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“Administrator” must be a licensed physician, physician assistant, or registered nurse licensed to practice in this state or an individual having at least 1 year of supervisory or administrative experience in home health care or in a related facility, and who is responsible for overseeing all the Agency’s activities.

“Admission” means a decision by the home health agency, during or after an evaluation visit to the patient’s home, that there is reasonable expectation that the patient’s medical, nursing, and social needs for skilled care can be adequately met by the agency in the patient’s place of residence. Admission includes completion of an agreement with the patient or the patient’s legal representative to provide home health services.

“Client” means an elderly, handicapped, or convalescent individual who receives home health skilled or non-skilled, companion or homemaker services in the individual’s home or place of residence.

“Director of Nursing” means a registered who has at least 1 year of supervisory experience as a registered nurse; and who is responsible for overseeing the professional nursing and home health aid delivery of services of the agency.

“Home Health Agency” means an organization that provides home health services and staffing services.

“Home health agency personnel” means persons who are employed by or under contract with a home health agency and enter the home or place of residence of patients at any time in the course of their employment or contract.

“Home health services” means health and medical services and medical supplies furnished by an organization to an individual in the individual’s home or place of residence. The term includes organizations that provide one or more of the following:

HOME HEALTH DISCIPLINES

Nursing Services: Our team of Nurses have been thoroughly screened and trained to meet the challenges of day to day activities and are required to attend continuing educational classes to stay up-to-date with the latest changes, discoveries, and treatments in the medical/Nursing field. Our Nurses provide services for: Wound Care Management, Cardiac Care, Post-Operative Care, Parenteral & Enteral Nutrition therapy, Diagnosis teaching and instructions, Safety Measures & Percussions, Instructions on Medication regime, High Tech, IV therapy, Infusion, Respite Care, Diabetic Care Management, etc.

Aid Services: Home Health Aides provide Personal Care to our patients under the supervision of a Registered Nurse or a Registered Therapist. Home Health Aides provide: Personal Care, Assist with bathing, Prepare and serve light meals, Light housekeeping, Assist with ADL’s, Assist with ambulation and transfers, Assist with self administration of medications, Companionship.

THERAPY SERVICES: Our highly skilled therapist evaluate each patient’s physical impairments and functional limitations and establish a Care Plan in cohesion with the patient’s physician to achieve optimal rehab outcomes. Our Therapist can offer: Physical therapy services, assist in restoring and maintaining maximum musculoskeletal functions. From hip fractures to sprains to patients with unsteady gait, our therapist are specialized in helping the patient restore their confidence in their ability to ambulate themselves throughout their living environment. Speech Therapy assists in improving swallowing disorders and communicative activities of daily living. Occupational Therapy strives to improve the level of independence in day to day living activities.

MEDICAL SOCIAL WORKERS: Facilitate long term planning to promote independence and to explore opportunities available through the variety of community resources designed to assist the elderly with personal concerns alleviating anxieties and psychological traumas.

Our QUALITY ASSURANCE PROGRAM is designated to systematically monitor, measure, and evaluate care standards, appropriateness of care and services provided to assure clients with the highest possible level of service. That’s why every service we provide is supervised by our professionals and administered from the initial consultation to recovery or treatment completion. It is the policy of our Agency that home health services shall be available and shall be rendered to the total population of our area of services, regardless of the recipient’s race, sexual orientation, religion, age, sex, disabilities, ethnic/cultural background, or national origin

Try to make at least minor decisions for yourself. Make sure that you know your rights as individuals such as when to bathe, eat, have visitors, etc. Try to do as much for yourself as possible when it comes to picking out clothes, deciding what activities to do and trying to dress yourself.

  • Require to be looked as an individual, what you likes and dislikes, by allowing you to do as much as you can for yourself, always getting the staff/family to offer choice.
  • Require to be allowed to speak and not be spoken over and respected for your possible different cultures and beliefs.
  • Try reassessing guidelines for each of you on a regular basis to ensure any changes are monitored, example medication, etc as this can have an affect on you or your health.
  • Try to participate in activities that you can carry out, like helping with the shopping, writing letters or making calls.

