2013년 11월 28일 목요일

About 'medical home health care'|Medical homes linked to better health, school performance







About 'medical home health care'|Medical homes linked to better health, school performance








Fourteen               weeks               as               a               patient               receiving               home               health               care               services               taught               me               some               very               important               and               expensive               lessons.

Patients               who               are               placed               with               home               health               care               agencies               usually               are               unfamiliar               with               the               process.

We               could               have               saved               thousands               of               dollars               and               avoided               many               stress-filled               hours               if               we               had               received               just               a               few               important               tips.

Home               health               care               is               usually               prescribed               for               patients               who               need               on-going               treatment               for               a               serious               condition.

A               home               health               care               recommendation               is               often               unexpected               by               patients               and               family               members.

The               system               can               move               quickly               and               suddenly               family               members               and               friends               find               themselves               serving               as               primary               medical               caregivers               to               a               very               ill               patient.
               Home               health               care               services               have               two               primary               benefits.

The               first               is               that               patients               are               more               comfortable               in               their               own               homes               and               tend               to               rest               better               than               in               a               noisy               hospital.

The               second               is               that               home               health               care               services               are               significantly               less               expensive               that               a               hospital               stay.
               These               benefits               make               home               health               care               preferable               to               a               hospital               stay.

Unfortunately               patients               and               their               families               are               not               informed               about               what               to               expect               from               a               home               health               care               agency.

Each               case               is               different               but               these               tips               should               put               you               on               the               right               track               for               dealing               with               your               home               health               care               situation.
               The               first               thing               to               realize               about               home               health               care               is               that               your               physician               is               responsible               for               recommending               it               but               does               not               usually               have               control               over               which               home               health               care               company               serves               you.

Most               insurance               companies               have               working               contracts               with               home               health               care               agencies               and               will               require               that               you               utilize               the               services               of               their               appointed               agency               or               forgo               your               insurance               benefits.

There               are               downfalls               with               this               system.

Your               insurance               company               may               assign               you               a               home               health               care               agency               that               is               unfamiliar               to               your               doctor.

They               may               assign               an               agency               with               a               less               than               stellar               reputation.

If               your               physician               recommends               that               you               consider               home               health               care               contact               friends               who               have               dealt               with               a               home               health               care               agency               and               ask               for               their               recommendation.

You               might               not               have               a               choice               but               you               may               be               able               to               persuade               your               carrier               to               assign               you               a               specific               agency               upon               request.

The               patient's               life               depends               upon               the               quality               of               the               home               health               care               agency.
               Most               HMO               and               PPO               insurance               plans               require               that               home               health               care               requests               be               approved               prior               to               beginning               service.

Your               doctor's               office               is               responsible               for               contacting               your               insurance               company               about               this.

If               you               experience               a               delay               in               getting               the               service               started               call               your               doctor's               office               to               follow               up.

If               the               delay               is               due               to               the               insurance               company               than               contact               them               yourself.

My               home               health               care               services               were               delayed               several               days               because               the               assigned               case               manager               was               gone               on               vacation.

Had               I               not               called               personally               the               request               would               have               sat               in               her               voicemail               until               she               returned               the               following               week.

You               might               be               a               pest               but               at               least               you'll               get               the               care               you               require.
               The               second               most               important               thing               to               understand               about               home               health               care               is               that               it               is               not               a               nursing               service.

Supplies               will               be               delivered               to               your               home               and               a               nurse               will               visit               to               teach               a               family               member               how               to               care               for               the               patient.

You               will               need               to               find               a               responsible               person               who               can               be               at               your               home               whenever               the               patient               needs               care.

That               person               will               need               to               be               available               when               the               nurse               visits               for               training               and               anytime               the               patient               needs               care               or               assistance.

Patients               may               need               round               the               clock               supervision               or               just               medications               administered               daily.

Some               home               health               care               patients               are               well               enough               to               care               for               themselves               but               it               is               still               necessary               to               plan               for               a               back-up               caregiver.
               Although               the               caregiver               might               have               no               medical               training               he               will               be               responsible               for               nearly               every               aspect               of               the               patient's               care.

