May 30, 2012

How to Start a Home Health Care Business

Author: ZekEvan

The trend is further supported by the rising need of the working children of senior citizens on the lookout for trustworthy and high quality home care operators who can suitably tend to the needs of their aging parents.

Therefore, moving in line with this need, home healthcare business is indeed one of the most lucrative options for those looking for ideas for home business.

In order to pursue the above, an in-depth knowledge of how to start a home healthcare business and the related pre-requisites is highly crucial.

Choose a location
For the business to be a profitable venture, it is important that you choose the location with caution. It is advisable to check the census profiles of various cities around the place you live and shortlist a few ones that have the highest population of elderly citizens, especially aged 65 years or more. Cities with larger retirement communities can be an ideal location.

Get licensed
Licensing is another major step to be taken when an entrepreneur is planning how to start a home health care business. Since the general regulations vary in different areas, it is important to be sure of what the main licensing requirements are in order to establish a home healthcare business that follows local laws. In most of the cases, the procedure will involve filling out a series of forms and going through several rounds of checks to ensure the quality of the services offered along with the credibility of the healthcare staff. In order to be certified by the state authorities, you will need to demonstrate that you have a good business plan and also ensure that your employees pass the mandatory background checks.

In some cases, you might also need to obtain an additional license and certification that is required to take in specific clients / patients such as Medicare or Medicaid clients.

Recruit healthcare workers
When planning an appropriate strategy for starting a home healthcare business, one of the most crucial steps you will need for ensuring the success of your venture is to hire good quality and trained staff. Experts suggest that in order to minimize costs in the start-up stage, it is better to hire part-time, contracted staff. Meanwhile certified and trained caregivers add immense credibility to your services and ensure a sound long-term reputation.

Build networks and gather information
Knowledge is power. Gather as much information about how to start a home health care business for elderly or other patients in your specific region. Resources to help you are abundant and can include consulting companies who are equipped to help start ups hit the ground running. It is extremely helpful to built a strong network with the various healthcare institutions in the region which will help you gain knowledge of latest techniques and will also be of assistance in case of any emergency.

Analyze the background
Before you actually begin formulating a strategy, it is important that you analyze whether your qualifications, interests and capabilities are suited to this type of a business. Some of the most important elements that need to be present for you to be a successful entrepreneur in this industry include:

1. Prior experience in medical field, or at least basic awareness of medical terminology and practices
2. Basic compassion and sense of empathy for patients, especially with serious illnesses
3. Ability to build a network and connect to related institutions in the industry
4. Ability to work out related financial modalities
5. Ability to arrange for the required infrastructure

Factors such as the above shall be highly helpful when you set out to decide whether home care is a good business to start as a part of your entrepreneurial journey.

Do you want to learn more about How to start a home health care business? Visit A Touch Of Business for helpful information. Having your own business can be rewarding and very lucrative. Getting great advice from seasoned professionals can increase your chances of success!

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May 27, 2012

Appealing a Denial of Social Security Disability Benefits

Author: Steve Ehrenreich

Many applicants who submit their information to receive Social Security Disability Insurance (SSDI) will be denied.  They have the right to appeal the decision through a serious of processes designed to change the decision of the Social Security Administration (SSA) if the applicant truly has a disability preventing them from working.  The SSA is very strict about their decision making to prevent people from receiving benefits that they truly do not need or deserve.

The first step in the appeals process is called a reconsideration.  The applicant will complete the forms and then the SSA will send them to the State Disability Determination Services office where the applicant resides.  This office will review the applicant's medical records and then make a determination about their application.  The applicant is allowed to submit additional information in addition to the documents from the first application.  If the application is denied, the second step is called a hearing.

The applicant will complete a request for hearing by an administrative law judge and an appeal disability report.  These forms will be sent to the Office of Disability Adjudication and Review.  The office might request further information from the applicant to clarify their claim of disability.  The applicant can also request a face to face meeting with a judge.  If the claim is again denied, the next step is a review with an appeals council.