In many situations, social services are needed by adults who are receiving home health services. Our nurses or therapist may request orders for social services to your physician. In addition to these referrals, a request for social services may be initiated by you or by another individual acting upon behalf of you. The social worker is responsible for providing the indicated services or for referral to the appropriate resource outside our Agency if the services are not available within our scope of services.

Among the services provided by the social worker are:

  • Services which will enable individuals to attain and/or maintain as good physical and mental health as possible;
  • Services to assist patients who are receiving care outside their own homes in planning for and returning to their own homes or to other alternate care;
  • Services to encourage the development and maintenance of family and community interest and ties;
  • Services to promote maximum independence in the management of their own affairs;
  • Protective services, including evaluation of need for and arranging for guardianship; and appropriate family planning services which include assisting the family in acquiring means, food or other needed resources.
  • Services are offered in making the necessary referral and follow-up.

All of our employees will provide care and services to our clients within the ethical framework established by the home health care standards, professional requirements and the law during the perform of their duties.

All clients/caregivers will be provided with the information regarding service hours of the Agency (see Inside Front Cover) and access to staff for emergencies. Agency will provide adequate, qualified staff for emergency response and troubleshooting related to any services provided to client/caregiver. Emergency Response:

  1. On initial visit, client/caregiver will be provided with an Agency business card and telephone number, and will be educated on Agency’s twenty-four (24) hours, seven (7) days per week, availability of Home Care staff.
  2. Phone calls may be made to the Agency during the office regular business hours Monday-Friday to reach the office staff.
    1. Emergency calls may be handled after office hours and on weekends by dialing the office number.
      1. Notify the answering service of your name/phone number and a representative will contact you ASAP
      2. If caller chooses only to leave a message, the Agency staff will follow up on call the next business day.
      3. Emergency Services are available after office hours, including weekends and holidays.
      4. All clients/caregivers are instructed on admission to contact 911 in the event of a life threatening emergency.
    2. On-call representatives will handle all problems, or will contact the Director of Nursing for clinical issues.
    3. The Director of Nursing/On-Call Nurse is responsible for determining the necessity for a home visit, notifying the physician and/or taking other appropriate actions.
  3. The on-call representative will keep a log of all calls and actions taken.
 
 
Information To Persons

Our Agency will take steps as necessary to ensure that qualified persons with disabilities, including those with impaired sensory or speaking skills, receive effective notice concerning benefits of services or written material concerning waivers of rights or consent to treatment. All aids needed to provide this notice are provided without cost to the person being served. The identification of special needs and disabilities are a part of the referral process. Information regarding special services will be posted and presented to individuals upon admission.

For Persons With Hearing Impairments: The Agency will perform a maximum effort to contract a qualified sign-language interpreter for persons who are deaf/hearing impaired and who use sign-language as their primary means of communication . The following agency offer the needed services : The Florida Coordinating Council for the Deaf and Hard of Hearing: 4052 Esplanade Way, Bin #A06. Tallahassee, FL 32399 Voice : 850 – 245-4913 Toll Free Voice : 866-602 – 3275 TTY : 850-245-4914 Toll Free TTY: 866-602-3276

For Persons With VIsual Impairments :
Staff communicate the content of written materials concerning the benefits, services, waivers of rights, and consent to treatment forms by reading them out loud to visually impaired persons. Large print, taped and braille materials are available upon request. Please contact the Director of Social Services for these materials.

For Persons With Speech Impairments:
Writing materials , TDD, computers, and communication boards are available to facilitate communication concerning program services and benefits, waivers bf rights and consent to treatment forms.

As a recipient of Federal financial assistance, our Agency does not exclude, deny benefits to or otherwise discriminate against any person on the grounds of race, color, national origin, disability or age in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein, whether carried out by our Agency directly or through a contractor or any other entity with which our Agency arranges to carry out its programs and activities.

