You are here: DIME Home > Men's Issues > Evaluating In-Home Care Services - A Check List


Evaluating In-Home Care Services - A Check List

The first type of provider is for what they call in the industry “skilled” needs. This type of agency is usually a Medicare certified agency and requires and order from a physician for specific needs. The services provided are intermittent and for a specific length of time, less than 28 hours per week and not usually longer than 21 days.

Author: Albert Simpson
Date: Nov 14, 2009 - 1:50:14 PM


Printer FriendlyPrinter friendly page

The first type of provider is for what they call in the industry “skilled” needs. This type of agency is usually a Medicare certified agency and requires and order from a physician for specific needs. The services provided are intermittent and for a specific length of time, less than 28 hours per week and not usually longer than 21 days.

The care is provided by professional and licensed nurses, and therapists. The aides provided by the “skilled” home care agency must be certified. This means they have some medical training to perform the duties required of the position.
     Body: The first step to choosing appropriate home care services is to understand the types of home care providers and services available to you. There are basically two types of home care services.
In-Home Care
"Skilled" Home Care Services

The first type of provider is for what they call in the industry “skilled” needs. This type of agency is usually a Medicare certified agency and requires and order from a physician for specific needs. The services provided are intermittent and for a specific length of time, less than 28 hours per week and not usually longer than 21 days.

The care is provided by professional and licensed nurses, and therapists. The aides provided by the “skilled” home care agency must be certified. This means they have some medical training to perform the duties required of the position.

To qualify for the services of a “skilled” nursing agency, you must be home bound and have needs such as wound care, physical, occupational or speech therapy. By Medicare definition, “homebound” means you are not able to leave the house for any purpose other than to see you health care provider or attend religious services. In most instances, insurance will cover ‘skilled” home care services, if you qualify for the benefits under your policy. It is important to check with your insurance carrier about any co pays for visits that you receive.

“Skilled” home care services may supply an aide to come in and assist with bathing and dressing. This is generally covered by the cost of the home care services only if it is part of the care needed and available from the home care agency. Many managed care insurance companies will not pay for those services and therefore the home care agency is not able to offer this service as an option.

When considering a “skilled” home care agency some things to investigate and ask:  

    *

      Visit OurParents web site and check out the providers in your area This will not only give you names of certified agencies in your area, but you should be able to obtain some quality information about the home care services in your area.    
    *

      Is the home care agency surveyed and accredited by a governing agency such as The Joint Commission's Home Care Accreditation Program? Many insurance companies require this accreditation for payment. This accreditation means an agency has met certain requirements with regards to staffing, training and supervision.      
    *

      Ask to see the home care agency’s survey report for health and safety.
    *

      Ask to see the outcome studies regarding your loved one’s condition.
    *

      Most states require agencies to be licensed and reviewed regularly. These reviews may be available upon request and can be valuable for assessing the quality of care provided by an agency. Contact your Office on Aging or your state health department for a copy of the agency’s state survey.
    *

      Ask the agency to provide references. References from doctors, hospital discharge planners, social workers and former customers of the agency.
    *

      What are the credentials of the providers? Are they licensed and bonded?
    *

      Does the agency provide resources, such as a social worker, to assist in obtaining   financial assistance, if needed?

"Custodial" home care services

The second type of home care services is what is known in the industry as “custodial” care. This level of service provides companionship, personal care such as bathing, dressing and light housekeeping.

“Custodial” home care services are usually paid by long term care insurance, private pay and in some instances through a Medicaid waiver program. Contact your local agency on aging to learn more if these services are available in your area.

“Custodial” home care services can be expensive, but you will find that it is much more cost effective than other institutional alternatives.

When considering “custodial” home care services some things to investigate and ask:

    *

      How long has the agency been in business?

