Process Essay: Home Health Specialty Clinic

Home health care is also a service provided within a health care system. Home health is a wonderful option for patients who are not able to leave the house but need nursing care, physical therapy, and assistance with activities of daily living such as eating, bathing, meal preparation, and some house cleaning. Health care systems have created their own home health care agencies to help with the continuity of care and the ease for case management to setup a patient within their own system are great benefits on both sides of the spectrum.

•Required to Be Registered: Home Care Aides who offer non-medical services (sometimes referred to as “private duty” services) must be registered and listed with an online registry administered by the state if they are employed by companies that enlist them to work in clients’ homes. To do this, these workers must receive relevant training mandated by the state each year, and they do need to pay a registration fee to the state. They will also be background-checked (fingerprint-based) and checked for TB.

Our carers are able to come to the resident’s home and help with tasks of daily life such as cleaning, cooking, shopping, and laundry duties. Our carers also provide a social element for the resident whether

Alongside these nursing aids, our organization offers health concierge services to clients in their own comforts at home. Among the services we provide to our clients include Companion Care, which is designed to meet the needs of the elderly, Respite Care for patients recovering from illness, Jet Care geared towards the traveling customers, and Home Care that is focused on home-based care delivery. I have served in Home Care of La Jolla since its creation in 2002. The interest to offer a more customized and a need-based service to special groups in the society is the main reason for concentrating in the long-term care industry.

Appalachian Home Health Services is a private, not-for-profit home health agency, located in a rural area of the Midwestern States. 'This company stated purpose is to provide health care services at home to elderly individuals, persons with disabilities, and individuals with short-term needs that can all be handled in one’s home. They provide in-home care services, then bills for the services, either to a public or private insurance carriers or the patient directly. AHHS receives all of its revenue from billed services. Being a private organization, it does not receive government subsidies or tax support in order to run.

It is our mission to provide professional and paraprofessional services to patients in their homes by assisting them to achieve the highest level of potential in their day-to-day, self-care activities. We are committed to providing high-quality, multidisciplinary care by professionals who recognize the need for comprehensive assessment of needs from both the patient and professional’s point of view.

HomeInstead senior care is located in many parts of Minnesota; they provide services to seniors living at home or in healthcare facilities. HomeInstead is a private care organization the send healthcare workers out to seniors home to help them with daily living needs. HomeInstead is providing services that focus on healthcare improvement, and investing in professional staffing. HomeInstead senior care wants to give its caregivers all the tools to properly care for their customers. Many of the time seniors just need some companionship, this a service the organization provides.

Banner Home Care comprises of 10 services: Physical Therapy, Occupational Therapy, Speech Therapy, Clinical Dietician, Infusion Therapy, Social Work, Home Medical Equipment, Telehealth Services, Home Health, and Community Care Coordination.

Researchers conducted an observational study to assess the effect of Patient-Centered Medical Home (PCMH) implementation on patient satisfaction, quality of care, staff burnout, and emergency department use. Information was gathered from 913 Veterans Health Administration (VHA) hospital-based and community-based clinics through the use of several surveys. Composite scores were then arranged into eight core domains of Patient Aligned Care Team (PACT)—the VHA’s version of a PCMH model. Researchers then developed a PACT Implementation Progress Index (Pi2) tool which was used identify the effectiveness of PACT implementation at each participating clinic. Clinics were awarded a scored between-8 and 8. Those with scores between 5 and 8 were said to have effectively implemented their programs. Researchers ultimately found that clinics with higher Pi2 scores had less reported staff burnout, better overall patient satisfaction, improved patient outcomes and lower rates of hospital admissions.

Almost Family is an industry leader in the home health care industry. Strength’s of Almost Family include its personal and management, experience (time established in this industry), and its financial strength (see attached spreadsheet with financial statements and ratios). The company has two divisions, home health care and healthcare innovations. The home health care division has two reportable divisions, visiting nurse services (VN) and personal care services (PC). Healthcare innovations also have a reportable division. The VN helps provide skilled medical services in patients’ homes to reduce prolonged stays in hospitals and nursing homes. A large amount of revenue derived from this program (96%) is from Medicare with private insurance and Medicaid making up the rest. PC services are also provided in patients’ homes but theses services are more toward custodial than skilled nature. PC revenues are derived on an hourly basis with Medicaid picking up 84% of the tab. The Healthcare innovations division was created separately to report on developmental activities outside the home health

The primary goal of this agency is to providing healthcare services that the health care members are caring, and patience. In addition, to have members that are competent in their areas of expertise. In 2002, this agency became the first agency in Nacogdoches that offers both the home health and the hospice. This agency also recognizes that there needed to be something in between home health and hospice and they later developed the AIM™ (Advanced Illness Management) which combines the easier access to home health with the palliative care of hospice. This agency wants to help the families that they serve stay well even though they are not in the care of the agency.

The home health care service plays a significant role in health, employment between 1988 to 1994 this sector of the health field had the largest increase in health care service; it increased by 168% during that time

When looking into the topic on an agency with a focus on the nursing care of older adults, I have come across the Utah Aging and Disability Resources Connection (http://www.utadrc.org/about-us.html). This organization has different programs that assist aging adult with, both public and private resources, in regards to their long term care needs (Utah Aging and Disability Resources Connection, 2017)

Multiple services are provided under home healthcare systems. The main services are medical social services, speech-language therapy, occupational, physical and nursing care to the patients.

Services offered at the home include three nutritious meals daily, housekeeping services which include washing the elders bedding