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Home Care Steps

Case Management

Agencies need to provide for efficient CASE MANAGEMENT strategies. One way this may be promoted is by using the Home Care Steps® Tracking Tool or the Variance Close-Up on a visit-by-visit basis. These tools allow for an at-a-glance look at how the patient is doing along the pathway in the midst of all of the paper. This one page document will allow you to visualize how often the patient status was outside normal limits (Outcome #1 on every visit), how often the patient used unplanned health care resources outside of home care (Outcome #2 on every visit), how often unscheduled visits were made, how many visits were made, how often visit protocols were repeated, and the variances for why outcomes were not met.  

Also, it allows the clinician providing the visit with an efficient way of identifying unmet outcomes from previous visits that must be addressed. Further, if the agency has been allowed a certain number of visits, the clinician can more efficiently identify if communication is need to the payer because outcomes aren't being met as anticipated. This must be done before the last visit to more successfully get approval for additional needed visits.

VNA First
P.O. Box 9184, Naperville, IL 60567
Tel: 630-778-3478    Fax: 630-922-3394    Email: vnaf@vnaf.org