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Importance of home health care
Importance of home health care
Importance of home health care
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Home health is a service provided to recovering, disabled, or chronically ill person. It provides treatment to help the patient function in a home environment. Home health provides a wide range of health and social services delivered at home whether its medical, nursing, social, or therapeutic treatment. With the many advances in technology and medical equipment home health allows patients to receive treatment in home versus a visit to the hospital or a stay in a long-term care facility. A patient choosing to receive home health feels that it gives them a sense of independence and comfort.
Home health services all types of patients who are homebound, confined to the home expect for infrequent or relatively short absences that require considerable and taxing effort. These patients are usually recovering, disabled, and chronically or terminally ill. In order for a patient to be considered for home health they will need a patient referral, which can come from a variety of services, such as hospital discharge planners, patients, patients’ physicians, insurance companies through their case management programs, PPOs, and HMOs. Home health care provide their patients with many different specialty services and they have home health aides who are provided by skilled nursing agencies to render these services.
These specialty services range from physical therapy to Meals on Wheels. Physical therapist establishes a home exercise and maintenance program for the patient. Occupational therapists assist the patient to become independent with personal care duties. Speech-language pathologists teach proper swallowing techniques, word formation, and word enunciation. Medical social services help the patient and family members cope with the disease...
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...e to their patients and balance quality care with the efficiency and cost-saving measures the new payment method requires. Home health care agencies will need to stay on top of the proposed policy changes.
I think that home health care is an excellent option for patients who still want to be independent and they are able to do it from home. They are still provided the quality care they need from skilled workers in the privacy of their own homes. This option is also cost effective and provides jobs for home health aides and people who have experience in the specialty areas. HIM home care positions require knowledge of finance, quality improvement, utilization review, and information systems, and as HIM evolves I think home health care will open up more positions for HIM employees. HIM professionals can contribute greatly to the future business planning of home care.
Mollie is the patient in our case study. Mollie lives with her daughter and son in law, both in their 70’s. A home health aide assists Mollie five days a week for three hours each day. At age 94, Mollie is an older adult, considered to be part of a vulnerable population, at risk for hearing, visual and mobility deficits. This at risk population can experience changes in cognitive or physical status making the activities of daily living difficult to perform (Meiner, 2011). As people like Mollie age, gradually becoming less able to function independently, their grown children, potential caregivers, may be preoccupied with the demands of their own lives and not prepared to care for an older
Another focus for change is that over the years the demand for home and community care over hospital care has continued to grow, as stated by the Queens nursing institute “Recent health policy points to the importance of improving and extending services to meet the health and care needs of an increasingly older population and provide services which may have previously been provided in hospital within community settings”.
In addition to costly outliers, both the IPPS and HH PPS share other similar payment adjustments in order to ensure that all eligible beneficiaries have access to the appropriate services. They include adjusting the payment rate for partial episodes, and low-utilization of services. The outlier adjustment is made in order to pay for beneficiaries whose cost of care exceeds the threshold amount for their assigned group, just as for the IPPS 3. Under the HH PPS, the low-utilization adjustment can be made for beneficiaries whose episodes consist of four or fewer visits. When this is the case, workers will be paid based on the services they provide per visit multiplied by the number of visits provided during the episode 3, 4. One additional payment adjustment made under the HH PPS, the partial episode payment adjustment (PEP) can be made for patients who change HHAs or are discharged and readmitted within a 60-day episode. When this happens, a new episode will begin for that patient and they would now required a new plan of care and assessment. The adjustment to the original 60-day episode proportionately reflects the length of time the patient remained under the agency’s care
A transitional care nurse or nurse navigator could be utilized to assure a smooth transition from the hospital into the community. The nurse navigator bridges the gap between the hospital care and post-acute care, while working closely with hospital staff, primary care doctors, specialists and community resources (Lamb, 2014, p. 191). Following the client’s discharge, a home health nurse would assume care and begin coordinating services. This nurse would be responsible to assure that all the care services are in place and there is a smooth
Long-term care (LTC) covers a wide range of clinical and social services for those who need assistance due to functional limitations. These limitations usually result from complications associated with age related chronic conditions, from disabilities related to birth defects, brain damage, or mental retardation in children; or from major illnesses or injuries suffered by adults (Shi L. & Singh D.A., 2011). LTC encompasses a variety of services including traditional clinical services, social services and housing. Unlike acute care, long-term care is much more complicated and has objectives that are much harder to measure. Acute care mainly focuses on returning patients to their previous functional level and is primarily provided by specialty providers. However, LTC mainly focuses on preventing the physical and mental deterioration of an individual and promoting social adjustments to suit the different stages of decline. In addition the providers of LTC are more diverse than those in acute care and is offered in both formal and informal settings, which include: hospitals, physicians, home care, adult day care, nursing home care, assisted living and even informal caregivers such as friends and family members. Long-term care services have been dominated by community based services, which include informal care (86%, about 10 to 11 million) and formal institutional care delivered in nursing facilities (14%, 1.6 million) (McCall, 2001). Of more than the 10 million Americans estimated to require LTC services, 58% are elderly and 42% are under the age of 65 (Shi L. & Singh D.A., 2011). The users of LTC are either frail elderly or disabled and because of the specific care needs of this population, the care varies based on an indiv...
