Home Health Care
Annals of Long-Term Care on the Web is a comprehensive resource for clinical information on geriatric medicine and long-term care as well as Home Health Care. We hope the articles below provide timely information for your practice.
Resource Use by Dementia Patients and Caregivers: An International Survey of Medical and Social Services and Processes of Long-Term Care
Hospital and public health professionals, including home health care help and home care nurses, are salaried. For example, in addition to conventional nursing homes, there are psychiatric nursing homes, small apartments (providing basic medical care and located adjacent to nursing homes), group homes, and foster homes. Unlike private group homes that provide some nursing care, public group homes access nursing care for their residents from an affiliated hospital or nursing home.
Issues in Home Rehabilitative Care
Issues in Home Rehabilitative Care Issues in Home Rehabilitative Care Neil J. Nusbaum, MD, JD (Annals of Long-Term Care 2000;8[11]:43-48) This article was adapted from a session at the 1999 American Geriatrics Society Annual Meeting. Federal Home Health Care Programs Federal policy makers have had a very different perspective on home care. The focus by HCFA on rehabilitative care expenditures has carried over into the home care setting, and attention to rehabilitative care has been included...
Physician Knowledge of Community-Based Care: What's the Score?
The focus groups developed four core areas for the physician survey: identification of key services, familiarity with services, frequency of referral to services, and understanding of the physician role in community-based care. Community-Based Care Community-based care programs are those avenues of long-term care that are primarily outside of institutional settings.11 Though community-based care services are available for health promotion for well older adults, physicians are most likely to ...
The AAHCP Home Medical Care Forum
The AAHCP Home Medical Care Forum The AAHCP Home Medical Care Forum Peter A. Boling, MD, Series Editor Click here to download full article in PDF Skilled Home Health Care in 2003 House calls are the cornerstone of optimal medical care at home. Although patients are receiving Medicare skilled home health care, there are reimbursement codes for care certification and re-certification (January 2001) plus Care Plan Oversight codes (1995) for patients who require 30 minutes or more of active ...
One Patient, Many Places: Managing Health Care Transitions, Part I: Introduction, Accountability, Information for Patients in Transition
This three-part series addresses how health care organizations (ie, organized or integrated care systems or large provider groups that receive payment under either a capitated or fee-for-service basis) can improve the quality of transitions among care venues for patients with complex care needs. Poorly executed transitions are associated with inefficiencies and duplication of services that needlessly increase the cost of care and potentially lead to greater utilization of hospital, emergency, post-acute, and ambulatory services. This three-part article includes recommendations for actions that health care organizations can take to improve the quality of care delivered to their patients undergoing transitions. Part I begins with an introduction that is followed by ensuring accountability for patients in transition and facilitating the effective transfer of information. Part II focuses on enhancing practitioners? skills and support systems and enabling patients and caregivers to play a more active role in their transitions. Part III addresses the need to align financial and structural incentives to improve patient flow across care venues and steps organizations can take to initiate a quality improvement strategy for transitional care.
Chronic Home Care: A Health Plans Experience
Chronic Home Care: A Health Plans Experience Chronic Home Care: A Health Plans Experience Steven L. Phillips, MD, CMD, Diane Smith, RN, Beverly Cournoyer, RN, and Bonnie E. Hillegass, MS, RN Click here to download full article in PDF From Senior Dimensions, Health Plan of Nevada, Sierra Health Services, Las Vegas, NV. The Chronic Home Care Program was formulated following the process of screening; assessment, and care plan development and implementation; and reassessment and modification of ...
One Patient, Many Places: Managing Health Care Transitions, Part II: Practitioner Skills and Patient and Caregiver Preparation
This article is the second in a three-part series. Part I appeared in the September issue of the Journal.
At the End of Life, Do We Need to Hide?
- Renate G. Justin, MD Click here to download full article in PDF format when death comes like the measle-pox;1 "I don? When she aged and became infirm, she found it difficult to accept the help of home health care. Annals of Long-Term Care - ISSN: 1524-7929 - Volume 13 - Issue 11 - November 2005 - Pages: 12 - 12 At the End of Life, Do We Need to Hide?
AIDS and Death
AIDS and Death AIDS and Death Stephen Puentes, MD This article is the third in a series written from the conference, "Dying the Good Death," presented December 2, 1997, by the Olive View? The medical community did not have much to offer patients dying of AIDS beyond helping them prepare for death as the advanced stages of AIDS took over. Prior to the availability of combination therapy, the health care provider often witnessed the frightening change in the health of the AIDS patient with ...
