face to face tip sheet

							Face to Face “Tip Sheet”
Examples of Skilled Home Health Services
Skilled Nursing (includes assessment, teaching and intervention)
     Wound care
     IV Therapy
     Medication management, disease management
     Administration of injectable medications
     Ostomy care (bowel, urinary, GI, trach, etc.)
     Exacerbation of disease (i.e. CHF, COPD, Diabetes)
     Post surgical care

Rehabilitation Therapy (includes assessment, teaching and intervention – PT/OT/ST)
    Therapeutic exercise, gait training, ROM, home exercise programs
    Assessment of home safety and durable medical equipment needs
    Modalities including ultrasound, e.stimulation and wound care
    Pain and symptom management
    Orthopedic rehabilitation following surgery
    Speech and swallowing disorders
    Fall risk

Examples of Homebound Status
Generally speaking, a patient will be considered to be homebound if s/he has a medical condition that
restricts the ability to leave one’s place of residence. Absences from home should require considerable
and taxing effort, and be for medical reasons or religious services, or be infrequent, or of short duration
when for other reasons. Why a patient may be homebound:
        Dyspneic with minimal activity
        Complex wound
        Weakness
        Psychiatric symptoms
        Poor vision
        Frequent falls
        Uncontrolled pain
        Cognitive/memory impairment
        Unsteady gait/balance/poor ambulation
        Unable to negotiate stairs without assist