorski, MS, RN, IPCNS-BD, CRNI, FAAN

Caring for the Oldest Old (Coming Soon)Tina Marrelli, MSN, MA, RN, FAANNathalie Rennell, MSN, RN, CNE

Neurological Conditions: ALS, MS, and Parkinson’s (Coming Soon)J’non Griffin, RN, MHA, WCC, HCS-D, HCS-H, HCS-C, COS-C

Mood and Mental Depression (Coming Soon) (MSW) Cathleen Armato, RN, CHPN, CHC, CHPC

Nutrition and Weight Management (Coming Soon) JoJo Dantone, MS, RDN, LDN, CDE, FAND

Ostomy Care and Management (Coming Soon) Carrie Adkins, RN, BSN, CWOCN

Pain Assessment and Management Cathleen Armato, RN, CHPN, CHC, CHPC

Post-Surgical Conditions (Coming Soon) Dedee Culley, RN

Psychiatric Home Care Nursing Constantine Checa-Gerena, BSN, RN-BC

Respiratory Diseases and Conditions in Home Health (Coming Soon) Bryan Beatty, RRT, CPFT

Smoking Cessation (Coming Soon) Dedee Culley, RN

Symptom Management at End of Life (Coming Soon) Cathleen Armato, RN, CHPN, CHC, CHPC


Clinical Excellence: PT, OT, SLP Instructor

Geriatric Rehabilitation: Physical Therapy vs. Occupational Therapy Danielle Keyser, MS, LOTR, GTCPutting the ‘FUN’ in Functional Series: 4 CoursesIADLs, Mobility, Transfers, Pain Management, Dizziness Danielle Keyser, MS, LOTR, GTC

Fall Prevention: The Role of Home Assessments and Modifications Carolyn Sithong, MS, OTR/L, SCEM, CAPS

Stopping Falls: Psychosocial Sequelae Jane Painter-Patton, EdD, OTR/L, FAOTA

An Occupational Therapist’s Remodeling Project Carolyn Sithong, MS, OTR/L, SCEM, CAPS

Kitchen Modifications: Assessment, Design, and Remodeling Carolyn Sithong, MS, OTR/L, SCEM, CAPS

Home and Community Assistive Technology Donna Case, PhD, OTLHome Modifications Series: 6 CoursesBathroom, Entrances, Foundations for Practice, Funding Marnie Renda, OTR/L, CAPS, ECHM

Clinical Excellence: Nursing (continued) Instructor

Urinary Catheter Care and Risks (Coming Soon)Lisa Gorski, MS, RN, IPCNS-BC, CRNI, FAAN

Vascular Access Devices: Types, Care, and Complications (Coming Soon)Lisa Gorski, MS, RN, IPCNS-BC, CRNI, FAAN

Wound and Skin Care Assessment and Management (Coming Soon) Carrie Adkins, RN, BSN, CWOCN

Dosage Forms and Medication Administration: Nursing ConsiderationsDemetra Antimisiaris, PharmD, CGP, FASCP

Case Management: Aging with SCI, Chronic Illness, and Dementia Donna Williams, MSN, RN, CRNN

Nursing Management of Dementia Series: 4 Courses Lisa Byrd, PhD, FNP-BC, GNP-BC

Empira Fall Series: 4 Courses Sue Ann Guildermann, RN, BA, MA

Oral Care: The Cost of Poor Care Cathy Wollman, DNP, GNP-BC

Overview of Medical Complications in Post-Acute Care Cheryl Lehman, PhD, RN, CNS-BC, CRRN

Continence Care Series: 5 CoursesChristine Cave, DNP, FNP, MSN, RN, CRRN, CEP

Nutrition, Hydration, and Dysphagia Series: 4 Courses (Coming Soon)Cindy Nehe, MS, CCC-SLPamela Masters-Farrell, MS, RN, CRRN

Delirium Care Series: 3 Courses (Coming Soon)Kathleen Fletcher, RN, DNP, NP-BC, FAANHeather Teller, BSN, BA, RN, CMSRN, GRN

Chronic and End-Stage Renal Disease: 3 Courses (Coming Soon) Patrice Leonard, BA, BSN, RN, CDE

Root Cause Analysis in Home Care and Hospice (Coming Soon) Georgia Hockenjos, RN, BSN