The Appeals Council Review will appoint someone in their office to review the applicant's medical records and make a determination about benefits.  It is the right of the Appeals Council to deny the request for a review if they believe that the previous hearing resulted in a proper and legal ruling.
The final step to the appeals process, if necessary, is filing a case against the SSA in federal district court.  The applicant must be represented by an attorney for this action.  A district court judge will hear the case and make a ruling about SSDI for the applicant.

Those who file any type of appeal must be meticulous with their recordkeeping and be able to provide medical documentation of their disability.  They must also be patient, as the appeals process can be lengthy and frustrating.

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For more tips and information on applying for Disability benefits visit:

What If Your Social Security Disability Claim Has Been Denied?

Author: Alice Shown

Are you suffering from a serious medical condition that is preventing you to work? How will you manage your medical expenses? Moreover, if you happen to be the only earning member of your family, how will you take care of your spouse and children? Getting confused? Fortunately, there's an beneficial option that will save you. Get yourself a social security disability lawyer to claim financial help from the federal government to ensure the future of you and your near and dear ones during the period of your disability.

The main purpose of Social Security disability is to help people with life-saving benefits and financial support during the period they are unable to work and earn. Unfortunately, near about 70 – 75 claims get rejected by the Social Security Administration or SSA for improper medical proof. Even if you have filled the forms and submitted all the required documents, if anything goes wrong with your application form or a missing piece of document can reject your claim. This is why, hiring a social security lawyer can make the difference between recovering or losing your Social Security benefits.

If you are sure about your disability and you know you are legally entitled to get the SSDI benefits but your claim has been denied by the Social Security Administration or SSA, your next step is to hire a specialized lawyer right away. He will go through your case critically and take all the legal actions that is required to prove your disability.

However, there's a common misconception among people that social security lawyers are hard to afford. You do not need to think about the fees of your lawyer because most of the reputed lawyers won\'t charge a single dollar from you until you get the financial support you deserve. To make it more simple, they will just ask for a little percentage of the money you are getting as financial support.

Having an expert social security disability lawyer on your side will drastically increase the chances of winning the case when SSA will reconsider your claim. Your lawyer will prepare all the medical and other documentation properly so that you don't have to face a denied benefits claim. So, when it comes to enjoy the benefits of Social Security disability, Joliet (IL) is the right place for you. However, it is essential to verify the qualification and reliability of the social security attorney you are planning to hire to defend you in court.

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Social security disability Joliet, IL - Do you want to consult a reliable attorney who specialized in the field of Social Security disability? Joliet (IL) is a place where you will get spoiled with ample of options. To cut down on time and get the best legal representation, you must get in touch with the law office of Jeffrey A. Rabin & Associates.

How a Disability Claim is Reviewed

Author: Disability Guide

While the Social Security Administration begins the process to determine disability, it is, in fact, a state agency called Disability Determination Services that makes the final decision in determining who is considered legally disabled. The first step of your disability claim is finding out if you are legally disabled is filling out an application with the Social Security Administration. They will review your information to determine whether you have worked enough years to qualify for disability. If you meet the basic requirements, the SSA will send your disability claim on to the Disability Determination Services in your state. This is where the real work on your application begins. Once your application reaches this point, the agency gathers information from doctors, hospitals and disability specialists. Your doctors are asked highly detailed information about your condition. Disability Determination Services will want to know various information about your medical condition, such as when and how it began and how this condition limits your physical activities.

Additionally, they will want to know what medical testing has shown and what types of treatments you have received/are receiving. Although your doctors are not asked to determine if you are disabled, they will be asked about how your condition affects your daily life. Your physicians will fill out a detailed information sheet about how they interpret your medical condition affects work-related activities such as walking, lifting, sitting, and remembering instructions.

