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Digital Seminar

Home Modifications for Rehab Clinicians: Solutions for Geriatric Adults with Chronic Conditions, Disabilities, and Age-Related Functional Decline

Dawn Heiderscheidt, MOT, OTR/L, ECHM, CDCS
Approx. 6 Hours
Apr 10, 2024
Product Code:
Media Type:
Digital Seminar - Also available: Live Webinar


Aging in place is here to stay. Healthcare is rapidly shifting to a home & value-based model, so patients are being sent home with significantly higher levels of impairment and illness than ever before.

Therapists must be prepared to make home modification recommendations to prevent rehospitalizations and adverse eventsbeyond just the “bandaid” of a grab bar. But large-scale renovations can seem daunting and intimidating…

That’s why I put together this course – to be your GO-TO guide for understanding your role as a rehab clinician in home safety assessments and modifications. Learn how you can:

  • Integrate a comprehensive home safety assessment in a timely manner
  • Implement a simple step-by-step framework to oversee home modification projects from start to finish!
  • Fall proof a home in 4 easy steps
  • Customize recommendations for TBI, SCI, peripheral neuropathy and more!
  • Get paid! Understand implications for Medicare, waiver programs and cash-based pay!

This is your opportunity to get ahead of the curve! This rapidly growing market desperately needs more trained clinicians. You have a unique skill set that allows you to anticipate future needs and finally make long lasting independence a possibility! Expand your opportunities to work outside the traditional medical model with this sought-after skill set that will boost your referrals and add a cash-based revenue stream to your practice.


Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

CE Information Coming Soon

Continuing education credit information is coming soon for this non-interactive self-study package.

CEs may be available for select professions, as listed in the target audience. Hours will be dependent on the actual recording time. Please check with your state licensing board or organization for specific requirements. 

There may be an additional fee for CE certificates. Please contact our Customer Service at 1-800-844-8260 for more details. 

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.


Dawn Heiderscheidt, MOT, OTR/L, ECHM, CDCS's Profile

Dawn Heiderscheidt, MOT, OTR/L, ECHM, CDCS Related seminars and products

Dawn Heiderscheidt, MOT, OTR/L, ECHM, CDCS, is the owner and CEO of Aurora Independence — a company focused on home safety consulting and home modifications. While working in acute/subacute home-based rehabilitation settings, she consistently saw patients returning to her caseload due to falls and home safety concerns. This is what sparked her desire to serve people and help keep them safe at home. She holds her Executive Certification in Home Modifications, she is a Certified Aging in Place specialist and acts as Program Admin for Community Aging in Place—Advancing Better Living for Elders (CAPABLE). Beyond this she partners with local non-profits, Habitat for Humanity and local universities to help guide the next generation of Occupational Therapists in Home Modifications.

Before becoming an OT, she spent years as an educator in Philadelphia, PA. She continues to have a strong desire to educate and empower others through therapy sessions, speaking engagements, and instructing courses. She also partners with several start-ups, offering concierge services to Philadelphia and surrounding areas. Dawn has been a guest lecturer at Temple University and provides fall prevention workshops in her community.

Dawn is passionate about helping people live in their homes successfully and participate in the activities they love. She continues to seek new knowledge and build connections for home safety, home modifications, and aging in place.


Speaker Disclosures:
Financial: Dawn Heiderscheidt has employment relationships with the National Association of Home Builders and Temple University. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dawn Heiderscheidt is a member of the American Occupational Therapy Association, the National Board of Occupational Therapy, and the Pennsylvania Occupational Therapy Association.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Determine the role of the clinician within a multidisciplinary team working on environmental modifications.
  2. Utilize a five-step process to perform a home safety evaluation to improve daily function.
  3. Determine three or more risks associated with increased falls that may impact considerations for the home modification process.
  4. Examine ADA considerations regarding home/ environmental modifications to improve participation in daily activities.
  5. Choose interventions based on budget and considerations for activities of daily living.
  6. Identify characteristics of three aging in place markets and their impact on function.


Foundations for Home Modifications and the Role of Rehab Clinicals

  • State of the market
  • Needs assessment
  • Role of therapists: PT/OT/SLP
  • Getting paid: How to bill for home safety assessment
    • Considerations for Medicare
    • Waiver programs
    • Cash based

Home Safety Evaluation: A Guide to Decision Making

  • PRAMPI Method
  • Pre-assessment
  • Risk
    • Internal: age, motivation, buy-in
    • External: thresholds, rise/run, lighting
  • Ability – modifiable conditions and factors
    • Medications
    • Environment: rental vs owning
    • Behaviors and performance patterns
  • Money
    • Assessing for every budget: low → high
    • Funding sources
  • Plan it out
    • Design collaboration
    • Beauty-marries-function
  • Implementation
    • Contractor and rehab role

Interventions: Specials Considerations for ADA vs. Home:

  • Bathroom & kitchen: counter height, clearance, appliances, kick plate, turning radius, thresholds, electric
  • Thresholds egress, entrance
  • Ramps: strength, rise vs run, caregiver strength, weight/width, mobility devices
  • Age tech options: Alexa, Dot, Ring, Monitoring Systems

Preparation & Design for Special Populations

  • Aging market – urgent and non-urgent/progressive
  • SCI
  • TBI
  • Neuropathy
  • Dementia
  • Fall risk

Before and After: Examples of Home Modifications

  • Universal design
  • Leveraging the community
  • Assisting the self-sufficient client

Taking Home Mods to the Next Level

  • Home Safety Certifications: HAST, CLIPPS, CAPS, ECHM, CHAMP, HMOTA
  • Home accessibility assessments
    • CCAP, I-HOPE, CASPR, HSST, COURGAR, Heap, Westmead, SAFER-home-3

Trending Topics

  • Fall monitoring systems
  • Auxiliary housing units
  • Grab bar technology
  • Rising toilet seats
  • AGE tech

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants


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ADA Needs
We would be happy to accommodate your ADA needs; please call our Customer Service Department for more information at 1-800-844-8260.

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