Serious Incidents and Sentinel Events (Coming Soon) Georgia Hockenjos, RN, BSN


Clinical Excellence: PT, OT, SLP Instructor

Nutrition and Aging: The Basics Jennifer Bottomley, PT, MS, PhD

Stroke Rehabilitation Cases: Wheelchair and Household AmbulationJJ Mowder-Tinney, PT< PhD, NCS, C/NDT, CSRS, CEEASA

Stroke Rehabilitation Cases: Community Ambulation and AtaxiaJJ Mowder-Tinney, PT< PhD, NCS, C/NDT, CSRS, CEEASA

Hip Arthroplasty: Improving GaitJohn O’Halloran, PT, DPT, OCS, ATC, CSCS, Cert. MDT

Interventions for Aging Gait: Understanding Cognition and Frailty Julie Ries, PhD, MA, PT, GCS

The Impact of Aging on Functional Mobility and Gait Julie Ries, PhD, MA, PT, GCS

Exercise Prescription in the Home: Mobility, Stability, and Motor Control Wendy Anemaet, PT, DPT, PhD

What’s Up With Falling Down? Rich Briggs, PT, MA

Pharmacology for Geriatric Practice Kenneth Miller, PT, DPT, MA, GCS, CEEAA

Pain Management for Adults Susan Stralka, PT, DPT, MS

Patient-Centered Care: Motivational Interviewing and Health Coaching Tracey Collins, PT, PhD, MBA, GCS

Preventing Readmission Series (2 Courses)Heart Failure and COPD

Ellen Hillegrass, PT, EdD, CCS, FAPTARebecca Crouch, PT, DPT, CCS, FAACVPRKenneth Miller, PT, DPT, GCS, CEEAA

Dementia Types: Differentiation and Appropriate Outcome Measures for Rehabilitation Deborah Kegelmeyer, PT, DPT, MS, GCS

Evidence-Based Rehabilitation to Reduce ReadmissionsJason Falvey, PT, DPT, GCS, PhDKyle J. Ridgeway, PT, DPT

The Aging Brain: Mild Cognitive Impairment and Dementia Jennifer Bottomley, PT, MS, PhD

Functional Cognition Series (3 Courses)Cognitive Impairment, Falls, and Interventions in Rehabilitation Jennifer Bottomley, PT, MS, PhD

Balancing Training and Fall Prevention for the Active Geriatric PopulationJohn O’Halloran, PT, DPT, OCS, ATC, CSCS, Cert. MDT

Hip Stability, Core Stability, and Fall PreventionJohn O’Halloran, PT, DPT, OCS, ATC, CSCS, Cert. MDT

The Adult Learner and Implications for Patient EducationKathryn Brewer, PT, DPT, MEd, GCS, CEEAA

Balance Domains Series (3 Courses)Limits of Stability, Sensory Organization, Biomechanical Issues Andrea E. Ecsedy PT, DPT, NCS

Post Surgical Management Series (3 Courses)Haideh Plock, PT, DPT, OCS, FAAOMPT, ATC

Dysfunctional Breathing Series (2 Courses) Jacqueline Shakar, DPT, MS, PT, OCS, LT


Pediatrics: Nursing + Therapy Instructor

Behavior Management Strategies for Children with Special Needs (MSW) Deborah Boroughs, RN, MSN

Introduction to Pediatric Home Care Nursing: Children and Adolescents (MSW) Deborah Boroughs, RN, MSN

Introduction to Pediatric Home Care Nursing: Infants and Toddlers (MSW) Deborah Boroughs, RN, MSN

Pediatrics: Home Care Nursing of the Complex, Fragile Child (MSW) Deborah Boroughs, RN, MSN

Preventing Accidental Deaths of Ventilator-Dependent Patients (Coming Soon) Deborah Boroughs, RN, MSN

Growth and Development: Infancy Through AdolescenceCyndi Cortes, PhD, MSN, MRE, CPNP-PC, CRRN, COI

Overview of Pediatric Rehabilitation NursingCyndi Cortes, PhD, MSN, MRE, CPNP-PC, CRRN, COI

Rehabilitation Nursing for Common Congenital Pediatric ConditionsCyndi Cortes, PhD, MSN, MRE, CPNP-PC, CRRN, COI

Rehabilitation Nursing for Selected Acquired Pediatric ConditionsCyndi Cortes, PhD, MSN, MRE, CPNP-PC, CRRN, COI