Often the information given to the state agency by your doctors is not enough to make a decision. When this situation occurs, individual examinations will be scheduled for you. These additional tests may be with your own doctor, or a state contracted specialist. Social Security will pay for this additional testing.

After Disability Determination Services receives all the information they need, they will review your disability claim. After they have made a decision, they will forward all the information to Social Security. If the state agency does not approve your disability claim for disability, you may appeal their decision. Sometimes it is best to seek an expect for disability help if you are initially denied disability benefits. The appeals process may require additional medical testing and a hearing in front of a disability specialist. All disability applicants also have the right to counsel and receive disability help for your case from a variety of sources.

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About the Author
Eugene Watson specializes in writing about Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). He spends his time researching and commenting on various aspects of Social Security Disability law.

His website is

When and How to Apply For Social Security Disability Benefits

Author: Austin

Are you physically disabled? Disability is a problem that is quite common among most of the individuals. As a result of this, most of the people remain devoid of being associated with any proper job. With social security disability benefits, it has become easier for the individuals to make life comfortable and financially stable for themselves. Very few people in the world are aware about these advantages offered by the social security programs. Disability does not only make the individuals disabled in physical terms, but make them helpless in mental terms as well. Social security disability benefits, therefore, guarantees a life free of mental chaos to the individuals.

Social security programs have been designed to secure the lives of the people both in monetary as well as other terms. When you are working, you pay taxes to the social security and this tax money acts as the source of income for the following groups of people under the scheme of social security disability benefits:
  • The ones who are already retired,
  • Those who are physically or mentally disabled,
  • The survivors of workers who have died, and
  • Dependence of the beneficiaries.
Social security benefits can be availed by the above-mentioned groups, but when it comes to the social security disability benefits, it is just for those who are suffering from improper health conditions.

When it comes to social security disability benefits, it is expected that the individuals should file for the disability benefits sooner. This is because it takes a long time for the claims to be processed. However, if you want your social security disability benefits claims to be processed quickly; here are few things that you need to possess while you apply for it:
  • Medical records including the prescriptions and treatment dates from your doctors, hospitals, therapists, etc.
  • Medical test results along with the reports related to laboratory examinations.
  • Get the name, address, contact numbers, etc. of your doctor and hospital.
  • The names of the medications or treatments that you have been taking for so long.
  • The name of the employers and your job responsibilities for the last 15 years.
In order to avail the social security disability benefits, there are two earning tests that you need to go through. One is the recent work test that is on the basis of the age at the time when you became physically disabled. The second is the ‘duration of work\' test to show that you have worked for long under the Social Security program. To apply for the social security disability benefits, you can either use internet or call on the toll free number available through various sources. The important information that is required while applying for the benefits is as follows:
  • The social security number.
  • Birth certificate.
  • The medical credentials mentioned in earlier points.
There are several perspectives associated with the social security disability benefits. If you have any kind of doubt, there are several representatives who can help you with this, among whom social security disability attorneys are of utmost help.

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Austin Aims has a good knowledge on social security disability benefits and social security disability attorneys. For more information please visit

How To Keep Your Social Security Disability Benefits

Author: Disability Group

Did you know that once you have been awarded disability benefits, your claim may come up for review in the future?  Usually these reviews won't come up for a couple of years, but sometimes your award may result a review in as early as eighteen months or a year.  This can happen especially in cases where it seems like your condition is likely to improve in the very near future pending surgery or proper medical attention.

In order to keep your disability benefits it's important that you continue to see your doctors regularly.  We recommend seeing a doctor at least every three months in order to maintain regular treatment. For a list of no/low cost medical clinics in your state, visit:

The purpose of social security disability is to provide medical care and financial assistance to those who become unable to work due to disability.  Hopefully, with proper medical care, a disabled person is able to get better and return to the work force.  If the claimant doesn't get better, then he or she cannot return to work.  As long as your condition does not improve and this is documented in your medical records, then eligibility for disability benefits should not end.

