All for One and One for All

Abstract

Providing care as an interdisciplinary team meets with unique challenges in the home health setting ranging from the physical logistics of care delivery to developing an agency culture that encourages all disciplines to actively participate in care planning. Entities such as Medicare are scrutinizing patient outcomes with ever-increasing urgency, as the move toward a pay for performance model becomes a reality. Successful agencies have all disciplines engaged in the team approach with the patient at the center. The focus is on intentional delivery of positive outcomes. Agencies cannot assume that this mind-set will just happen on its own as it requires structure and support from staff at all levels of the organization.