Home care (also referred to as hospital treatment , social care , or home care ) is a care that support provided at home. Treatment may be provided by licensed health care professionals who provide medical care needs or by professional caregivers who provide daily assistance to ensure daily life (ADL) activities are met. Home medical care is often and more appropriately referred to as home health care or formal care. Often, the term health care is used to distinguish it from non-medical care , custodial care , or treatment personal duties referring to help and services provided by non-nurses, doctors, or other licensed medical personnel. For patients who are severely ill, home care may include hospitalization. For patients recovering from surgery or illness, home care may include rehabilitation therapy.
Home health services help adults, elderly, and pediatric clients who are recovering after hospital or residence, or need additional support to stay safe at home and avoid unnecessary hospitalization. This Medicare certified service may include short term care, rehabilitation, therapy, and home health care. These treatments are provided by registered nurses (RNs), licensed-care nurses (LPNs), physical therapists (PTs), occupational therapists (OT), speech linguists (SLP), home health aides (HHAs) and medical social workers (MSWs) as a limited amount of up to one hour of visit, is directed primarily through the benefits of Medicare Home Health.
The largest part of home care consists of licensed and unlicensed non-medical personnel, including caregivers who assist individuals. A care assistant can help individuals with everyday tasks such as bathing, eating, cleaning the house and preparing food. Carers work to support the needs of individuals who need such help. This service helps clients to stay at home rather than staying in the facility. Non-medical home care is paid for by individuals or families. The term "personal duty" refers to the nature of personal payments of these relationships. Home (non-medical) care is traditionally privately funded compared to home-based task-based and government-funded or insurance-funded healthcare.
Traditional differences in home care services change when the average age of the population has increased. Individuals usually want to remain independent and use home care services to maintain an existing lifestyle. Government and Insurance providers begin to finance this level of treatment as an alternative to facility maintenance. In-Home Care is often a lower cost solution for long-term care facilities.
Video Home care
United States
Professionals who provide care
Professionals who provide home health care include licensed practice nurses, registered nurses, physical therapists, occupational therapists and social workers. Rehabilitation services can be provided by physical therapists, occupational therapists, speech and language pathologists, and dietitians. Professionals can become independent practitioners, part of a larger organization, or part of a franchise.
Home care helpers, Certified Nursing Assistants (CNAs), and caregivers are trained to provide non-custodial or non-medical care, such as helping by dressing, bathing, in and out of bed, and using the toilet. They can also prepare meals, accompany clients to medical visits, grocery stores, give friends and perform other tasks.
Drafts
"Home care", "home health care" and "home care" are phrases that have been used interchangeably in the United States to mean any type of care - skilled or otherwise - given to someone in their own home. Nevertheless, there are differences made on a country-by-country basis according to how each country regulates the home-care industry. In New York State, for example, "home health care" is used to describe home-based medical services by a health care professional, while "home care" describes non-medical care, personal duties. Other countries do not make the same difference, but the difference between the two must be taken into account when dealing with Medicare replacement.
Home care is aimed at allowing people to stay home rather than using long-term, institutional-based or nursing care. Home health care providers provide services in the client's own home. This service may include some combination of professional health care services and life support services. Professional home health services may include medical or psychological assessment, wound care, teaching medicine, pain management, education and disease management, physical therapy, speech therapy, or occupational therapy. Home care services include help with everyday tasks such as food preparation, reminder of medicines, laundry, light housekeeping, duties, shopping, transportation, and fellowship. Home care is often an integral component of the postpartum recovery process, especially during the early weeks after discharge when the patient still needs some level of regular physical assistance.
- Daily life activities (ADL) refers to activities, including bathing, dressing, moving, using toilets, eating, and walking, reflecting the patient's capacity for self-care.
- Daily life instrumental activities (IADL) refers to daily tasks, including light homework, preparing food, taking drugs, shopping for groceries or clothing, using the phone, and managing money, which allows patience to live independently in the community.
While there are differences in terms used in describing aspects of home care or home health care in the United States and other regions of the world, for the most part the description is very similar.
Estimates for the US show that most home care is informal, with family and friends providing considerable care. For formal care, the most frequently involved health care professionals are nurses followed by physical therapists and home-care aides. Other health care providers include respiratory and occupational therapists, medical social workers and mental health workers. Home health care is generally paid for by Medicaid, Medicare, long term insurance, or paid with own patient resources.
Home Health Software
Home health care software or home care software falls under the broad category of Healthcare Information Technology (HIT). HIT is "the application of information processing involving both computer hardware and software related to the storage, retrieval, sharing, and use of health care, data, and knowledge information for communication and decision making"
Employee helper qualification
The state department issues health requirements for the country. Workers may conduct checks to become Certified Nursing Assistants (CNAs) which are state-tested. Other requirements in the US often include background checks, drug testing, and general references.
Licensee and provider by state
California does not have a license for non-medical or custodial care services, and thus no entry requirements or minimum standards.
Full service agents conduct pre-employment background checks, including (criminal), motor vehicle departments, and reference checks. Full service agencies also train, monitor and supervise staff who provide care to clients in their homes.
There are certifications available for home care companies in California, managed by the California Health Care Association at Home.
Florida is a licensing country that requires varying degrees of licensing depending on the services provided. Companion assistance is provided by the house escort agency while nursing services and assistance with ADL can be provided by a home health agent or nurse. The state licensing authority is the Florida Health Care Administration.