Therefore, the most important thing for you to do in order to keep your disability benefits is to continue going to your doctor.  Social Security wants to know that disabled persons are trying to get better.  This is why it is important to maintain regular treatment and to comply with your doctor's orders even after you have received an award for disability benefits.

Remember to:
1)      Go to your doctor(s) regularly (or at least every three months)
2)      Comply with doctors orders, i.e., take your medications, get XRAYs and blood work (etc.) done as the doctor orders, undergo and/or talk seriously about pros and cons of any suggested surgery or procedures.
3)      Let your doctor know if there are any changes in your condition or in the symptoms you are experiencing, for the better or for the worse.  If there are no changes, talk about that too!
4)      Refrain from drug, tobacco, and alcohol use:  Social Security also wants to know you aren't doing anything that could possibly make your conditions worse.
When your claim comes up for review, if your condition has not improved to the point where you would be able to return to fulltime work and you have maintained regular treatment as discussed above, you should not lose your disability benefits.

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Disability Group was founded on the principles of dignity and respect.  We are a national law firm focusing exclusively on helping people get the Social Security Disability benefits they deserve.  For more information about Social Security or to see if you qualify for benefits, visit

Tips on Filling Out The SSA's Questionnaires

Author: Disability Group

After spending time filling out an initial application, you will receive a request from Social Security with a lengthy questionnaire. Now more than ever, the answers to these questions are essential to getting your benefits!

Completing the daily activities report gives you the best chance to explain how your disability affects your life. Often, answers to these questions will not appear in your medical records. You can use this questionnaire to describe how difficult your life has become and explain the exhaustive symptoms of your condition.

For example, if you can't stand up for longer than a few minutes, this will obviously impact your personal life and your ability to work certain jobs. This information is crucial to your claim and will be treated as if you took the stand in the courtroom and gave sworn testimony.

The goal of the SSA is to determine if there is work you can still perform given your condition. Remember, the person reading your paperwork cannot physically see your limitations. As such, it is necessary to paint an honest and accurate picture.  Here are the four most important tips for filling out this critically important questionnaire.

1. Be Truthful

Credibility is the most powerful tool at your disposal. Your medical records must be accurate and consistent. (To learn more about what must be included in your medical records, visit

Do not exaggerate when describing how your disability affects you. Consider this example:

•   Q: What do you do during the day?
•   A: I lay in bed all day

While this may be partially true, it is doubtful that anyone lay in bed for 24 hours without going to the bathroom, or sitting up to do another activity. Give an accurate idea of how long you lay in bed, and what you do while laying in bed, along with the level of activity.  If you watch television, say so.  If you sit up to read, say so.  If you have to have ice packs on your back at all times, say so.

2. Be Specific

The SSA will assume you can care for your needs unless you tell them differently.

Consider these examples:

•   If you lay in bed for long periods of time, how often do you have to readjust?
•   If you go to the store do you go alone? Do you use a handicapped cart?
•   Do you care for small children or elderly parents? How long? Do you have help?

3. Do not leave blanks

Although many questions may appear repetitive, use every opportunity to explain your symptoms.  Every blank space is a chance to tell the SSA how you are disabled and why you cannot work with the limitations that your disability puts on you.

4. Use other resources to help

Your social security attorney may help you understand the questions in context of your own disability, and ultimately help you obtain your social security disability benefits.

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About the Author
Disability Group was founded on the principles of dignity and respect.  We are a national law firm focusing exclusively on helping people get the Social Security Disability benefits they deserve.  For more information about Social Security or to see if you qualify for benefits, visit

May 21, 2012

Gerontology News

Silver Fox Senior Transport Opens New Concept in Senior Transportation

Silver Fox Senior Transport has recognized the importance of providing service to senior citizens and conceived a new and unique concept in transportation for seniors and older adults.

May 20, 2012

Tex LNB Taxi Offers New Senior Citizen Ride Service in the SE Houston Clear Lake Area

New Senior Citizen Ride Service in the SE Houston Clear Lake Area. We get Senior Citizens to their destination & return them safely! Doctor visits! Shopping trips! Social Events!