    *

      Does the agency provide a written plan that details services to be provided by each caregiver?
    *

      Do they provide documents about financial arrangements before service begins? It is important so that there's no misunderstanding about the service and cost to be provided.
    *

      Are the providers of care, insured and bonded?
    *

      Is there a criminal background check preformed prior to employment with agency?
    *

      Does the company provide worker’s compensation for employees? This is important so that you are not responsible for any injuries that occur on the job.
    *

      What procedures does the agency have for emergencies? Are caregivers available twenty four hours a day? Is there a supervisor on call and available to speak to on off hours and weekends?
    *

      Is there a policy regarding replacing a sick employee? Or an employee that has an emergency?
    *

      Does the agency have a policy in place on addressing and resolving problems? Who is the agencies main contact regarding any requests, questions or complaints?
    *

      Is there a requirement that a primary family caregiver be available as a condition of qualifying for services?  If so, what are the requirements of the family members?   
    *

      Ask the agency to provide references. References from doctors, hospital discharge planners, social workers and former customers of the agency.
    *

      Is it possible to interview several potential aides and make a selection after those interviews?
    *

      Who will be working in the home? Will there be regular staff providing continuity of care? What will be their specific duties?
    *

      Is there a professional staff member, such as a registered nurse, that provides a plan of care to identify the needs of the client? How often does this supervisor review the plan of care?  
    *

      Will the family and the client be involved in planning for care or making changes to the care plan?

Choosing home care services can feel overwhelming and stressful. For many aging seniors, the option to remain in their home is worth the time and energy it takes to investigate home care services. To be able to remain independent and safe, in the comfort of the familiar surroundings is the goal of many aging seniors. To feel in control of their life and choices is invaluable. Home care services make that option possible.      
  

 

Albert Simpson has been actively involved in OurParents - Find the Best Nursing Homes, Assisted Living and In-Home Care
 - and is very keen to continue working on it.

 

 



View all articles by Albert Simpson

Link to this article:

Code to copy: <a href="http://www.dime-co.com/men/Evaluating-In-Home-Care-Services---A-Check-List.shtml">Evaluating In-Home Care Services - A Check List</a>




Related Articles...

What Are Some Diabetes Causes And What Can I Do About Them?

Dec 25, 2010 - 4:32:08 PM

Diabetes is is more common than ever before. For examples you only need to look at your own social circle. Diabetes most likely is affecting at least on of them. If not, then there is probably at least one person who knows or is related to someone who has diabetes. While it is very common everywhere, it is incredibly so in the western world. The types of diabetes are aptly called Type 1 and Type 2. Type 1 is insulin dependent. At any point, you can develop type 1 diabetes. Type 2 is also called adult onset diabetes because it occurs during adulthood; those diagnosed with it are not insulin dependent. Let's discuss some of the major causes of this condition.... [Read the full story]

Use of Muscle Relaxers

Jan 1, 2010 - 11:50:17 PM

... [Read the full story]

Evaluating In-Home Care Services - A Check List

Nov 14, 2009 - 1:50:14 PM

The first type of provider is for what they call in the industry “skilled” needs. This type of agency is usually a Medicare certified agency and requires and order from a physician for specific needs. The services provided are intermittent and for a specific length of time, less than 28 hours per week and not usually longer than 21 days.... [Read the full story]

Evaluating A Micro Community (Residential Care Facility) - A Check List

Nov 14, 2009 - 1:38:33 PM

A residential care facility is an option for some individuals that require assistance or supervision, but do not care to be part of a larger community, such as most assisted living facilities offer. A residential care home usually is a home in a neighbor or community that provides service to as few as two seniors to ten individuals at one time. The limit for the number of individuals in each home is governed by each state. Micro Communities, Residential Care Facility Once called boarding homes, residential care facilities provide non medical care services. The services offered may vary from assistance with bathing, dressing, toileting, cooking, and money and medication management.All this is provided in a small and intimate home like setting.      There are presently... [Read the full story]


Newest Articles in Popular Topics:

