Home Health Documentation:
The Why, What, Where, and When

By Penny Lovitt, MSN, RN, Managing Partner, OHEN Consulting, LLC 

Home health documentation should always paint a clear picture of patient care across the entire episode. Poor documentation can expose clinicians to disciplinary action and legal scrutiny. Accurate, compliant documentation needs to be standard practice for all clinicians — but sometimes that’s easier said than done.

That’s why Penny Lovitt, MSN, RN of OHEN Consulting, LLC developed this quick-reference guide designed to help agencies improve their documentation. Agency leaders can share this resource with clinicians, and clinicians can keep this resource handy as helpful reminder of what it takes to document properly.

Read the tip sheet to learn:
  • The essential elements all visit documentation must include
  • The best practice of documenting with the patient at point of care
  • How to properly document patients’ homebound status

Download this tip sheet to get started.


About the Author

Penny Lovitt, MSN, RN has an extensive background in health care management, with a distinctive focus on home health, hospice, and private duty for over 25 years. She is a steady influence in chaotic environments and excels at facilitating resolutions to challenging problems. Penny served multiple terms as president of the Mississippi Association for Home Care. She is also a member of the National Association for Home Care & Hospice and has served on many committees and teams. She has served as a board member for the Mississippi Nurses Foundation and the advisory board for the University of Southern Mississippi School of Nursing. Penny has her Master’s of Science in nursing from the University of Southern Mississippi.

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About Kinnser

Kinnser creates the software solutions that power post-acute care. Kinnser leads the industry by consistently delivering the smartest, most widely used solutions for home health, private duty home care, therapy and hospice. With an enduring focus on customer success, Kinnser helps post-acute care businesses reduce expenses, increase revenue, streamline processes and improve care. For more information, visit kinnser.com or call toll free 877.399.6538.