May 19, 2012

Ohio Company Sponsors National Mobility Awareness Month

MAY 2012 - M.C. Mobility Systems sponsors events surrounding National Mobility Awareness Month in May, including a wheelchair accessible van giveaway contest to local disabled heroes.

MedFlight911 Air Ambulance on Care Facility Options for Caregivers

When patients or their family members hire MedFlight911 for air medical transport they have already figured out where the patient needs to go. But today we wanted to skip back a step and help you address what options are available.

Checker Cab - Atlanta, Georgia

Checker Cab has been serving Atlanta and the Metro Atlanta area since 1947.

May 18, 2012

A Guide to Choosing Air Ambulance Services

Author: Paige Ryder

Everyday, the emergency medical services field develops new methods for quick delivery of medical care.  While responding to emergency medical situations, proper timing is of the utmost importance. In the past, ambulances were used to transport patients to hospitals in a quick and efficient manner. Now, people can receive initial treatment in the ambulance while being transported. Ambulances carry enough medical equipment to perform minor procedures that can bring initial relief to the patients. In remote areas that are inaccessible by road, air ambulances provide emergency medical services.

Air ambulances are aircraft, which are specially designed for providing medical assistance in critical medical situations. Like traditional ambulances, they carry a small crew of medical personnel and basic equipment like ECG and monitors, ventilators, medication and stretchers. These ambulances provide the safest and fastest way of transporting patients to medical facilities for treatment. Pilots flying these ambulances have much higher credentials than the ones flying non-emergency flights. The American government and the Commission on Air Medical Transportation Systems (CAMTS) have set various standards for air ambulance service firms. The rules and regulations made by CAMTS ensure that pilots, crew and aircraft can deliver the proper medical care when required.Specialized training is required for the on board medical crew for many reasons. Sometimes there is very limited space on board the air ambulance and the crew must perform emergency medical procedures within the limited space available. Air ambulances do not have pressurized cabins and the medical crew must have the skills to adjust the medication and check for the changes in physiology and behavior of gases against pressure.

People who are looking for medical flight services should know that there are many variables, which affect the cost of an air ambulance transport. Initially, you should create a short list of firms that can provide you with the required services. Do a bit of research and compare the cost and quality of the services offered. It's always best to approach a firm directly instead of making contact through a broker. Brokers always find the lowest cost possible and then add a fee for their services to the cost. The type of aircraft being used as an ambulance will greatly affect the cost. Before settling on the type of aircraft you want, you should carefully consider the distance of the flight. The number of medical personnel required aboard will also influence the cost. If the patient requires just a couple of medical technicians on board then the cost will be much less. On the other hand if the patient requires an entire specialized medical team to be on board then the cost will rise drastically. If a friend or relative of the patient travels with the patient, the air ambulance service may charge additional fees. In case the patient has medical insurance coverage, its best to find out what costs of transportation by air ambulance is covered by the policy.

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About the Author
Paige Ryder is an air ambulance, aviation and medical industry evaluator.

May 17, 2012

Travel Tips and Hints - Travel With Special Needs

Author: Travel Tips

How Can I Find Support To Travel As A Person With Special Needs?

You really want to enjoy your vacation. What can be done to help?

Airline Notification. Make sure that you notify your airline in advance. To ensure that they are able to meet your needs. To determine whether they have any special requirements regarding travel companions, etc

Cruise Lines. Notify shipping lines as far in advance as possible. Most cruise liners have a very limited number of cabins suitable for passengers with special needs. These are allocated on a first come first served basis. You may be asked to provide evidence of your requirement for a special needs cabin.

Accommodation Requirements. Before booking, make sure that the accommodation provider is fully aware of your needs, and has agreed to meet these. We recommend that you get this in written form from the hotel before locking in your booking.

