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Home Health 2021 and PDGM

  • Saturday, June 05, 2021
  • 2 sessions
  • Saturday, June 05, 2021, 9:00 AM 12:00 PM (CDT)
  • Saturday, June 05, 2021, 1:00 PM 4:00 PM (CDT)
  • Tulane University School of Public Health and Tropical Medicine


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Home Health 2021 and PDGM (6 hours)

Course Description:

This course will be presented as a collaborative team approach by an OT and PT who provide home health services. The new Patient-Driven Groupings Model (PDGM) payment model will be thoroughly discussed. We will clarify the myth about “there’s no extra money for therapy” and teach course participants how to correctly answer the M1800s to achieve accurate functional scores - which impact reimbursement. We will discuss realistic expectations of progress, goals, and ability to impact patient quality of life while working within a limited amount of visits. We will highlight the necessity of effective communication for coordinated care and a collaborative team approach. Through utilization of in-the-home patient scenarios, we will reinforce clinical application of how to improve the accuracy of initial functional assessments, recognize comorbidities that impact patient care plans, emphasize therapist skill in documentation, and maximize functional gains in the home. Finally, we will discuss managing ethical dilemmas while providing care under the PDGM.

Course Objectives:

Following completion of this course, the participant will be able to:

  1. Understand how the payment model has changed, what counts as “improvement” per the OASIS, and how therapy impacts reimbursement under PDGM
  2. Assess functional abilities more accurately at eval 
  3. Accurately interpret and score OASIS functional questions 
  4. Understand the importance of effective coordination and collaboration for patient-driven care and how to increase multidisciplinary communication efficiency 
  5. Identify and explain comorbidities that impact patient care plans 
  6. Identify realistic patient goals/outcomes for care plans with limited visits 
  7. Incorporate OASIS language into their goal writing 
  8. Feel better equipped to manage ethical dilemmas under the PDGM

Tentative Program Schedule:

8:00-9:00 Registration

9:00-11:00 - Lecture: PDGM & OASIS

11:00-11:30 - Small-Group Activity/Scenarios

11:30-12:00 - Interactive Session: Review of activity w/ questions & answers

*12:00 - 1:00 Lunch on your own*

1:00-1:40 - Lecture/Scenarios: The OT and PT Home Health Evals

1:40-1:55 - Lecture/Scenarios: The OT and PT Home Health Re-Evals

1:55-2:20 - Lecture/Scenarios: The OT and PT Standard Visits

2:20-2:45 - Lecture/Scenarios: The OT and PT DC

2:45-3:30 - Interactive Session: Clinical Scenarios to Review Material w/ Questions & Answers

3:30-4:00 - Interactive Session: Discussion of Ethical Dilemmas

Presenters' Resume/Biography:

  • Alyce Cresson Bowers, PT, COC-S, Board Certified Geriatric Clinical Specialist Alyce is a full time physical therapist and Director of Rehabilitation Services for Southern Flex Rehabilitation (SoFlex), working as a clinical mentor promoting collaboration among all disciplines for comprehensive patient care. As a Board Certified Geriatric Clinical Specialist, Alyce is passionate about functional aging and quality of life - keeping patients functional while maintaining the highest level of dignity. She has been a practicing PT in the Greater New Orleans Area for over twenty years and has greater than ten years of home health experience. In addition to home health, Alyce has taken her in-home skills to provide both Part A and Part B care to residents living in Assisted Living communities. Alyce also has experience in the following clinical settings: acute care, skilled nursing care, ICU, out-patient neurologic adult care, aquatic therapy, same day surgery, and long term care. She has been program director for staff development and training at several nursing homes. Alyce is committed to indisputable skilled documentation and case management; as a certified clinical OASIS specialist, Alyce helps therapists and agencies achieve OASIS accuracy combined with skilled documentation to assure full benefits for our patients. Alyce has provided several board certified courses on OASIS accuracy, PDGM, documentation, and the team approach to maximize patient centered care for optimal functional gains.
  • Elise Kelone, MOT, LOTR, CAPS, Certified LSVT BIG Practitioner Elise graduated from LSU Health Sciences Center with her Masters in Occupational Therapy in 2012. She has since practiced in geriatric settings beginning in ortho and general out-patient clinics as well as skilled nursing facilities. In 2014, she transitioned to home health where she found an even deeper love for occupational therapy. Amazed at how environmental modifications can truly transform quality of life (including personal experience with modifications to her own home), she obtained her Certified Aging in Place Specialist (CAPS) designation in 2014. With a special interest in treating those with Parkinson’s, she became certified in LSVT BIG in 2018. With a bachelors in psychology and a passion for mental health, she received grief counseling training in 2009 and is known to weave psych interventions into her home health treatments when appropriate. Elise has been committed to advocating for the OT profession even prior to graduate school and has been a long-time member of Louisiana Occupational Therapy Association (LOTA). She became an active member of the LOTA board in 2012, serving as the Legislative Council Chairperson - where she continued to serve until fall 2019, when she was elected to serve from the Vice President position. Elise currently practices in the Greater New Orleans Area, working closely with all disciplines, providing home health and out-patient services “in the home” - both in personal homes and in assisted living facilities.


Tulane University School of Public Health and Tropical Medicine
Tidewater Building
1440 Canal Street
106B- 1st floor Auditorium

**Masks are required in the building and the auditorium does adhere to the CDC guidelines. Signage and directions to the auditorium will be placed in the lobby of the building and there is no need to check in with Security.**

There is free parking on LaSalle Street (side of the Tidewater Building) and also a paid parking lot across the street from the Tidewater Building on Canal Street.


(225) 291-2806

LOTA, PO Box 14806

Baton Rouge, LA 70898

© Louisiana Occupational Therapy Association

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