Practical Wound Management in Long-Term Care
Chronic ulcers are often used as an indicator of health care quality and are frequently cited in litigation against long-term care and home health care settings.1 Health care providers may not fully manage the underlying cause of a chronic ulcer, thus limiting a wound? Pressure Ulcers Pressure ulcers are chronic wounds that result from increased pressure or shearing force over a susceptible area, usually a bony prominence. The National Pressure Ulcer Long-Term Care Study: Pressure ulcer ...
Hospital and public health professionals, including home health care help and home care nurses, are salaried. For example, in addition to conventional nursing homes, there are psychiatric nursing homes, small apartments (providing basic medical care and located adjacent to nursing homes), group homes, and foster homes. Unlike private group homes that provide some nursing care, public group homes access nursing care for their residents from an affiliated hospital or nursing home.
Issues in Home Rehabilitative Care Issues in Home Rehabilitative Care Neil J. Nusbaum, MD, JD (Annals of Long-Term Care 2000;8[11]:43-48) This article was adapted from a session at the 1999 American Geriatrics Society Annual Meeting. Federal Home Health Care Programs Federal policy makers have had a very different perspective on home care. The focus by HCFA on rehabilitative care expenditures has carried over into the home care setting, and attention to rehabilitative care has been included...
The focus groups developed four core areas for the physician survey: identification of key services, familiarity with services, frequency of referral to services, and understanding of the physician role in community-based care. Community-Based Care Community-based care programs are those avenues of long-term care that are primarily outside of institutional settings.11 Though community-based care services are available for health promotion for well older adults, physicians are most likely to ...
The AAHCP Home Medical Care Forum The AAHCP Home Medical Care Forum Peter A. Boling, MD, Series Editor Click here to download full article in PDF Skilled Home Health Care in 2003 House calls are the cornerstone of optimal medical care at home. Although patients are receiving Medicare skilled home health care, there are reimbursement codes for care certification and re-certification (January 2001) plus Care Plan Oversight codes (1995) for patients who require 30 minutes or more of active ...
This three-part series addresses how health care organizations (ie, organized or integrated care systems or large provider groups that receive payment under either a capitated or fee-for-service basis) can improve the quality of transitions among care venues for patients with complex care needs. Poorly executed transitions are associated with inefficiencies and duplication of services that needlessly increase the cost of care and potentially lead to greater utilization of hospital, emergency, post-acute, and ambulatory services. This three-part article includes recommendations for actions that health care organizations can take to improve the quality of care delivered to their patients undergoing transitions. Part I begins with an introduction that is followed by ensuring accountability for patients in transition and facilitating the effective transfer of information. Part II focuses on enhancing practitioners? skills and support systems and enabling patients and caregivers to play a more active role in their transitions. Part III addresses the need to align financial and structural incentives to improve patient flow across care venues and steps organizations can take to initiate a quality improvement strategy for transitional care.
Chronic Home Care: A Health Plans Experience Chronic Home Care: A Health Plans Experience Steven L. Phillips, MD, CMD, Diane Smith, RN, Beverly Cournoyer, RN, and Bonnie E. Hillegass, MS, RN Click here to download full article in PDF From Senior Dimensions, Health Plan of Nevada, Sierra Health Services, Las Vegas, NV. The Chronic Home Care Program was formulated following the process of screening; assessment, and care plan development and implementation; and reassessment and modification of ...
This article is the second in a three-part series. Part I appeared in the September issue of the Journal.
- Renate G. Justin, MD Click here to download full article in PDF format when death comes like the measle-pox;1 "I don? When she aged and became infirm, she found it difficult to accept the help of home health care. Annals of Long-Term Care - ISSN: 1524-7929 - Volume 13 - Issue 11 - November 2005 - Pages: 12 - 12 At the End of Life, Do We Need to Hide?
AIDS and Death AIDS and Death Stephen Puentes, MD This article is the third in a series written from the conference, "Dying the Good Death," presented December 2, 1997, by the Olive View? The medical community did not have much to offer patients dying of AIDS beyond helping them prepare for death as the advanced stages of AIDS took over. Prior to the availability of combination therapy, the health care provider often witnessed the frightening change in the health of the AIDS patient with ...
Chronic ulcers are often used as an indicator of health care quality and are frequently cited in litigation against long-term care and home health care settings.1 Health care providers may not fully manage the underlying cause of a chronic ulcer, thus limiting a wound? Pressure Ulcers Pressure ulcers are chronic wounds that result from increased pressure or shearing force over a susceptible area, usually a bony prominence. The National Pressure Ulcer Long-Term Care Study: Pressure ulcer ...