I do not work in Home Health, but became familiar with this issue when I had a Level II Fieldwork assignment in Home Health. Last year when prompted by the AOTA, I wrote directly to my Representative McCotter about the issue. I learned by return email, that his wife is a Registered Nurse. His response was very noncomittal about the wonderful things that the healthcare personnel do. I wonder if in his situation he has a conflict of interest, since RNs stand to benefit with their current preferred status? What do you suggest in this case when the representative has a personal stake in not advancing the issue? I also believe this is an important issue. Sue
----- Original Message ----- From: "Joe Wells" <[EMAIL PROTECTED]> To: <[email protected]> Sent: Monday, March 07, 2005 7:30 PM Subject: Re: [OTlist] Home health > 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 > >>> > >>> *** NOTICE--The attached communication contains privileged and > >> > >>> confidential information. 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