I               was               unable               to               function               for               most               of               the               fourteen               weeks               I               received               home               health               care               services.

My               family               members,               including               my               ten-year-old               daughter,               all               took               turns               caring               for               me.

My               daughter               was               able               to               give               a               emergency               room               nurse               IV               instructions               based               on               her               experience               caring               for               me.

Caregivers               should               be               aware               of               the               responsibility               they               are               undertaking.
               Because               the               training               by               a               nurse               is               done               quickly,               make               sure               the               caregiver               takes               notes.

A               spiral               notebook               becomes               a               valuable               tool.

After               awhile               times               and               dosages               begin               to               muddle               together,               especially               if               multiple               caregivers               are               involved.

The               notebook               will               function               as               a               hospital               chart               for               home               health               care               patients.
               Realize               that               you               have               the               right               to               complain               if               you               are               unhappy               with               anything.

The               manager               of               your               home               health               care               agency               should               be               able               to               accommodate               any               special               requests               or               needs               you               have.

This               applies               to               personality               conflicts               with               workers               as               well               as               delivery               requirements.
               The               supplies               the               home               health               care               patient               needs               should               be               delivered               directly               to               your               home.

Most               agencies               use               a               courier               to               deliver               on-going               supplies               and               medications.

Unless               other               arrangements               are               made,               an               adult               will               need               to               be               at               the               home               to               sign               for               deliveries.

A               patient               who               is               unable               to               get               out               of               bed               will               not               be               able               to               answer               the               door               or               sign               and               your               home               health               care               agency               may               not               leave               the               supplies.
               Two               other               supply               topics               are               important               to               discuss.
               First,               depending               upon               the               level               of               care               required,               you               may               be               receiving               large               quantities               of               supplies               that               will               need               to               be               stored               in               your               home.

Some               may               require               refrigeration.

Set               aside               a               special               location               in               your               refrigerator               to               keep               all               of               these               cold               supplies               together.

Taking               a               half               an               hour               to               sort               supplies               when               they               arrive               will               give               the               caregiver               the               peace               of               mind               that               comes               from               knowing               where               everything               is.
               For               financial               reasons               it               is               important               that               you               inventory               the               supplies.

Many               home               health               agencies               have               a               standard               package               they               send               to               everyone               with               a               specific               condition.

The               problem               with               this               is               that               the               patient               may               not               need               all               of               the               supplies,               may               need               smaller               quantities               or               may               need               more.

Home               health               care               supplies               are               not               returnable.

Home               health               care               agencies               make               money               from               any               items               they               deliver               whether               you               use               it               or               not.

They               have               no               incentive               to               discontinue               sending               the               extra               supplies.

My               packages               contained               an               item               that               did               not               work               with               the               type               of               IV               line               I               was               using.

Until               we               complained               about               all               of               the               extra               supplies               they               continued               to               ship               a               large               package               of               them               to               me               each               week.

On               the               other               hand,               my               equipment               required               more               batteries               than               was               standard               so               each               week               I               had               to               make               certain               to               request               extras.

One               week               they               were               late               with               a               delivery               and               my               pump               battery               died               several               hours               before               my               next               shipment               arrived.

Caregivers               should               be               able               to               determine               which               supplies               are               being               used               and               demand               that               the               home               health               agency               deliver               appropriately.
               Appropriate               deliveries               are               always               a               concern,               especially               during               the               initial               days               of               home               health               care.

Until               a               usage               pattern               is               determined               you               may               not               receive               enough               supplies               or               medication               to               last               until               the               next               delivery.

Taking               a               few               minutes               to               determine               usage               levels               and               quantities               on               hand               will               allow               the               caregiver               to               contact               the               home               health               agency               before               the               situation               becomes               critical.

Do               not               assume               your               home               health               care               agency               will               deliver               additional               supplies               -               call               to               make               certain               they               will.
               Home               health               care               patients               should               not               expect               daily               visits               from               a               medical               professional.

Nurse               visit               schedules               are               determined               by               need.

If               the               patient               has               an               IV               that               must               be               restarted               every               other               day               than               the               nurse               will               visit               that               often.

A               patient               with               a               PICC               line               does               not               need               IV               starts               but               will               need               a               weekly               dressing               change.