Evaluation and Intervention of Eating and Feeding Jane O’Brien, PhD, OTR/L, FAOTA

Food Selectivity: The Pivotal Role of Parent Education Michelle Suarez, PhD, OTR/L

Orthopedic Management of the Ambulatory Child with Cerebral Palsy Dora Gosselin, PT, DPT, PCS, cNDT

Scientific Basis for Orthosis Prescription to Improve Gait in Children Lisa Selby-Silverstein, PT, PhD, NCS

Pediatric Outcomes Toolbox Series (5 Courses)Participation Measures, Risk Screens, Mobility, Evaluation, Assessment Robin Dole, PT, DPT, EdD, PCS

Clinical Excellence: PT, OT, SLP (continued) Instructor

Practical Strategies for Working with Cognitively Impaired Individuals Robert Winningham, PhD

Nutrition and Dysphagia Denise Dougerty, MA, CCC-SLP

Evaluation of the Stiff Hand Mike Szekeres, PhD, OTR, CHT

Upper Extremity Assessment: Elbow to Hand Mike Szekeres, PhD, OTR, CHT

Training and Understanding Gait in Parkinson’s Disease Series (2 Courses Heather J. Cianci, PT, MS, GCS


Hospice & Palliative Care Instructor

Hospice and Palliative Care: A Primer Rich Briggs, PT, MA

Defining Hospice Nursing: What the Best Hospice Care Looks Like (Coming Soon) Jennifer Kennedy, EdD, MA, BSN, RN, CHC

What to Expect in Hospice: The Four Levels of Care (Coming Soon) Jennifer Kennedy, EdD, MA, BSN, RN, CHC

The Role of the Hospice Team: What Does the Patient/Family Need (Coming Soon) Jennifer Kennedy, EdD, MA, BSN, RN, CHC

Overview of End of Life CarePatty Warring, RN, MSN, ACHPNLuana Krieger-Blake, BA, MSW, LCSW

Palliative Wound Care (Coming Soon)Anne Walsh, RN, MSN, APRN-BC, CWOCN, ACHPN

Palliative Care and Advance Directive After StrokeBarbara Lutz, PhD, RN, CRRN, FAHA, FNAP, FAAN

Symptom Management at End of Life Cathleen Armato, RN, CHPN, CHC, CHPCQuality in Hospice: The QAPI Fundamentals for Quality and Compliance (Coming Soon) Cathleen Armato, RN, CHPN, CHC, CHPC

Advance Directives (Coming Soon) Cathleen Armato, RN, CHPN, CHC, CHPC

Hospice and Palliative Care: Being With Loss Rich Briggs, PT, MA

Family Adjustments at End of Life Luana Krieger-Blake, BA, MSW, LCSW

Late to End Stage Neurodegenerative Disease Karen Mueller, PT, DPT, PhD

Death and Dying: Attitudes, Causes, Process, and Measures Karen Mueller, PT, DPT, PhD

Self Care: Care of the Caregiver and the Health Care Team (Coming Soon) Lores Vlaminck, MA, BSN, RN, CHPN

Understanding the Differences in Inpatient and Home Hospice (Coming Soon) Lores Vlaminck, MA, BSN, RN, CHPN

The Interdisciplinary Team in Hospice (Coming Soon) Lores Vlaminck, MA, BSN, RN, CHPN

Pediatric Hospice and Palliative Care (Coming Soon) Jody Chrastek, RN, DNP, CHPN, FPCN

Pediatric Bereavement (Coming Soon) Jody Chrastek, RN, DNP, CHPN, FPCN

Documenting Findings and Symptoms in Hospice (Coming Soon) TBD

Hospice Assessments and Performance Scales TBD

Patient Family and Caregiver Education and Resources (Coming Soon) TBD

Spiritual and Cultural Considerations for Chaplains Series (Coming Soon) TBD

Recruitment and Retention of Hospice Volunteers (Coming Soon) TBD

Introduction to Hospice Care for Volunteers (Coming Soon) TBD

Hospice Assessment and Admissions (Coming Soon) TBD

Spiritual Counseling and Hospice Bereavement (Coming Soon) Jay Glasgow, BS


Hospice & Palliative Care (continued) Instructor

Hospice and Palliative Care: Being With Loss Rich Briggs, PT, MA

Family Adjustments at End of Life Luana Krieger-Blake, BA, MSW, LCSW

Late to End Stage Neurodegenerative Disease Karen Mueller, PT, DPT, PhD

Death and Dying: Attitudes, Causes, Process, and Measures Karen Mueller, PT, DPT, PhD

