Homecare options 4.30.14


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I will be giving this presentation to the Richardson Center in Commerce Twp, on May 6th.. I am available to present this information or other presentations to senior communities.

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  • Hospice care is comfort oriented care. The focus is on caring, not curing.
    Patients are cared for via a team approach, as medical care, pain management and emotional and spiritual support are tailored to the patient's needs and wishes.
    Hospice care also differs from conventional medical care in that it does not focus solely on the patient. Families are offered their own opportunity for bereavement support.
  • Hospice care is not “all or nothing.” The patient identifies the services they want Hospice of Michigan to provide.
    Hospice care is also neither a place or person. Its is a philosophy that can be applied anywhere, from an adult f0oster care center to a nursing home to the patient’s own residence.
  • Homecare options 4.30.14

    1. 1. An Introduction to In-Home Care Options Robert Dickinson Owner, Trillium HomeCare
    2. 2. Trillium HomeCare • Our Mission and Core Values • Home Care Services • Home Health Care Services • Hospice Services • Family Caregiver and Respite • Ask Questions • Payment Options
    3. 3. Trillium HomeCare A Passion for Making a Difference in the Lives of the Jewels of Our Community Core Values Integrity is the Foundation Treat Each Other with Respect Teamwork Empowers us to Excel Setting Higher Standards of Excellence
    4. 4. Home Care • Includes non-medical, personal care & companion care • Services are tailor-made to clients, based on needs and wants • Care is often supervised by a nurse • Care can be provided privately, by a registry, family or an agency • Minor medical services may be available
    5. 5. Home Care Services • Meal Preparation • Home Safety Supervision • Housekeeping & Laundry • Accompany to Appointments • Medication Reminders • Shopping, Errands & Transportation • Bathing, Dressing & Oral Hygiene • Assistance in the bathroom • Vital signs • Monitoring oxygen • Colostomy care • Recording overall physical and mental health • Medication Set Ups
    6. 6. Home Care PROS • Security and comfort • Dignity and independence • Flexibility of scheduling • Customized care (1:1) • Can be cost-effective • May use hospice and/or home health agency as care needs increase CONS • Agency services & quality can vary widely • Medicare or commercial carrier will not reimburse • Can become costly
    7. 7. Home Health Care • Medical services (skilled and therapeutic) delivered to client in their place of residence • Usually prescribed by MD • Care providers are nurses, physical, occupational and speech therapists, social workers and home health aides • Often used only temporarily, during a period of rehab • Can hire privately, but an agency is generally the safest & most comprehensive source of assistance
    8. 8. Home Health Services • Rehabilitation- physical, occupational & speech- language • Medical social services & counseling • Infusion therapy • Specialized high-tech services • Respiratory therapy • Laboratory & diagnostic services • Case management • Nutritional support therapies & counseling • Behavioral and mental health counseling & support services
    9. 9. Home Health Services PROS • Stay in the comfort of home while rehab • Medicare or other insurance pays for many of these services (but only for a short time) • Can maintain a higher quality of life- physically and emotionally- when rehabilitate at home • Limited risk of communicable diseases CONS • When skilled or therapeutic services are no longer needed, Medicare will not continue to pay for care by HHA’s • May lose “personal touch” if using home telehealth care
    10. 10. Family Caregiving and Respite • Family members (or friends & neighbors) provide care to clients in their place of residence • Because of the demands on time, care is often augmented or substituted by volunteers or a home care agency (respite care)
    11. 11. Family Caregiver and Respite PROS • Respite care provides more flexibility & stress relief for family caregivers • Can be cost effective for client • Client has close contact with family members CONS • Caregivers may or may not have appropriate skills • Caregiver burnout is common • Caregivers’ own health can suffer • Client may need to move into adult children’s home
    12. 12. What Hospice Care Is • Comfort oriented care • Wide array of services – Physicians – Social Worker – Spiritual Care – Nurses – Volunteers • Extensive family support • High touch
    13. 13. What Hospice Care Isn’t • Not “all or nothing.” The patient identifies the services they want Hospice to provide. • Not a place or person. Hospice is a philosophy that can be applied anywhere: – Private Home – Adult Foster Care – Nursing Homes
    14. 14. Ask Questions • Insurance and bonding • Licensing or certification • Employee verification- background & reference checks, motor vehicle records & check nurse aide registry • What payer sources do they accept? • Minimum number of hours • How quickly can they find a caregiver
    15. 15. Ask Questions • What will this cost? • If a home care/home health agency: – Does the agency take care of quarterly taxes and worker’s compensation insurance or is client responsible? – Are quality assurance programs in place (ongoing education, supervision, care calls & weekly updates)? – Are caregivers trained and experienced?
    16. 16. Payment Options • Private Pay (accounts for 90% of payments for ALFs and home care) • Long Term Care Insurance is your best bet • Medicare & Medicaid (hospice and skilled care only) • Veterans Aid and Attendance Pension
    17. 17. 28237 Orchard Lake Rd, Suite 103 Farmington Hills, MI 48334 248-539-0714 www.trilliumhomecare.com