Compensation
Compensation varies according to discipline, but the Bureau of Labor Statistics estimates that the average hourly wage per year for home health helpers is $ 10.01 per hour with an average annual wage of $ 20,820. There is a fair deal of differences in compensation offered to health aides across different states. For example, Alaska has the highest annual wage of around $ 29,100 and West Virginia on the other end of the spectrum has an average salary of $ 18,020.
Supreme Court case related to cost
From 1974 to 2015, home-care jobs were classified as "friendship services" and exempted from federal overtime and minimum wage rules under the Fair Labor Standards Act. The Supreme Court considers the argument about the release of an escort in cases brought by home care workers represented by lawyers provided by the International Service Workers Union. This 2003 case, Evelyn Coke v. Long Island Care at Home, Ltd. and Maryann Osborne , argue that individual caregivers employed by companies must be protected by overtime and minimum wage regulations.
Evelyn Coke, a home care worker employed by a nursing home agent who did not pay overtime, sued the agency in 2003, alleging that the regulation interpreted "exclusion of companionship services" to apply to agency employees and exempt them from federal and legal minimum wages overtime is inconsistent with the law. The Supreme Court heard the case in 2009.
In court decisions, the court stated that the 1974 Fair Labor Standard Amendment was excluded from the minimum wage rules and maximum hours of employment of FSLAs "were employed in domestic service work to provide friendship services to individuals... unable to take care of themselves. " 29 U. S. C. Ã,§213 (a) (15). The court found that the power of the Department of Labor (DOL) to administer the program created by the congress necessarily requires the provision of rules to fill any 'gap' that is left, implicitly or explicitly, by Congress, and when the agency fills that gap fairly, binding. In this case, one of the gaps is whether to include workers paid by a third party in the exception and DOL has done that. Because DOL follows the public notification procedures, and because there are loopholes remaining in the law, DOLs regulations stand and home health care workers are not covered by minimum wage or overtime requirements (see below).
Department of Labor Regulations
The rules issued from DOL, entitled "The Application of a Good Labor Standards Act for Domestic Services," and are intended to be effective beginning January 1, 2015, are written to revise the 'definition of' companionship service 'to clarify and narrow down the tasks included in the term , in addition to third-party companies, such as home-care agencies, will not be able to claim any exceptions [of overtime or minimum wage rules.] The main effect of this Final Rule [will] that more domestic service workers will be protected by the minimum wage of FLSA , overtime, and record keeping conditions. "However, the Home Care Associates of America, the International Franchise Association (IFA), and the National Association for Home Care & amp; Hospice sued DOL in connection with the rule, and the federal district court revoked the rule. The Department of Labor then appealed. In August 2015, the rule was upheld by the United States Court of Appeals for the Circuit District of Columbia.
Consumer statistics
Payments
710,000 paid by Medicare - Medicare is often the main source of billing, if this is the main introduction between two types of insurance (such as between Medicare and Medicaid). Also, if a patient has Medicare and that patient has a "skilled need" that requires nursing visits, the patient's case is usually billed under Medicare.
235,000 paid by private insurance, or self/family - Private insurance including VA (Veterans Administration), some Railroad health plan or Steelworkers or other private insurance. "Self/family" indicates the status of "personal payment", when the patient or family pays 100% of all home care expenses. The cost of home care can be very high; some patients & amp; families can absorb these costs for long periods of time.
Maps Home care
Service Type
Home care services are available to individuals who require skilled and/or intermittent or part-time rehabilitation therapy. Typical services available under the term "home care" include treatments, such as changing dressings, monitoring drugs, providing basic daily activities such as bathing, short-term rehabilitation, occupational and speech therapy. Some home health providers also include non-medical housewife services including food preparation, shopping, transportation, and certain household chores.
The types of services available for home care have been extended throughout the history of the US health care system to continue modernizing medical technology, especially in the 1980s. Before expansion, specialized services such as intravenous antibiotics, oncology therapy, hemodialysis, parenteral and enteral nutrition and ventilator treatments, are available only in hospitals. This new technology has proven cost-effective and improves quality of life, improves self-reliance and flexibility for patients.
Hospital care is a method of treatment that can be included in the home care domain, but is also available in inpatient services. Hospice is a comprehensive group of services for severely ill patients with a medically prescribed life expectancy of 6 months or less. Whether the hospital service is done at home or at a medical facility, the emphasis of care is the same; management of pain and symptoms, referred to as palliative.
Available home care services are provided by a mix of doctors, registered nurses, licensed vocational nurses, physical therapists, social workers, speech-linguists, occupational therapists, dieticians, home care workers, housewives and domestic workers, friends and volunteers.
United Kingdom
see Home care in the UK
India
Professionals who provide care
There are professionals and organized companies that provide home health care services.
Research and program accreditation
Lotus Shyu & amp; Lee found that providing home care is more suitable for patients than home care at home care for patients who are not severely ill and who do not need services after discharge from the hospital. Modin and Furhoff consider the role of patient physicians as more important than their nurses and care workers. However, from an epidemiological point of view, the risk of some community-acquired infections is higher than that of nursing homes rather than from nursing homes. In terms of financial expenses, home care is more cost-effective than hospital care at home. The quality aspect of home care has been reviewed by Riccio . Christensen & amp; GrÃÆ'¶nvall examines the challenges and opportunities of providing communication technologies that support collaboration between home care workers and family members. Although they provide home care for older adults in co-operation, family members and care workers have different attitudes and values ​​for their joint efforts. This is a challenge for ICT design for home care.
See also
- Caregiving and dementia
- Guard rights movement
- Early postpartum hospital disposal
- elderly care
- Nursing home
- Personal care assistant
- Transgeneration design
Note
Source of the article : Wikipedia
0 Comments