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Contact CAHC:
Connecticut Association for Home Care 110
Barnes Road, PO Box 90
Wallingford, CT 06492-0090
203.265.9931 / 203.949.0031 fax
Email: godbout@chime.org
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Click below to see answers
to the following questions:
What is home care?
Who uses home care?
Why use home care?
Who pays for home care?
How do I choose a home
care provider?
WHAT IS HOME
CARE?
Home Care is a service to
recovering, disabled or chronically ill persons who need medical treatment
and/or assistance with the activities of daily living. Generally it is
appropriate whenever a person requires care that cannot easily or effectively
be provided by family or friends.
Home care provides
services to persons of all ages and includes preventive, acute, subacute,
rehabilitative, and long-term care. Services range from simple assistance in
activities of daily living to high-tech IV therapy.
In Connecticut, there are
three major categories of home care provided through licensed Home Health
Agencies:
Provides skilled nursing, physical therapy, occupational
therapy, medical social work, speech/language pathology, respiratory therapy,
and personal care services, in accordance with a physician authorized plan of
care. Where only personal care services are delivered, unlicensed personnel
may be utilized, under the supervision of an RN, and physician's orders are
not required. Agencies may be "licensed and certified" (meet
Medicare standards and must be utilized for this payor source) or
"licensed" (meet state standards of care and may be utilized for
other payor sources).
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Provides a coordinated
program of palliative care to terminally ill patients, and supportive
services to patients, their families and significant others, in both home and
facility settings, through a physician-directed plan of care. Specialized
services include medical, nursing, home health aide, social services,
spiritual care, bereavement services, volunteer services, and other
appropriate counseling services. The hospice philosophy of care provides
support for persons in the last phases of incurable illness so that they may
live as fully and comfortably as possible. Hospice care seeks to enable
patients to lead an alert, pain-free life and to manage symptoms so that
their last days may be spent at home or in a home-like setting.
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- Personal Assistance Services
Provides routine, ongoing
care or services required by an individual in a residence or independent
living environment that enable the individual to engage in the activities of
daily living or to perform the physical functions required for independent
living, including respite services. Personal care (feeding, transferring,
toileting, ambulation and exercise, bathing, dressing, grooming, routine care
of hair and skin, meal preparation, and assistance with medications normally
self-administered) may be provided by unlicensed personnel without nursing supervision.
Respite care is short-term temporary relief for caregivers and is available
under the most appropriate category of care to meet the needs of the client
and caregivers. payday loans
WHO
USES HOME CARE?
Persons discharged from
the hospital who are not fully recovered. Persons with chronic conditions
such as diabetes, kidney disease, or stroke that requires frequent monitoring
and can no longer meet their needs alone. Persons with a terminal disease,
such as cancer or AIDS, who need personal care, pain management, and
emotional support. Persons with limited mobility who need assistance with
activities of daily living. Families who need respite from caregiving and
emotional support in dealing with a loved one who needs special care. A child
with special life-sustaining equipment who can thrive at home and school with
nursing support.
WHY USE
HOME CARE?
- Home care allows for early
discharge from hospitals and prevents or postpones
institutionalization
- Home care is the extension of
the physician at home, providing confidence and peace of mind
- Home care is personalized
one-to-one, tailored to the needs of each individual
- Home care allows maximum
freedom for the client
- Home care is cost effective
when compared to hospital or nursing home care
- Home Care supplements (does
not supplant) the family's resources and efforts in caring for loved
ones at home, keeping families together
- Home care allows persons to
remain in their own homes, proud and independent
WHO PAYS FOR HOME CARE?
Home care is paid for
through a variety of private and public sources, or directly by the patient
and/or his or her family members. Private third party payors include
commercial health insurance companies and managed care organizations. Public
third-party payors include Medicare, Medicaid, and other community or state
administered programs.
HOW DO I CHOOSE A HOME
CARE PROVIDER?
Finding the best home
care provider for your needs requires a little research, but it is time well
spent. You have the right to choose any home care provider who is qualified
to provide the services you need, although that choice may be restricted
somewhat if you are enrolled in a managed care plan (such as a Medicare HMO).
Here are some questions to consider when deciding which home care provider is
best for you.
- How long has the provider
been serving the community and what services does the provider
offer?
- Does your physician know the
reputation of the provider?
- Is the provider certified by
Medicare? Only Medicare-certified agencies can provide services covered
by Medicare.
- Is the provider licensed? In
Connecticut a home care agency must be licensed by the Connecticut State
Department of Public Health. What other credentials does the provider
maintain?
- Does the provider have written
statements describing its services, eligibility requirements, fees,
patient rights, confidentiality, complaint procedures, hours of service,
and emergency arrangements?
- How does the provider select
its employees? Does the provider ensure that its workers are functioning
under written personnel policies, clinical protocols, and malpractice
insurance? What back-up systems are in place to ensure continuity of
care?
- Will the agency continue to
provide services if Medicare or other sources of reimbursement are
exhausted?
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merchantability or fitness for a particular use or purpose, are made by CAHC
with respect to such information.
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