The Surrounding Area. We recommend that when booking accommodation, you ask the question of the venue about the local surroundings. You probably don't want a venue surrounded by cobble streets. Or one that is in a very hilly area. Unless all of your trips to and from the venue will be by car

Travel Insurance. Be careful about the wording of your travel insurance policy. You don't want to find yourself gazumped by the 'existing medical conditions' clauses in most policies. If necessary seek written clarification about your ability to obtain medical and other coverage.

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Advice for a client with special needs wanting to have an enjoyable vacation

May 16, 2012

MarketsandMarkets: Global Home Health Care Market Worth US $159.6 Billion By 2014

Author: Ms. Sunita

According to a new healthcare market research report ‘Global Home Care and Self Care Market (2009 - 2014)', published by MarketsandMarkets (, in 2009, the entire home healthcare market covered under the report is estimated to be approximately $159.6 billion. Home healthcare service market is estimated to constitute $143.1 billion in 2009, which is about 90of the entire market.

Browse 177 market data tables and in-depth TOC on Home Healthcare market.
Early buyers will receive 10customization of reports.

The most important trend in healthcare is the focus shift from hospitals to home care, moving from treatment to proactive monitoring and care, which is opening new gates of opportunities for the home healthcare market. Patients prefer home healthcare over hospitals mainly for the convenience and cost effectiveness it offers. However, they are now opting more for third party home care over self care mainly due to better treatment quality ensured by trained medical professionals at home. The home healthcare market generates more than 70of revenues from the people aged 65 years and above. The major reason underlying such a huge revenue generation from the older population is the declining ‘elderly support ratio', which is the ratio of the number of people caring for the elderly, to the number of older people above 65 years. This further showcases the growth potential of third party care market in coming years.

The home healthcare services market is estimated to reach $207.0 billion by 2014. Home visits and nursing services constitute 72of the entire market. Most of the growth potential lies in the field of home telemedicine service which is forecasted to grow at a CAGR of 32.3from 2009 to 2014.
In the home healthcare equipment market, diabetes devices alone constitute about 46of the entire market, while the home therapeutic equipment market is the highest growing market growing at a CAGR of 19.4

Analyst Briefings on 13th Oct 2009
The Healthcare practice at MarketsandMarkets is pleased to announce its Analyst Briefing Presentation on the Global Home health care Market to be held on13th Oct 2009. The briefing on the Global Home health care Market (2009-2014) will benefit the home healthcare equipment manufacturers, medical research laboratories, physical fitness and nutrition companies, business research and consulting service providers.

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MarketsandMarkets is a research and consulting firm that publishes 120 market research reports per year. Each strategically analyzed report contains 250 pages of valuable market data, including more than 100 market data summary tables and in-depth, five-level segmentation for each of the products, services, applications, technologies, ingredients and stakeholders categories.

May 15, 2012

How CareTogether Can Help Families That Are Unprepared to Provide Family Caregiving

Author: BrightStar

Every day, more American families take on the responsibilities of caring for a loved one in need of physical, social, emotional, or financial assistance. Despite the craziness of life, sons, daughters, brothers, and sisters make the time to prepare meals, provide transportation, do laundry, run errands, and more.

In a March 26 article in the USA Today, Christine Dugas provides some tips on how to prepare for becoming a family caregiver. We thought it'd be fun to go through her words of wisdom and match them with CareTogether features to demonstrate how valuable CareTogether can be for family caregivers.

Caregiver Situation:

'Last July, Julie Baldocchi's mother had a massive stroke and was paralyzed. Baldocchi suddenly had to become a family caregiver, something that she wasn't prepared for.'

CareTogether Solution:

CareTogether offers condition-specific resources for family members to learn more about their loved one's conditions. CareTogether teams can select the specific conditions their loved one has to read blog posts and education material in CareTogether Resources. In Julie Baldocchi's case, she could select 'Cardiovascular/Stroke' to get more information on her mother's condition.