This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Serv ic es issued pursuant to the Acts, Title 45 Code of Federal Regulations Part 80, 84, and 91. (Other Federal Laws and Regulations provide similar protection against discrimination on grounds of sex and creed). In case of question please contact the Agency Section 504 Coordinator, (Agency’s information in the cover of the book).

 
 
Con

All information received by persons employed by or providing services to the Agency and/or received by the Agency through reports or inspections shall be deemed privileged and confidential, and shall be stored and maintained in such a manner as to maintain the confidentiality of same, following HIPAA guidelines. The above information shall include, but not be limited to, client records as well as personnel records. Accessibility to information shall be limited to authorized personnel within the Agency. Information shall not be disclosed without the written consent of the client/guardian and/or employee. Release of informat i on shall be accomplished only upon the approval of the Agency Administrator and/or Designee. At the start of employment all employees shall be instructed in the confidentiality policy of the Agency, and will read and sign a “Confidentiality Statement”. This shall become part of the employee’s personnel record. Breach of confidentiality may be grounds for immediate termination of employment.

Diminished vision is a visual deterioration not correctable by standard eye glasses, contact lenses, medicine, or surgery that interferes with a person’s ability to perform everyday activities.

What Causes Diminished Vision?
Impaired vision can result from a variety of diseases and injuries that affect the eye. Many people with impaired vision have age related diabetic retinopathy, macular degeneration, glaucoma or cataract.

How Does Diminished Vision Affect People’s Lives?
People with diminished vision experience physical, financial, and psychological changes that reduces their quality of life. Without proper assistance and training, patients may have difficulty using magnifying devices and completing necessary activities of daily living tasks such as: Meal preparation, Reading, Financial management, Home maintenance, Grooming, Shopping, Community and leisure activities. A Medicare beneficiary with impaired vision may be eligible for rehabilitation services designed to improve functioning, by therapy, to improve performance of activities of daily living including self-care and management skills in a home setting.

Our clients/caregivers have the option to exercise their rights, participate in their care plan, voice grievance/complaints and recommend changes in our policy and procedures without fair of reprisal, discrimination. Any complaint/concern brought to us (preferable to our administrator) will be thoroughly investigated, responded in writing, including a corrective action plan if needed.

As a home health care patient you have the responsibility to: Give accurate and complete health information concerning your past illness, hospitalization, medications, allergies, and other pertinent items, Assist in developing and maintaining a safe environment, Inform the Home Health Care Agency when you will not be able to keep a home health care visit, Participate in the development and update of your home health care plan and comply with prescribed medical regimen, Adhere to your developed (updated home health care plan), Request further information concerning anything you do not understand, Give information regarding concerns and problems you have to a home health care agency staff member. Agree to accept all care givers without regard to race, color, religion, age, gender, preference, handicap, or national origin and provide safe environment for our staff including pets (dogs, snakes, etc) and any kind of harms. Remain under a physicians care while receiving skilled services. Provide the Agency with all requested insurance and financial records. Signs required consents and release forms. Accept the responsibility of any refusal of treatment, reviewed and understand your responsibilities as described above.

You are entitled to care in your preferred language. This service is provided at no charge to you, our agency’s staff will make every attempt to meet your language needs. If you require additional assistance, please contact our office.

Medicare has established a new requirement for payment of the home health services that you may need. To meet this new requirement, you will need to have a face-to-face visit with a physician, nurse practitioner, clinical nurse specialist, certified nurse midwife, or physician’s assistant for a matter related to your need for home health. This “special” visit can occur 90 days before your start receiving home care services or up to 30 days after the home care nurse or therapist admits you.

Charge are per visits :

RN, Therapist, Social Worker: $100 . 00 , LPN : $95 . 00, HHA : $65.

