Jimmie & Aine:
I totally agree with both of you. I wrote to our local representative Paul Gilmore before (I do believe someone on this board had prompted it then). I am planning to meet with his local office personnel as well. I do think that the homehealth issue is very important.
Joe
----- Original Message ----- From: "Aine Suttle" <[EMAIL PROTECTED]>
To: <[email protected]>
Sent: Monday, March 07, 2005 4:12 PM
Subject: Re: [OTlist] Home health
I am not an American but I can certainly sympathise with your situation.
What is similar in Canada is the fact that politicians are more likely to
listen to their constituents. But it would probably help if the AOTA also
put forward an agenda for change which could be submitted to your government
but which could also be sent to all OTs so they have the statistics and
other relevant facts when lobbying their individual Representatives and
Senators.
Regards,
Aine Suttle, Toronto
on 3/7/05 8:29 AM, Jimmie Arceneaux at [EMAIL PROTECTED] wrote:
Hello joe,
I agree that OT not being a qualifier for home health under Medicare is a
problem, however OTs cannot rely on AOTA to propose an agenda for change. It
is important that we all write our Representatives and Senators. They listen
when their constituents talk.
Jimmie
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of Joe Wells Sent: Friday, March 04, 2005 11:29 PM To: [email protected] Subject: Re: [OTlist] Home health
Hi: I work in homehealth as well. It is very absurd to think that under
medicare, OT is not one of the qualifying services (PT/ SLP/ Nsg.). OT may
stand alone only after the case has been opened by another discipline and
need for OT has been established by another discipline, if they were no OT
orders upon admission. I do believe that this should a major initiative for
the AOTA PAC agenda. Equally frustrating is that in many states, OTs cannot
be enrolled as medicaid providers and you can actually start a Rehab Agency
or CORF without an OT. Well, we do trail others quite a bit and ofcourse, it
endorses the notion of the policymakers and thus, the public in general, for
OT not to be an essential service in these clinical settings. Joe
----- Original Message -----
From: "Spot_60" <[EMAIL PROTECTED]> To: <[email protected]>; <[email protected]> Sent: Friday, March 04, 2005 5:46 PM Subject: Re: [OTlist] Home health
Jimmie--
I work in home health, and on a few occasions, this situation arose in my
agency. If memory serves me correctly, I believe that we determined that
if the opening discipline (skilled nursing or physical therapy) performed
a skilled service during their evaluation (evaluation alone did not
qualify as the skilled service) then OT was "allowed" to case manage and
stand alone.
Yes, I agree the current situation is quite frustrating.
Susan
Jimmie Arceneaux <[EMAIL PROTECTED]> wrote:
Hey all,
Let me tell you of a situation which presented itself at my place of
business. We have an occupational therapy program which specializes in
patients with visual impairments. A referral came in the other day for the
program and a nurse was sent out to admit to home care while an OT was
assigned to to assess for admission to the low vision program. The OT
identified limitations which necessitated a plan of care. the nurse on the
other hand did not identify a nursing skill. For those of you familiar
with home health care in the U.S., OT cannot initially qualify a patient
for home health care. This made us unable to see this clearly homebound
patient for needed services. I find this situation extremely frustrating.
It is quite ridiculous that OT is not included as a qualifier in the
Medicare regulations for home health care.
I'm interested to read what others think.
Jimmie Arceneaux, LOTR Metro Preferred Home Care 3501 N. Causeway Blvd., Ste 200 Metairie, LA 70002 504-838-7080 Fax 504-833-9309
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