The quality of the home care must meet the essentials of the patients or service seekers. But it never means to fulfil the basic needs or requirements of the individuals who are seeking the service. On the other hand, if the home care is not able to meet the basic needs of the patients then this is important to analyse the certain reasons behind this (Janamian, et. al., 2014).
A nursing home is another form of care and this involves an elderly person moving from their home to a building full of all amentities necessary for living well. The only downside to nursing homes is that they are the most exepnsive alternative and that there is a large waiting list for getting into one. In 2010, the Ontario Health Quality council reported, “wait times for a long-term care bed in Ontario have tripled since 2005” (Born, 2011). A nursing home has become a last resort because of these reasons and we need to do everything in our power to alleviate the amount of demand for these nursing homes.
The job duties also vary from home healthcare situation to the next. Each patient receiving home healthcare differs in level of independence and cares required. Thus their job duties vary. Personally, the lady I take care of in a home healthcare situation requires many cares. She brushes her own teeth and stands on her own. However, she needs help with her daily cares and transferring. I cook, clean, and do her laundry. This is the typical situation of many home healthcare jobs. Some home healthcare aides transport the individual as well, in addition to doing their shopping.
Those who want the best of both worlds by working in a home setting caring for clients and good pay could be given that by using the program addressed of a home nursing aide. Not only will this program benefit the employees, future and existing. It will help build the company of Globex as well as the community college or university in bringing in potential students turned into long term employees.
(W. Lease, personal communication, July 23, 2010), the “unknown” of the recent health care reform legislation is an external influence that is most relevant to our organization, stated by William Lease, senior vice president of clinical support services. Mr. Lease states, that health care reform legislation will impact our organization in many ways; especially after 2014. While more employees will have health insurance coverage and there will be more patients to treat; the need for controlling costs and improving efficiency is i...
Taking care of the individuals that are getting older takes many different needs. Most of these needs cannot be given from the help of a family. This causes the need of having to put your love one into a home and causing for the worry of how they will be treated. It is important for the family and also the soon to be client to feel at home in their new environment. This has been an issue with the care being provided for each individual, which has lead to the need of making sure individuals have their own health care plan.
Home health care services are not just for elderly patients. In some cases, a family may seek professional assistance for a child that is living with a chronic condition or recovering from an operation. To further support these families and ensure that top quality care is available for all, ACCESS Nursing Services is expanding its pediatric care division in New York, NY, with the hiring of additional physical therapists.
Community case management commences after the referral intake process with a service coordinator making contact with the client over the telephone to a get a better picture of the client needs prior to a home visit. The client's needs is then assessed at the home visit utililising standardised documentation which is set out to assist with the support planning process. A support plan detailing the client's goals, services agreed as well as other referrals made (eg. nursing, allied health, other community programs, etc) is then formulated and agreed with the client and their next of kin if they wish for them to be present. Other documentations (eg. consent forms, home safety checks, non-response plans, service agreement, light clinical assessment
Overview: Home Health Nurse Practitioners are basically advanced practice nurses who serve patients with chronic illnesses, permanent disabilities and terminal illnesses in their homes. In a word they provide primary health care to patients. Just like the doctors, these nurses also have the authority to diagnose and provide treatment and consultation for sick, disabled or injured patients. Apart from these, the home health nurse practitioners perform a number of other duties like educating patients and coordinating services and recommendations to community resources. Qualification: