Home Health: Caregiver Goals?

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Home Health: Caregiver Goals?

  • Today I was told that I can write caregiver-specific goals. In my opinion, this is not in accordance with Medicare expectations, but my bosses assure me it is.

    So, is it acceptable to write a goal like: "By d/c, caregiver will demonstrate independence with meeting patient's self-care needs"?

    Thanks,

    Ron Carson

    Ron Carson MHS, OT

  • I won't call myself an expert, so don't take my word only for it, but as I understood Medicare, it would cover for caregiver education and things, but only when a patient was present as well.  I am under the impression that you CANNOT write goals for a caregiver because he/she is not the patient.  I've written goals such as "client will direct caregiver in performance of...", but never "caregiver will..."

    Probably not much help, but that doesn't sound right to me...

  • Also, there's a Reimbursement and Regulatory forum that might find you more people with the knowledge to help.  I believe that forum is actually headed by staff at AOTA who work in this area and could answer more conclusively.  Hope this helps!

  • Don't you write caregiver education goals?
    I occasionally write goals like: caregiver will demonstrate safe transfer techniques to ensure safe discharge for the patient to home setting.
     
    Audra Ray, OTR/L

    --- On Wed, 11/10/10, Ron Carson <bounce-roncarson@aota.org> wrote:

    From: Ron Carson <bounce-roncarson@aota.org>
    Subject: [general] Home Health: Caregiver Goals?
    To: audrayot@yahoo.com
    Date: Wednesday, November 10, 2010, 8:51 PM

    Today I was told that I can write caregiver-specific goals. In my opinion, this is not in accordance with Medicare expectations, but my bosses assure me it is.
    So, is it acceptable to write a goal like: "By d/c, caregiver will demonstrate independence with meeting patient's self-care needs"?
    Thanks,
    Ron Carson




    Audra Ray, OTR/L

  • Hey Audra:

    I don't think I have written caregiver specific goals, but maybe I should!  I've always been under the assumption that goals had to be specific to the patient, but looks like I may be wrong.

    Thanks,

    Ron

    Ron Carson MHS, OT

  • Ron,

    Unless your LTG is full independence or modified independence, some form/level of assistance will always be needed (supervision, SBA, CGA, min assist, etc.) and that assistance will always be coming from caregiver/s (primary or temporary) Therefore, when we write a goal: "patient will bathe/dress self with min assist" for example, it is implied that a caregiver will be providing that min assist and we train/educate the caregiver how to safely and effectively provide that assist. I know I did not directly answer your question but it's another way of looking at how we involve caregivers with goals.

    Rudy

     

  • Thanks Rudy.

    I agree that caregiver goals are often a PART of patient goals. And I often find myself having caregivers actually do assisted selfcare prior to discharge.  But, what I'm talking about is a little different, I think.   It's not about involving the caregiver in patient goals, it's about the caregiver having their own OT goals.

    Ron

    Ron Carson MHS, OT