Agency Case Analysis : The Partners

In conclusion, it will examine the future trends of health care and discuss how the home health services will be impacted or have a need to change to meet future trends. The continuum of home health care pertains to the diversity of health care services rendered for the existence of a person’s life.

The challenge America now faces is the number of people reaching retirement will double in number by 2030, and the U.S. population will increase almost 20 percent ("Our Aging Nation," 2015). The goal is for the elderly to maintain and live with independence and dignity, as well as, provide a wide range of professional health and social service expertise, home care, and residential support and services that will be needed ("Our Aging Nation," 2015). Since the number of caregivers needed for this population will not be able to meet the demands other resolutions are considered necessary.

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.

As the demand for home visits from nurses increases its necessities a need to prevent avoidable hospitalizations, it is critical to attract and prepare more nurses for roles in home care. The residency program would have input from the California Association for Health Services Home and the Infusion Nurse Society.

Overview of the Patient Centered Medical Home project piloted by Geisinger Health System in Danville, Pennsylvania

Our elderly population is living longer than ever before and not all of them are entering into a nursing home. They are choosing to stay in their own home or their caregiver is choosing it for them. Some caregivers are choosing to move their ageing love one in the home with them. Whatever the case may be, there is an increased need for some type of home health as it applies to the elderly population. “Medicare will pay the full cost of professional help only if the physician

The alternative in providing care for a dependent family member is keeping them in their own home, or the home of a family member. In recent years there has been a move in market place to an idea that is much more cost effective to provide most of the same services that traditionally found in a long-term care facility in the home. It is estimated that providing these services in the home are approximately $21,800.00 a year. It is also important that these figures only cover the cost of providing skilled health care. These figures do not cover additional expenses occurred in the home such as the cost of room and board. In many instances, the idea of keeping family members in the home where their care, may be more closely supervised is becoming increasingly appealing. Many health care providers are recognizing this and providing more and more services available in the home. In today’s market place anyone can find nursing, physical therapy, occupational therapy, and respiratory therapy companies

Breisch, Hurley, and Moore (2013) established that advocacy for appropriate levels of care for susceptible populations and people with inadequate access to healthcare, is a role that can be played by FCNs. In addition, FCNs are responsible for the provision of awareness among church communities with low-literacy skills to promote healthcare. Through the initiation of referrals for clinical treatment, providing assistance to access home care resources, assisting with extended care appointments, and providing support to healthcare consumers, FCNs can promote improved quality care.

One of the aims of the Patient Protection and Affordable Care Act (ACA) of 2010 is improved integration and coordination of services for primary patient care. The patient-centered medical home (PCMH) is one of the approaches by which improvements can be established. The patient-centered medical home model is particularly well-suited for people who have chronic illness. The design of the patient-centered medical home model departs substantively from traditional reimbursement policies, in that, the ACA provides for incentives and resources to enable care coordinators to be directly recognized and compensated for their care coordination work. Care coordinators are most often registered nurses who through their work that aligns with ACA engage in quality improvement work, cost-effectiveness measures, and patient advocacy. To bring the ACA model to a human scale, the authors present a case study of a care coordinator at a patient-centered medical home in rural Maine. The table provided below provides a basic textual analysis of the study as it is published in the professional nursing journal.

During the first three years I will work as a nurse practitioner in an urgent care/occupational health care setting serving individuals living in low socioeconomic areas. Providing urgent care treatment in an underserved community is important to me, as these communities are in dire need of healthcare providers who speak their language and understand their culture. I hope to make a difference in these communities by encouraging prevention. In order to be worthy of serving this population, I will need to partner with a practice that will take me under their wing and help me reach my highest professional development potential.

Canadian Home Care Association, “Home Care 2020: A Vision of Health, Independence & Dignity,” available at

When public health nurses collaborate with individuals, the focus is on promoting awareness, behaviors, and values that maintain and improve health, with the ultimate goal being of bettering the overall health of the population. These actions are also essential when interacting with families and communities, where the aim is in promoting family and community standards, attitudes, knowledge, and behaviors that improve their overall health. So in order to have positive outcomes the public health nurses need to also consider how essential it is to work with clients as equal partners. (p Book 8). The public health nurse’s actions must enhance understanding and the need for widespread health planning in collaboration with communities and populations, focused upon the perceptions, priorities, and values of the population.

older people at home for as long as possible in optimum health, and shortening lengths of hospital

Estimated cost is derived from VA nursing home expenditures at available CNHs in the surrounding or closest vicinity of the new nursing home area. It is anticipated a similar usage pattern for newly requested contract facility. Estimation is based on the previously established rate of custodial care, RUG IV care and hospice care in the surrounding or closest vicinity of the new nursing home area. Estimation = $216.91 X 365 X 4 (custodial and hospice) and $434.35 X 365 X 0.5 (RUG) = $316,689 + $79,269 = $395,958. FY 2017 Estimate Annual Cost: $400,000. In conclusion, we are requesting this document serves as the Independent Government Cost Estimate, which services as part of procurement package to secure a new facility with optional years

The role of the community health nurse in the participating family’s community is to focus on the health needs of the aggregate or group. Community health nursing refers to a systematic, comprehensive focus on wellness, health protection, and disease, and injury prevention for the population residing in a specific area. The nurse functions as advocate, case manager, consultant, health care provider, educator, and collaborator with other agencies for healthy outcomes of the entire community. Nurses involved in the health of a specific community such as the family participating will assess the members living in the demographic