In               that               case               a               nurse               visits               once               a               week.

The               physician               provides               guidelines               but               home               health               care               concerns               are               usually               addressed               first               though               a               call               to               the               home               health               agency               and               then               to               the               doctor               if               necessary.
               The               physician               plays               a               key               role               in               the               home               health               care               system               so               do               not               hesitate               to               contact               the               doctor's               office               at               any               time.

On-going               medical               care               requires               the               home               health               care               agency               to               receive               medication               refill               approvals.

Your               physician               should               be               made               aware               of               any               changes.

Do               not               count               on               the               home               health               care               employees               to               communicate               with               your               doctor,               make               a               weekly               call               yourself               to               make               certain               the               office               is               aware               of               progress               or               lack               thereof.
               Do               not,               under               any               circumstances,               hesitate               to               contact               your               home               health               agency               with               concerns.

They               should               have               someone               available               to               you               at               all               times.

Caregivers               are               not               medical               professions               and               should               not               be               relied               upon               to               make               decisions               regarding               care.

Any               problems               should               be               dealt               with               immediately.
               Keep               copies               of               every               paper               you               receive               from               your               home               health               agency.

This               includes               the               packing               lists               for               your               supplies.

Home               health               care               is               expensive               despite               that               fact               that               the               basic               care               is               provided               by               family               members               or               friends.

Billing               errors               do               occur               and               the               paperwork               may               be               key               to               untangling               a               mess.
               Home               health               care               agencies               do               provide               an               important               piece               of               our               healthcare               system               today.

Without               home               health               care               patients               would               be               in               hospitals               and               separated               from               family               members               for               longer               periods               of               time.

Patients               find               comfort               in               their               own               homes.

Following               these               tips               will               relieve               a               bit               of               stress               during               your               home               health               care               experience.






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    3. diseasemanagementcareblog.blogspot.com/   11/02/2009
      ...as the House of Representative’s Affordable Health Care for America Act , pejoratively named...’ leadership plans for the ‘medical home.’ It figures m any DMCB ...
    4. www.eurekalert.org/   11/21/2011
      ...someone their age. In fact, nearly 40 percent of seniors receiving medical care from a home health agency are taking at least one prescription medication that is...
    5. www.eurekalert.org/   09/06/2011
      ...Healthy Kids were more likely to have a regular source of health care and reported better medical home experiences than the children on a wait list...
    6. michiganpca.wordpress.com/   11/04/2013
      ...comprehensive, coordinated care, many health care providers and practices...to adopt the Patient-Centered Medical Home (PCMH) principles : Each patient...
    7. inhomecarehollywoodfl.wordpress.com/   03/09/2010
      ...health care in Broward County FL , home health care in Hollywood fl , hospice , in-home care in Hollywood fl , in-home caregiver , long term care , non-medical home care , non-medical home care in...
    8. homehealthcaresouthwestct.wordpress.com/   02/24/2010
      ...elderly homecare , home care , home health care in Lower and upper...milford orange , hospice , in-home care Lower and upper...caregiver , long term care , non-medical home care , nursing...
    9. nutsforhealthcare.com/   02/16/2009
      ... under: Health Insurance , Health Policy , Healthcare Quality & Outcomes , Medical Profession Tagged: | IBM , medical home , primary care , UnitedHealth
    10. www.eurekalert.org/   11/09/2011
      ...Care Management Across the wide diversity of health care systems included in the...who were connected to a medical home in general had more positive care...
    11. Medical Home Health Care - Blog Homepage Results

      ON TIME HEALTH CARE provides full-service, private duty home care assistance. We also provide one-on...hospital or other care facility. As a non-medical service, we do not administer ...
      Health & Personal care update and review how to buy good products
      ...chronic care model, accountable care organizations, the patient centered medical home, informatics, pay for performance, primary care, chronic illness and health insurance



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    댓글 2개:

    1. Thank you for sharing such wonderful information! Always keep a healthy life by consuming healthy food and doing exercise regularly.

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    2. frequent flyer programs; hire the complex professional services of contractors, car mechanics, lawyers and accountants, and deal with the insane complexity of our tax system. odfmedical.com

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