home health services in India

1. D R . P R I YA T I WA R I
M . H . A 2 N D Y E A R

2. OBJECTIVES
Define home health care.
Purpose of home heath care .
Home healthcare scenario globally & in india .
Types of services available in home healthcare.
Proposed model- home care services
 Key challenges
 Major players In India .

3. DEFINITION
• Home Health Care is the provision of medically related professional services and
equipment to individuals and their families at their place of residence for the purpose of
promoting, maintaining, or restoring health or of minimizing the effects of illness and
disability.
• Home health care is a wide range of health care services that can be given in home for
an illness or injury. Home health care is usually less expensive, more convenient, and just
as effective as care one gets in a hospital or skilled nursing facility (SNF).

5. HEALTHCARE CONTEXT

6. THE INDIAN HEALTHCARE SCENARIO
200 Million
or more will be over the
age of 65 by 2018
40 million
lose their lives
to chronic diseases
every year
Lifestyle and
eating habits
have changed
drastically
Personalized
healthcare
has become the
need of the hour

7. HOME HEALTHCARE

8. HOSPITAL vs HOME HEALTHCARE

9. MARKET SEGMENTATION: BY DEVICES

10. MARKET SEGMENTATION : BY
SERVICES

11. GLOBAL MARKET FORECAST

12. INDIA: MARKET SIZE

13. INDIA MARKET FORECAST

14. SERVICES IN DEMAND IN INDIA

15. TYPES OF PATIENTS
• Total knee replacement
• Fractures
• CVAstroke
• Dementia
• Chronic pain
• COPD
• Heart failure
• Wounds
• Progressive neurological disorder

16. • In the home, the nurse encourages the patient to use imagery to relax and relieve
pain.

17. ROLE OF HOME HEALTH NURSE
• Advocacy
• Coordinator
• Educator

19. REQUISITES OF HOME CARE
The nurse should be well versed with-:
Strong knowledge base
Communication principles.
 Skilled or compassionate care.
Involves family in care.
Co-ordination with all disciplines.
Independent decision maker.
Accountability

20. CHANGES IN HOME HEALTH CARE
JCAHO is looking for agencies to establish ethics committees to handle issues that
arise in the home.
Psychiatric nurse clinicians are being reimbursed by Medicare for home visits.
social workers are taking a more active role in home health care.
More home health agencies are employing nurse pain specialists to assess and
manage pain control in the home.

22. CARE SERVICES
•Personal Care and Companionship services
may include:
•Assistance with self-care, such as grooming,
bathing, dressing, and using the toilet
•Enabling safety at home by assisting with
ambulation, transfer (e.g, from bed to
wheelchair, wheelchair to toilet), and fall
prevention
•Assistance with meal planning, medication
reminders, and escorting to appointments
•Companionship and engaging in hobbies and
activities
•Supervision for someone with dementia or
Alzheimer's disease

23. Private Duty Nursing Care services may include:
• Care for diseases and conditions such as Traumatic brain injury (TBI),
Spinal cord injury (SCI), ALS, MS
• Ventilator care
• Tracheostomy care
• Monitoring vital signs
• Administering medications
• Ostomy/gastrostomy care
• Feeding tube care
• Catheter care

24. Home Health Care services may include:
•Short-term nursing services
•Physical therapy
•Occupational therapy
•Speech language pathology
•Medical social work
•Home health aide services

25. Branch model across the
city for better reach
Catering to 24x7 home
health requirements
24x7 Call center for
the subscribed
members
Focus on specialty
services from Mental
to Physical Wellbeing
model…
provide Home-based
medical services.
Focused on Out-of
hospital services
Pay per usage model with basic
annual subscription fee

26. Hospital Association
Better Service Delivery model for patient
Continuum of care –
seamless integration from
Hospital to Home
Adherence to care
protocols at home
Periodic follow up’s with
the treating doctor /
Specialist
Retention of patients and
great CRM initiative

27. Avoids high investment
cost in running home care
program
Manpower issues
associated with Home
Care
Speciality home care for
chronic cases helps better
ARPOB for Associate
Hospital
Cost Effective
Hospital Association

28. Hospital Tie-up – Advantage: Heart Failure Clinic
Patient walks into the Clinic
Data Management
will be done on cloud
and the clinician will
have access to the
patient record on line
Care Plan is created by the
cardiologist and follow up is
done by HHC team
HHC team will follow up on
Care Plan created by clinician
and do ECG and Blood
Investigations at home
Proposed package will have PT
INR, Serum Electrolytes ECG,
pedal edema, weight
monitoring etc... Which will be
carried at home
Adherence to care
protocols at home

29. Associate Hospital will
provide space in the
hospital
Associate Hospital will
inform all stake holders
about the association
and all discharge
summaries will have a
recommendation for
home care
HHC Team will have a
dedicated kiosk
manned by a customer
care team
HHC Team will take the
leads from the hospital
/ doctor’s
Separate ID will be
issued for associate
Hospital patients for
better tracking along
with a welcome kit
Patients will be
engaged right from the
discharge process
Care plan will be
reviewed with the
treating physician/
specialists before
implementing the same
at patients home
Periodic updates to the
clinicians on the
patient condition
Billing will be done by
HHC team
Monthly report will be
submitted by 5th of
every month
How it works

30. KEY BENEFITS TO CONSUMERS
• Convenience
• Lower chances of infection
• Significant cost savings
• Savings in terms of time and effort –especially for doctor visits and purchase of
medicines
• Preventive care

31. KEY CHALLENGES

32. TYPES OF PLAYERS

33. MAJOR PLAYERS: BY CITY

36. and….
1917, 1935, 1948,
1965, 1970, 1994
2018