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Home care synergydelray
- 1. Vish Rajan President/Owner SYNERGY HomeCare Delray Beach, FL Tel:561-276-9985 https://www.synergyhomecare.com/palmbeach Home Health Care
- 2. Why Home Care • Emotional support and respite for the family caregiver • Assistance with care giving responsibilities. • Patients prefer care in the comfort of their homes rather than in a nursing home or day care.
- 3. Who provides Home Health Care • Private caregivers • Home maker companion agencies • Nurse registries • Home health agencies providing non- medical care • Home health agencies providing skilled medical care
- 4. Comparison Independent Caregiver HomeMaker Nurse Registry Non-medical Home Health Agency Skilled Home Health Agency Types of services Within the individual’s professional license Homemaker Companion Homemaker Companion Home Health Aide Some provide LPN, RN Homemaker Companion Home Health Aide Homemaker Companion Home Health Aide LPN, RN Therapists Hands-on personal care? Only if Home Health Aide or CNA No Yes Yes Yes Have insurance liability coverage? No No No (Hire independent contractors) Yes Yes Funding sources Personal funds Personal funds Personal funds Private long-term insurance Personal funds Private long-term insurance Personal funds Private insurance Some accept Medicare, Medicaid Who is responsible for tax liabilities Caregiver Caregiver Caregiver Company (W-2 employees) Company (W-2 employees)
- 5. Insurance Liabilities provided by Home Health Agencies for its employees • Professional Liability • General Liability • Crime • Auto (in excess of employee’s basic coverage) • Abuse • Workmen’s Compensation
- 6. Summary of providers • Safest type of provider: Home Health Agency – Cover all types of liabilities for its employees – Pays federal and state unemployment taxes – Pays employer portion of Social Security Taxes (so, as a client you won’t be liable for this) – Runs national background checks on all employees – Provides supervisory support for caregiver – Provides workmen's comp for injuries on job
- 7. Personal Care Services ACTIVITIES OF DAILY LIVING (ADL) Bathing/showering assistance Assist with walking Shampoo hair Assist with dressing Routine transfer assistance Assist with personal hygiene Accompany to doctors’ visits Assist with light exercise Personal care clean up Hospital pick up Transfer using Hoyer lift Transfer using Gait Belt Ensure range-of-motion exercises are performed Help with incontinence care Care and support with Alzheimer’s disease Help with restroom use Bed positioning Transportation
- 8. Companion Services Companionship, socializing, conversation Maintain a clean, healthy environment Provide respite care Arrange and facilitate appointments Medication reminders Help with morning routines Prepare grocery lists Help with bedtime routines and tuck in Going for walks/moderate exercise Plan recreational activities Reading Assist with selecting apparel Assist with pet care Play interactive games Visiting, neighbors & friends Organize mail Monitor diet and eating Care for house plants Report change in condition Improve TV usage
- 9. Homemaker services Light housekeeping Kitchen maintenance Laundry and ironing Change linens Grocery shopping Prescription pick up Errand services Meal preparation and clean up Vacuum, sweep and mop Bathroom maintenance Dust furniture Organize closets and cupboards Incidental transportation Drop off and pick up dry cleaning Empty trash Make beds
- 10. Skilled services performed by Home Health • Blood sugar testing • Exercise management • High-tech nursing • Home infusion therapy • Hospice assistance • In-home blood draws and injections • Medication setup, administration and oversight • Occupation, speech and physical therapy in the home • Tube, drain and/or bag maintenance • Vital signs • Wound care
- 11. Home Care Services Care could be: • Hourly: For a few hours a day • Live-in: Personal Assistant who Lives with a client and is available on a 24-hour basis. • Overnight: Overnight care provides the opportunity for the primary caregiver to take a break and get a good night’s rest.
- 12. Types of caregivers • Certified Nursing Assistants (CNA): Licensed by the state and have more training than a Home Health Aide • Home Health Aides (HHA): Not licensed by state, but certified by private schools • LPN, RN: for skilled nursing services • Therapists:physical,speech,occupational
- 13. What can a CNA/HHA help with? • Personal care – Activities of Daily Living • Companionship • Homemaking
- 14. What a CNA/HHA cannot perform (Slide 1 of 2) • MEDICATIONS: Cannot touch or dispense medications. Can only remind a client to take prescribed medications • MEDICAL DUTIES: Use of medical knives, needles, pins forbidden. Won’t handle respiratory equipment, ventilators • MEDICAL EMERGENCIES: Can only call 911 and stabilize the surroundings to avoid further injury.
- 15. What a CNA/HHA cannot perform (Slide2 of 2) • MASSAGE: Can be done only by certified massage therapist or physical therapist. • HEAVY HOUSEKEEPING: No window cleaning or scrubbing floors • NAIL TRIMMING OR HAIR CUTTING: Cannot trim nails or trim hair. • SHAVING: Cannot shave any client with a razor blade.
- 16. Funding Sources for Home Health Care • Private Pay • Long Term Care Insurance • Workman's Comp Insurance • Medicaid • Medicare
- 17. Private Pay Sample rates charged by Home Health companies: • R.N./LPN: $100 / per visit • High tech Nursing: $150 - $200 / per visit Infusion Therapy • Home Health Aide/homemaker/Companion: $20 - $26 / hr • Bath Visit: $50 / per visit • Physical Therapist: $100 / per visit • Occupational Therapist: $100 / per visit • Speech Therapist: $100 / per visit • Phlebotomy: $50 / blood draw • Live-in Care: $250 / per 24-hour shift • Medication Management: $75 / per visit
- 18. Long term care insurance • The earlier you buy Long term care, the cheaper the premiums are. • Long term care insurances pay for home care, as long as the patient requires help w/ 2 ADLs • Elimination period: Wait time before the policy kicks in • Limit on Maximum daily benefits • Limit on maximum life term benefit
- 19. LTC companies Sample LTC companies: • Penn Treaty • MetLife/ Brighthouse • Bankers’ Life • John Hancock • Kanawha HealthCare Solutions • Genworth
- 20. Is Home Care Covered by Medicare? • Medicare will cover some of the costs of home care. For example, if you only need help with daily activities (cooking, bathing, etc.), Medicare will not cover it.
- 21. How to Qualify For Medicare Coverage • To qualify for home health care, your doctor must write a plan for your home care. You must need at least one or more of the following: – Part-time nursing care – Physical therapy – Speech language therapy – Occupational therapy • You must be homebound. • You must receive the services from a home health agency that is approved by the Medicare program. • The services are covered by Part A or B of Medicare. You pay $0 for all covered home health visits
- 22. Skilled home care covered by Medicare • Physical therapy • Occupational therapy: Occupational therapy involves employing methods and tools to compensate for a patient’s loss of strength and mobility. This may include modifications at home, dressing aids, wheelchair accessories and communication aids. • Respiratory care: Ventilators • LPN/RN visit • Durable Medical Equipment
- 23. Medicaid • In addition to Medicare, there are other state and federal sources for coverage. For example, people with low income may be covered under their local Medicaid program.
- 24. Questions? My contact: • Vish Rajan –Email: vish@synergypalmbeach.com –Tel: 561-276-9985