It is not just limited to nursing and nursing-related activities and also includes, other allied healthcare services like physiotherapy, home visits by specialized doctors and specialized therapists.

1. Home Healthcare Services in India
Basava Patil RN and RM
Vice President Clinical Operations,
Health Heal, Bengaluru, KA
Young Nurses National Conference - 2019
Organized by

2. Outline
● Introduction
● Home Healthcare
● Background
● Why?
● Challenges
● Nurses Role
● Future
● Conclusion
● AMA - Home Healthcare Services in India

3. Introduction

4. Definition
● “Home health care is a wide range of health care services
that can be given in your home for an illness or injury. Home
health care is usually less expensive, more convenient, and
just as effective as care you get in a hospital or skilled
nursing facility (SNF)” – Medicare
● It is not just limited to nursing and nursing related activities
and also includes, other allied healthcare services like
physiotherapy, home visits by specialised doctors and
specialized therapists.

5. Background
● Bureau
● Registered (Maharashtra) and Not-Registered
● Based on the request by the,
○ Treating Physician / Consultant
○ Matron / Nursing Superintendent
○ In Charge Nurse of Causality and ICU
○ By Patient Relatives
○ Mostly for Nursing Procedures
● Organized
● Established as per Establishment act
● Incorporated the caring ideas as Private Limited
Company as per Companies Act.
● Registered as per labor act
● Started hiring certified and qualified Care providers
● Standardized
● Nursing Practice regulation.
● Participation of Public institutions
● Effective implementation of Nursing Processes
● Outcome analysis and Quality Assurance.

6. Why?
● UN Principles for Older Persons:
○ Dignity
○ Independence
○ Participation
○ Care
○ Self-fulfilment
● Purpose:
○ To assist in ADLs to promote independence and
quality of life.
○ Enable Continuity of Care and Enhance post
hospitalization compliance.
○ Accommodate preferences to develop Individualized
Care plans with high Standards of care.
○ Enhance effective monitoring of the Quality care
through the system and through defined processes.

7. Why? -
Magnitude of the
problem.

8. Challenges

9. Affordability
● Cost : 18,000 - 72,000 Rs /month
● Out of Pocket : Upper Middle Class
● Insurance : Yet to come
● Scalability : Volume
● Overheads : Marketing, Operations, Recruitment.

10. Availability ● Requirement
○ To assist in ADL (Activities of Daily Living)
○ RNs and RMs
■ ANM - Childcare
■ RGNM - Mid-Level Care
■ BSc - Complex Care
● Deficit
○ CDDEP , US- implies 2 million nurses.
● Solution
○ Family or Community Carers - Despite Economic
ramifications.
● Challenges
○ Living Cost in Urban India - Impeding Factor.
○ Caring is Aspirational?

11. Cultural
Adaptability
● Urban- Rural Conflict :
○ Conflict of Traditional Values vs Modernity.
○ To seek service or not
○ Stigma - not caring parents, female person caring
male or vice versa
○ Are angels are able to adapt to the modernity
● Class and caste Conflicts: surprised ? it does exist..how?
○ Worker or helper - (Dignity of Labour)
○ Religious and cultural practice
○ Rich - Poor (Inferiority complex) - SIr/Ji/”andi”/Garu
● Food habits and Language:
○ Vegetarian and Non-Vegetarian
○ Language preferences - Skills are great but speaks
only particular language. (Learn languages as many
as possible)
○ Living the life of the care recipient.

12. Nurses Role

13. Direct Care
Provider
● Personal Care Services
○ Personal Supportive Care - Companion / Live in care
○ Alzheimer’s and Dementia care
○ Palliative and end of life care
● Mother and Child Care
○ Neonatal Care|Infant Care|Nanny Care
○ Baby oil massage and Bath
○ Vaccination at Home
● Nursing Services
○ Respiratory Care
○ Medication Administration / Intravenous Therapy
○ Nutrition supplement
○ Diabetic foot and wound care
○ Post-Operative Care
○ Rehabilitation

14. Mid-Level -
Coordinator
● Coordinator of care:
○ Assessment
○ Diagnosis
○ Planning
○ Implementation
○ Evaluation
● Connector / Liaison:
○ Client / Customer -
○ Care Providers -
○ Company -
● Communicator of care /Educator:
○ Client / Customer -
○ Care Providers -
○ Company -

15. Manager - Care
Manager
● Clinical Operations
○ Addressing Service Requests
○ Review the care plans
○ Managing the Coordinators -
○ Weekly and Quarterly Plans
○ Implementation of policies and procedures.
○ Grievance Redressal
● Non - Clinical Operations
○ Unit Operations - Day to Day Activities
○ Marketing, Accounts.
○ Field Operations - Logistics

16. Technology Perspective

17. Connected
Health
● Connected:
○ Continuity of Care and post hospitalization
compliance.
○ Preferences to develop Individualized Care plans
with high Standards of care.
○ Enhance effective monitoring of the Quality care
through the system and through defined processes.

18. Product Snapshots

19. Dashboard (contd..)

20. Care Details

21. Conclusion

22. Unorganized to Organized
● More funding would happen.
● Govt might enable better policies for the elderly.
● Insurance coverage of Mome Healthcare

23. Privileged to Essential
● Affordability
● Accessibility
● Community participation.

24. AMA - Ask Me Anything about
HHC?

25. Thank you
Email ID - patil.basava@gmail.com
LinkedIn - www.linkedin.com/in/bjpatil
Facebook - www.facebook.com/bjpatil
Twitter- www.twitter.com/bjpatil3