This rate may vary according Private Insurance, Copayments, Self Pay option (Ask our Admission Nurse/Therapist explain to you the Section One and Two of our Service Agreement for more information about charges).

 

Improve the accuracy of patient identification

  • Reduce the risk of healthcare associated infections
  • Accurately and completely reconcile medications across the continuum of care
  • Reduce the risk of patient harm resulting from falls
  • The organization identifies safety risks inherent in its patient population

Key ways to protect yourself from fraud:

• Review your claims summaries thoroughly to ensure you received each service listed and that all the details are correct.

• Never share (or allow to use for other person) your Medicare/Insurance Number, except with your doctors or other Medicare providers. Guard your social security/Medicare/Insurance number.

• Report suspected fraud by calling 1-800-MEDICARE, or your Insurance carrier. The sooner you see and report errors, the sooner Medicare/Insurance can investigate and stop the fraud .

This Agency can provide a service or a combination of services in your home, all under the direction of a physician. Working with your doctor, our qualified staff will plan, coordinate and provide care tailored to your needs. Our services may include : Skilled Nursing, Home Health Aide (Nursing Assistant), Physical, Occupational, and Speech Therapy, Infusion (IV therapy), Medical Social Workers, Homemaking, Personal Care and Companion Services shall become part of the employee’s personnel record. Breach of confidentiality may be grounds for immediate termination of employment.

Admission to this Agency can only be made under the directions of a physician, based upon the patient’s identified care needs, homebound status, face to face compliance, and the type of services required that we can provide directly or through coordination with other organizations. If we cannot meet your needs, either directly by our Agency or indirectly through service agreement with other providers, we will not admit you or will not continue to provide services to you.

Your right to appeal the decision

You have the right to an immediate, independent medical review (appeal), while your services continue, of the decision to end Medicare coverage of these services. If you choose to appeal, the independent reviewer will ask for your opinion and you should be available to answer questions or supply information. The reviewer will also look at your medical records and/or other relevant information. You do not have to prepare anything in writing, but you have the right to do so if you wish. Our Agency will bring to you a detail form at least 48 hrs before your discharge.

The Home Health Aide is an employee who has been specifically trained to provide personal care and related services to the patient. In order to receive an aide, you must be receiving the services of a registered nurse, physical therapist or speech therapist.

The Home Health Aide MUST perform personal care:

  1. Bath , sponge or shower
  2. Shampoo
  3. Skin care
  4. Make patient’s bed only

Additional duties which may be included at each visit:

  • Personal undergarments only: i.e. nightgowns and pajamas
  • Straighten bathroom – Clean tub and sink
  • Ambulation if requested by nurse or therapist
  • Meal preparation-One light meal of sandwiches, salad or soup. Aide will wash dishes associated with this meal.

Duties not included in services:

Mopping floors, Re-lining drawers, Bathing Pets, Washing windows and furniture, Shopping at more than one store, Defrosting and cleaning refrigerators, Transporting patients in aide’s cars, Cleaning ovens, Vacuuming mattresse, Wiping or washing walls, Vacuuming any room other than patients bedroom.

Services will not cover for housekeeping or companion service.

In the event that the patient is alone and unable to physically assume household duties, or, if the patient’s spouse is equally disabled, the Home Health Aide may also assume responsibility for :

  1. Shopping- once a week
  2. Laundry- for patient only
  3. Prepare meals for patient only
  4. Wash dishes for patient.

Because of the number of patients and the traveling involved, we are unable to promise specific times of day for each visit, however, every effort will be made to accommodate your schedule and needs. If you have a Doctor’s appointment, please call our office the day before and we will schedule our visits around your doctor’s visits.

 
 
Information Regar

All Patients requiring Biohazardous Waste Disposal while rendering medical treatment in your house, the Agency will be placing a biohazardous waste container in your home. We are required by state law to dispose of biohazardous waste in this manner. The waste box or sharps container in your home is only to be used to dispose of biohazardous waste. This container is not to be used for any other purpose. Our agency has contracted to pick up this waste within twenty-eight days after set up. The waste must be removed within this time limit in order to comply with state law. The above company will contact you to arrange for pickup of the container within the time frame mentioned above. Please help us by accommodating them when they call.

