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home health

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 * 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]

Related

home care home safety house call bag Program of All Inclusive Care for the Elderly (PACE)

General

health

References

  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. 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: 18375879
  3. 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: 33683707 PMCID: PMC8192419 Free PMC article
  4. 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
  5. Home Health Compare http://www.medicare.gov/HHcompare/home.asp
  6. National Association of Home Care and Hospice http://www.nahc.org/assets/1/7/10HC_Stats.pdf