Self Care: Care of the Caregiver and the Health Care Team (Coming Soon) Lores Vlaminck, MA, BSN, RN, CHPN

Understanding the Differences in Inpatient and Home Hospice (Coming Soon) Lores Vlaminck, MA, BSN, RN, CHPN

The Interdisciplinary Team in Hospice (Coming Soon) Lores Vlaminck, MA, BSN, RN, CHPN

Pediatric Hospice and Palliative Care (Coming Soon) Jody Chrastek, RN, DNP, CHPN, FPCN

Pediatric Bereavement (Coming Soon) Jody Chrastek, RN, DNP, CHPN, FPCN

Documenting Findings and Symptoms in Hospice (Coming Soon) TBD

Hospice Assessments and Performance Scales TBD

Patient Family and Caregiver Education and Resources (Coming Soon) TBD

Spiritual and Cultural Considerations for Chaplains Series (Coming Soon) TBD

Leadership & Management Instructor

Building Powerful Teams (Coming Soon) Linda Shell, DNP, MA, RN

Coaching and Counseling: Tips for Success (Coming Soon)Cathleen Armato, RN, CHPN, CHC, CHPCTina Marrelli, MSN, MA, RN, FAAN

Customer Centered Home Care: Everyone Has a Role (Coming Soon) Kimberly Bennett, LSW

Developing an Employee First Culture Series (3 Courses) (Coming Soon) Linda Shell, DNP, MA, RN

Enhancing Your Professional Repertoire: Effective Presentations, Writing, and Communication (Coming Soon)

Tina Marrelli, MSN, MA, RN, FAANKim Corral, RN, BSN, MA Ed, COS-C

Fundamentals of Clinical Supervision: Intersection of Management with Best Practices (Coming Soon)


Having a Professional Presence: Creating Professional Boundaries Nathalie Rennell, MSN, RN, CNE

The Impact of Effective Teams (Coming Soon) Linda Shell, DNP, MA, RN

Making a Successful Transition from Clinician to Manager: Role Development and Differentiation (Coming Soon)


Powerful Teams: The Engine that Drives the Organization (Coming Soon) Linda Shell, DNP, MA, RN

SurThriveLeadership Series (5 Courses) Linda Shell, DNP, MA, RN

Thinking Outside of the Box for Retention and Recruitment (Coming Soon) Kimberly Bennett, LSW


Orientation Courses (60 minutes)

The Home Health Aide: Overview of a Very Important Role Supervision in Home Care

Home Care Documentation RequirementsAdministrative Responsibilities of the Home Health and Hospice Aide

Infection Control in Home Health and HospiceThe Team Concept in Home Care and Hospice: Working Together to Help Patients

Aide Safety in Home Health Care and HospiceSafety First: Homemaking and Housekeeping Considerations

Key Components of Home Health Care Practice The Special and Valued Skills Needed in Home Care

Inservice Courses (30 minutes)

Alzheimer’s Disease and Dementia Care Diabetes Care and Management

Amputation Care and Management Emergency Preparedness and Your Role

Arthritis Care and Management End of Life, Hospice and Palliative Care

Bone, Fracture, and Joint Replacement Care Falls in the Home

Cancer Care and Management Hazard of Immobility: Caring for Bedbound Patients

Cardiovascular Care HIPAA, Boundaries, and Ethical Behavior

Care of Children and Adolescents HIV and AIDS Care and ManagementChronic Obstructive Pulmonary Disease (COPD) Management Hoarding and Cleanliness Challenges

Chronic Renal Failure Care Home Care Documentation Requirements

Communication and Team Dynamics Infection Control and Hygiene

Depression and Mental Health Care Key Components of Home Health Care Practice

Maternal Newborn Care Pneumonia Care and Management

Nutrition, Meal Preparation, and Special Diets Pressure Ulcer and Skin Condition Care

Older Adult Care Stress Management and Self-Care for Aides

Ostomy Care Stroke and Neurological Care

Pain Management Surgical Care and Management

Patient Rights in Home Health Wound Care

Home Health Aide Orientation & Inservice ProgramTina Marrelli, MSN, MA, RN, FAAN

Available 2019

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