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Home Health Care Benefits – Find the Right Home Health Care Agency

Home Health Care Benefits – Find the Right Home Health Care Agency

Recovering from an illness or injury can be a stressful time for both the patient and the patient’s family. That stress is compounded when chronic illness or disability is involved. Research has consistently shown that, when at all possible, recovering at home is the best option for the patient’s physical and mental health. Unfortunately, when the patient is elderly or too injured or ill to care for themselves, recovering at home is sometimes not an option.

Finding friends or family members to assist with daily tasks is not always feasible. Even when family members are in a position to assist, the burden placed on them often puts a strain on their other family relationships, as well as their career and personal life.
Right Home Health Care Agency

Finding the right agency can be a daunting task, but not impossible, says Tilly Gambill, Manager of Marketing and Communications for the American Association for Homecare.

“People often receive home health services following a hospitalization or care in other care settings. Often the hospital discharge planner or social worker provides information on home health agencies,” Gambill says. “Ask the hospital for a list of home health care agencies in your community. In some communities, there may fewer available agencies. Physicians, friends, and family can recommend home health agencies, as well.”

The family got 2 references from the hospital and one from a family friend whose father with hypertension and diabetes receives home care services weekly.

To help them select the right provider, the National Association for Home Care suggests asking the following questions:
Questions to Ask a Home Care Provider

•    What are the qualifications and experience?
•    How long has the agency been in business?
•    Is the agency evaluated and accredited by a governing agency such as The Joint Commission’s Home Care Accreditation Program?
•    Is the agency licensed by the state?
•    Can the agency provide references? Ask for a list of doctors, hospital discharge planners and former clients who have experience with the agency.
•    How does the agency protect client confidentiality?
•    Is the agency inspected by any outside organization? May I see the results of the last inspection?
•    Does the agency perform a customer satisfaction survey? May I see the results of the last survey?

Questions About Caregivers

•    What are the credentials of the caregivers who work for the agency?
•    How does the agency select and train caregivers?
•    Do caregivers work directly for the agency? How are they supervised?
•    Are caregivers subject to criminal background checks?
•    Will the same caregiver be sent to my home for each visit?
•    Are nurses or therapists required to evaluate the patient’s home care needs?
•    If so, what does this entail?
•    Do they consult the patient’s physicians and family members?
•    Is the patient’s course of treatment documented, detailing the specific tasks to be carried out by each caregiver?
•    Will the agency schedule care at any time of the day or night that my physician says is necessary?
•    Can the agency provide me with written information about the rights and responsibilities of the providers, patients and caregivers?
•    Whom should I call with questions or complaints? How will the agency respond?

Questions About Services Provided

•    Can the agency provide me with written information about the services available?
•    Is there a written plan of care for each patient?
•    Does the agency involve the patient and caregivers in designing this plan and educate them about the care provided?
•    How does the agency respond to emergencies? How long does it take to respond to calls?
•    Will the agency help me find other community services such as Meals on Wheels or homemakers services, or help find medical equipment I may need?

Questions About Financials

•    Is the agency certified by Medicare?
•    Is the agency approved or accepted by my insurance plan or supplemental insurance?
•    How does the agency handle expenses and billing?
•    Does the agency provide detailed explanations of all the costs associated with home care?
•    What resources does the agency provide to help me get financial assistance, if needed?
There are several internet based referral companies available online. This type of service has you complete a form listing the type of services you are looking for such as home care

Finding the right person for the right job is never the easiest thing to do but hopefully these tips will help you.

Home Health Care-Selecting The Right Agency

Home Health Care-Selecting The Right Agency

Hiring a caregiver to come into your home to care for a loved one can be a very scary prospect. The thought of leaving a vulnerable senior or disabled adult alone with a stranger can add extra stress to an already difficult situation. Selecting a person or agency to provide these services takes research and time. There are really two ways to bring in home health care services, hire a person you find on your own, or work with a professional agency.

Professional Home Health Care service providers can basically be broken down into two different models, the registry model (Registry) and the employee based model (Agency). Both types can offer the services of home health aides (HHA’s) certified nurses aides (CNA’s), nurses (RN’s, LPN’s), companions and other services such as physical therapy (PT) and occupational therapy (OT) The question for many consumers, what is the difference and which type is right for them.

Nurses registries have been around since the civil war. In this model, an agency does all of the background work, such as interviews, criminal background checks, reference checks and any other checks they feel necessary. Once a candidate has been approved, the registry will refer them to the person in need. The caregiver is considered an independent contractor by the agency and not supervised directly by the agency. This is also called the consumer directed model as the consumer is the person in charge.

With the employee based model, the agency does a similar type of screening; however, instead of referring the caregiver to the consumer, the agency employs them.

Each model has its’ pros and cons.

Pros of the registry model include

* Cost of the service is generally lower than agency model.
* Caregivers usually earn more, which tend to attract a higher quality of caregiver.
* Consumer is in total control. They decide what gets done, when it gets done and how it gets done. They decide if the caregiver stays on the job or needs to be replaced.

Cons of the registry model include:

* Person is not supervised by agency nurse.
* Caregiver is not covered by WC insurance.
* Family may be the employer and need to take out payroll taxes.

Pros of the agency model include:

* Caregivers are covered by workers comp and bonded by the agency.
* Caregivers are supervised by agency nurse.
* Agency is always the employer and deducts all appropriate taxes.

Cons of the agency model include:

* Cost tends to be higher.
* Caregivers do not earn as much as those on the registry side.
* Agency has control over when and where caregiver performs their duty. Agency can pull a caregiver if they need that person for a different case.

You will find supporters for both sides. It is up to you to decide which type of business is right for you. There are several professional resources which can also be helpful when doing your research.

To locate home health care services and read reviews about each business, go to www.caregrade.com

To learn more about nurses registries, go to www.privatecare.org

To learn more about employee based agencies, go to www.nahc.org

Murphy Ortiz is the manager of Family choice Home Care. Family choice is a senior approved referral agency specializing in Live-In caregivers throughout New Jersey and Philadelphia. For more information, go to www.familychoicecares.com or call 856-273-7700

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