This study examined a home exercise program (HEP) inventory's impact on occupational therapy (OT) practice at Hoosier Village. The purpose of this project is 1) Determining the impact of HEP inventory on OT practice at Hoosier Village and 2) Evaluating how a HEP inventory can facilitate a shared decision making (SDM) approach to OT practice within Hoosier Village’s therapy department. In partnership with Healthcare Therapy Services (HTS), I developed the HEP inventory and conducted a pre-and post-test on current HEP processes and a single case study design to investigate the HEP inventory impact. The pre-and post-test and case study resulted in themes in which the HEP inventory promotes an SDM approach to care, assists with maintaining therapy progress, and increases the motivation and value of HEP. Due to the limited sample size, further research is recommended to seek the relationship between a HEP inventory and an SDM approach to therapy.