Mobile PT for the Neurological Patient
This course will instruct the clinician on decision making when providing mobile therapy for the neurologically involved patient. The home setting presents unique challenges and opportunities for clinicians. There are myths regarding the delivery of outpatient services in the home (ie mobile therapy), coverage and appropriateness of telemedicine, criteria for maintenance therapy, and what constitutes wellness/non-covered services versus restorative therapy. The neurologically involved patient is complex. This course will dispel those myths and provide information to the clinician to help make these clinical decisions in an ethical and compliant manner.
- Compare the appropriate indications of skilled versus unskilled (ie wellness) services for the patient with a neurologic diagnosis in the home.
- Understand the necessary criteria for restorative versus maintenance therapy under Medicare regulations for the patient with a neurologic diagnosis in the home
- Identify best practice documentation to quantify deficits and strengths in body functions, based on likely symptom manifestation, record review and subjective history including application and interpretation of appropriate tests and outcome measures, given the neurologic pathology.
- Plan and execute interventions that are evidence-based, properly dosed, and documented to show the skill and value of the clinician.
- Conduct an appropriate telemedicine visit with a patient with a neurological diagnosis.
Course Recorded June 2021
PT, MPT, Advanced Competency in Home Health
Rachel is a licensed PT with 20 years of clinical and management experience in home health, skilled nursing facilities, and outpatient settings. She is currently the Owner and President of Botkin Rehab Services, LLC. She earned her Advanced Competency in Home Health in 2017 and authored an elective module on neurological rehab in the home for the course. She became board certified in Neurological Physical Therapy in 2005. She has been an adjunct faculty member at Clark State Community College, teaching neurological rehab to PTA students since 2008. She is a member of the APTA, Home Health, Geriatrics, and Neurological Sections where she serves on the home health practice committee and co-authored the Home Health Toolbox for Outcome Measures.