THE WASTE CONTAINER MUST STAY INSIDE YOUR HOME UNTIL IT IS REMOVED BY THE WASTE MANAGEMENT COMPANY. NEVER PUT THE WASTE CONTAINER IN THE GARBAGE OR OUTSIDE YOUR HOME FOR ROADSIDE PICKUP. THIS IS ILLEGAL! IF IT HAPPENS, OUR AGENCY OR YOU COULD FACE PROSECUTION IF THE WASTE HARMS ANOTHER PERSON .

If you need your container removed prior to the scheduled pickup or you have any questions regarding the waste management system in your home, call our Agency office and speak to your case manager. If you would like to continue this service after you have been discharged from home health services please call the above company.

 
 
Home Care And A

Home care is a very helpful choice for both the person with Alzheimer’s disease and their families because it provides the very kind of care that is most important, service in the comfort and familiarity of the patient’s own place of residence.

Criteria for home care admission, for persons with end stage dementia, may not always be well known. The issues of mobility, nutrition and weight, verbal communication problems with infection and overall decline are evaluated . The psychological and physical support provided by home care teaching and supportive equipment can greatly relieve the family caregiver.

Caring for a person with Alzheimer’s Disease (AD) is a challenge that calls upon the patience, creativity, knowledge, and skills of each caregiver. Our home heath agency treats patients with every kind of terminal condition and many different forms of dementia, including persons with ADRDs.

A proper assessment of a patient addresses the needs of the person and his or her caregivers and family in a comprehensive fashion. This is especially important to the family of a person suffering from ADRDs, since this person may have difficulty communicating his or her needs to family members.

More than those with other diseases, these patients spend a long period at the end of their lives bed bound, mostly unresponsive, and in need of total care. As with all of our patients, it is the goal of our home care program to care for the ADRD patient while supporting and comforting family and loved ones regardless of the setting or the patient’s daily abilities.

 
 
What I Have To Know About The
  • What is the name of each medicine?
  • What is it for?
  • What time should I take it ?  
  • How much of it should I take each time?
  • How should I take it?
  • Should I take it with food?
  • How long should I take it?
  • What should I do if I miss a dose?
  • Are there anymside effects? What should I do if I have any?
  • Is it safe to take with other medicine that I am taking, including over-the-countermmedicine, vitamins or herbals?
  • What food, drink or activities should I avoid while taking it?

A lot of people-including you!

Doctors check all of your med ici nes to make sure they are OK to take together.

Pharmacists will check your new medicines to see if there are other medicines, foods or drinks you should not take with your new medicines.

Nurses and other caregivers may prepare medicines or give them to you.

What if you forget the instructions for taking a medicine or are not sure about taking it?

Call your doctor or pharmacist. Don’t be afraid to ask questions about any of your medicines.

Oxygen can be used safely at home. These are the rules for Oxygen Safety:

Oxygen is a drug, too much or too little oxygen may be harmful, use the amount ordered by your Doctor. Do not change the amount of oxygen you are using without first checking with him. If you feel you are not getting enough oxygen, talk to your Doctor.

Fire safety

Oxygen it self does not burn. Oxygen can feed a spark and cause it to become a large fire in seconds.

Follow these rules to prevent a fire:

NO Smoking, avoid open flames, do not use equipment with frayed cords or electrical shorts, avoid using electric razors and hair dryers while using oxygen, do not use an appliance with a control box such as a heating pad, Avoid static electricity, avoid nylon or woolen clothing. 

Proper storage and handling of oxygen:

Store liquid and cylinder oxygen away from heat and direct sunlight, place cylinders in a secure holder, never app l y any oily substance.

 
 
Take Care Of Yourself