home health
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Introduction
also see home care
Indications
- Medicare part A
- assistance with transfers
- difficulty walking, shortness of breath while walking
- need of assistance from health professional
- nurse, physical therapy, occupational therapy, speech therapy (skilled home health care)
* home health services are covered by Medicare only if the patient meets eligibility criteria for homebound status
- medical contraindication to leaving home
- illness or injury than prevents patient from leaving home without a support device, special transportation, or personal assistance
- typically unable to leave home, requires considerable & taxing effort to do so[4]
Contraindications
- drawing blood for laboratory testing is not an indication for home health, unless part of a care plan to manage a recently unstable medical condition
- need for hoe health aide is not an indication for home health services under Medicare part A[1]
Notes
The Outcome and Assessment Information Set (OASIS) is a tool meant to set fees for home health-related groups (HHRGs).
The OASIS instrument is completed by the home-health agency; it tracks patient's functional status & medical needs
The HHRGs provide a basis for home health reimbursement
Medicare part A covers some home health (see above)
Medicare part B may cover some home health
Local home health agencies can be compared[2]
More general terms
Additional terms
References
- ↑ 1.0 1.1 Geriatric Review Syllabus, 7th edition Parada JT et al (eds) American Geriatrics Society, 2010
Geriatric Review Syllabus, 8th edition (GRS8) Durso SC and Sullivan GN (eds) American Geriatrics Society, 2013
Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
Geriatric Review Syllabus, 11th edition (GRS11) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2022 - ↑ 2.0 2.1 Huss A, Stuck AE, Rubenstein LZ, Egger M, Clough-Gorr KM. Multidimensional preventive home visit programs for community-dwelling older adults: a systematic review and meta-analysis of randomized controlled trials. J Gerontol A Biol Sci Med Sci. 2008 Mar;63(3):298-307. Review. PMID: https://pubmed.ncbi.nlm.nih.gov/18375879
- ↑ Ankuda CK, Husain M, Bollens-Lund E et al The dynamics of being homebound over time: A prospective study of Medicare beneficiaries, 2012-2018. J Am Geriatr Soc. 2021 Jun;69(6):1609-1616 PMID: https://pubmed.ncbi.nlm.nih.gov/33683707 PMCID: PMC8192419 Free PMC article
- ↑ 4.0 4.1 Loeffler H Certifying Patients for the Medicare Home Health Benefit Centers for Medicare & Medicaid (CMS) https://www.cms.gov/Outreach-and-Education/Outreach/NPC/Downloads/2014-12-16-HHBenefit-HL.pdf
- ↑ Wang J, Caprio TV, Simning A et al Association Between Home Health Services and Facility Admission in Older Adults With and Without Alzheimer's Disease. J Am Med Dir Assoc. 2020 May;21(5):627-633.e9. PMID: https://pubmed.ncbi.nlm.nih.gov/31879184
- ↑ Falzarano FB, et al. Use of Home Care Services Reduces Care-Related Strain in Long-Distance Caregivers. Gerontologist. 2022. Feb 9;62(2):252-261 PMID: https://pubmed.ncbi.nlm.nih.gov/34166493 PMCID: PMC8827323 Free PMC article
- ↑ Werner RM, et al. Patient Outcomes After Hospital Discharge to Home With Home Health Care vs to a Skilled Nursing Facility. JAMA Intern Med. 2019. May 1;179(5):617-623 PMID: https://pubmed.ncbi.nlm.nih.gov/30855652 PMCID: PMC6503560 Free PMC article.
- ↑ Home Health Compare http://www.medicare.gov/HHcompare/home.asp
- ↑ National Association of Home Care and Hospice http://www.nahc.org/assets/1/7/10HC_Stats.pdf