Business & Marketing Computers & the Internet Entertainment Health & Fitness
Finding Ways To Save Money And Maximize Revenue In Business
Cooper's Golf Park Tees Off Their New Website
Fiinovation Adjudged CSR Team of the Year & Caring Company at World CSR Day
Reasons Why Kale Realty is the Best Real Estate Firm in All of Chicago
Montreal Tech Startup Kangaroo Rewards Launches Mobile Loyalty Program for Local Merchants
It is time we break out of the SEO Shelter
3 Strong Reasons You Should Start Your Own Blog
Evolve Your Career With CompTIA A+ Certification Exam
High speed VMware Backups - Powered by UltraBlaze() from Vembu
Things to Consider When Selecting a Domain Name for Your Website
Fling Boom "Launches" This Holiday Season
Beautiful Abstract Canvas Art is Up for Grabs
Buying Art as a Gift: Tips From an Expert
Complete Guide to the 2014 Gatlinburg Fine Arts Festival Released by Jackson Mountain Homes
Learn Blues Music Online-Alternative to Traditional Piano Lessons
Avoid This Weight Loss Killer
Recognizing the Causes and Symptoms of Bladder Cancer in Women
Four Reasons to Consider Permanent Tattoo Removal
Three Types of Hormone Replacement Therapy and Why They Are Needed
Causes and Treatment of Acne

Home & Family

Shopping

Sports

Travel
Enhance Your Learning Experience Through Best Responsive Elearning Development Tools
Best Apps for Learning German
Esvees is Cranbourne's Elite Hair Dressing Company
Ozone Generator
Practical Tips When Choosing Gates and Gate Openers for Your Home or Business
Why Cases are Required for Mobile Phones?
Are Dealership Services Worth It?
2015 Jeep Grand Cherokee Named Must-Shop SUV for Towing from AutoTrader.com
Online Selling With An Appraisal Advantage
Macsome AudioBook Converter released New Version V2.0.4
Aditi Ashok signs off with a double
Softball Coaching: Avoid Becoming A Nattering Nabob of Negativity
Softball Coaching Tips - The Funnel Approach
Pick Up Specialized Advice on Jumping Exercises Which Are Highly Effective
Vertical Jump Training Tactics to Increase Your Athletic Performance
Tips for Choosing the Right Paris Short Lets
Hostels - the best choice for working womens and college students
Perfect holiday? Book a cruise and sail in Croatia!
Say Aloha to Your Best Vacation Ever with Kohala Coast Properties
The Perfect Guide for a Fantastic Family Trip to Kansas City

 



Follow & Share Your Favorite Video Articles

Tell a Friend About This Site



Chamber of Commerce - on the Web logo



Subscribe to the eMarket SmartsTM Newsletter in order to keep up to date with what's happening with dime-co.com, get the emails on new video articles, featured articles, and more. Your privacy is always protected. We never rent, sell or trade your private information

:
:

Service provided by GetResponse Autoresponders


Recommended Associates


Latest Articles in All Categories


Putting Up a Small Commercial Printing Business
So You Might Be Unemployed And Desire To Become A San Francisco Real Estate Investor Now
Meditation and Mindfulness: Dealing With Emotion
CPA Websites: Five Essential Ideas for Composing Convincing Articles
Set Goals In Order to Come Up With Your Action Plan
Is the Air in Your Home Safe to Breathe?
Coarse Fishing Tackle Review: The JW Young 13ft Trotter Rod
Section 1031 Exchanges For San Diego Real Estate Investors
Phoenix Real Estate Investing For Highest Possible Earnings
Legendary are the Volk Racing TE37 Wheels
Developing the Next Generation Wall Station (ChaseDesk™) for Healthcare - A Case Study
What are step down transformers?
Introducing Sharehype, the Revolutionary Tool for Online Marketers
Rewards To Shopping For Austin Real Estate On The Web
Hydroponics for Beginners



Do you write?

Would you like submit your articles and have them approved on a priority status? Find out more about how you can become a Priority author for pennies a day! Click here.

Dime-co.com Home
  • Business (9328)
  • Computers & The Internet (5740)
  • Entertainment (1348)
  • Family (958)
  • Finance (1963)
  • Health (4246)
  • Home and Living (6670)
  • Marketing (6113)
  • Shopping & Product Reviews (2624)
  • Sports (694)
  • Travel and Vacations (1689)
  • Video Articles (1)
  • Editors Pick (1)