CMS SOM App. B, Tag G606

arrangement, to assure the identification of patient needs and factors that could

affect patient safety and treatment effectiveness and the coordination of care

provided by all disciplines.

Interpretive Guidelines §484.60(d)(3)

The HHA must integrate services provided by various disciplines by:

• Managing the scheduling of patients, taking into consideration the type of services

that are being provided on a given day. For example, a patient may become

fatigued after a HH aide visit assisting with a bath, thus making a physical therapy

session scheduled for directly after the HH aide visit less effective.

• Managing pain during physical therapy or physical care (i.e. dressing changes or

wound care) to minimize patient discomfort while maximizing the effectiveness

of the therapy session.

• Working with the patient to recommend and make safety modifications in the

home.

• Assuring that staff who provide care are communicating any patient concerns and

patient progress toward the goals identified in the plan of care with others

involved in the patient’s care.