It's not always easy to know how to help. CareTogether task lists lets you create your own lists or choose from template lists. After you create a list of tasks, you can assign individual tasks to members of the care team. Julie Baldocchi's case, she could select the Family Caregiver Questionnaire' to learn a few things she and the members of the care team should monitor with her mother. They can cross things off the list as they accomplish them, add to the list, or create new lists. Other templates include 'Home Safety Checklist,' 'Creating an Emergency Contact List,' and 'Legal Checklist.'

Caregiver Situation:

'…she eventually hired a live-in caregiver.'

CareTogether Solution:

We mentioned them above, but one of the CareTogether Task List templates is 'Interviewing a New Caregiver Checklist.' Armed with this, Julie and her family would feel confident that they hired the right person to assist their mother. Questions include:

    * Find out their qualification and what, if any, certifications they have.
    * Find out about the kinds of activities they would do with her mother
    * Do they have any marks against their driving record?

Caregiver Situation:

'And when there are many siblings, the family decisions can become a three-ring circus'

CareTogether Solution:

CareTogether private messages and Journal entries allow families to work through and communicate difficult situations without muddying up a work or personal email inbox, volleying back and forth through Facebook, or trying to play phone tag. CareTogether's message feature and Journal help families organize their discussions, comment on them, and keep a record of what was discussed.

Caregiver Situation:

'Family caregivers take over many responsibilities. One might manage a parent's finances, while another sibling will take the parent to doctors' appointments and shopping.'

CareTogether Solution:

With CareTogether's calendar feature, care team members can schedule events like doctor appointments and shopping trips, assign the appointment to a team member, and even export that appointment to Google or Outlook Calendar. Such a valuable tool just in case the person who usually takes grandma to the grocery store can\'t, she can schedule and assign the next trip to a care team member, and the care team member receives an email with the date, time, and instructions for the trip! Maintaining a loved one\'s schedule in CareTogether helps team members stay up to date and involved in the caregiving, so they know to call after an important doctor\'s appointment, for example.

Caregiver Situation:

'Caregivers need to watch their own health.'

CareTogether Solution:

The best way for caregivers to avoid burn out is to involve family and friends in the care. CareTogether is designed for family caregivers to work as a team when providing care for a loved one in need. Even long-distance family members can stay up to date on the caregiving schedule, they can share personal stories or reflections in the journal, they can learn more about their loved one\'s condition by reading the resources, and more.

Please feel free to visit CareTogether at

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About the Author
BrightStar Care is a full-service healthcare staffing agency that provides medical and non-medical homecare to private clients within their homes, as well as supplemental healthcare staff to corporate clients.
BrightStar consists of 150 franchises that provide homecare to anyone who needs it, from children to seniors, and medical staffing solutions to individuals, families and organizations nationwide. BrightStar Franchising recruits and on boards new franchisees into our system.

May 14, 2012

Does Medicare or Medicaid Pay for Home Health Care Services? – Knowing the Facts

Author: Mamoon Kay

Our nation's elderly are literally living treasures, filled with knowledge, wisdom, memories, stories, and life experiences that are worth more than anything money could buy.  That's why it's so difficult when they face health issues that lead them to need home care.  For many people, seeking home health care is much more preferable than being placed in an assisted living facility or nursing home.  But whether you or a loved one is in need of home medical equipment, respite care, hospice, or just regular visits from a health care professional, the prices of senior care can be quite high and difficult to meet. Read more about San Diego Home Care.

Medicare and Medicaid can offer a way to help pay for the elderly care that you or your loved one needs in order to live comfortably, and can take some or even the entire financial burden off of your shoulders.  But in order for it to happen, you need to qualify.  If you meet the requirements laid out by the government, then you can begin to receive home care that is paid for by Medicare and Medicaid.  This lets you get the care that you need without having to break the bank in order to do so.  As such, it\'s important to know what is required in order to qualify. See how this San Diego Home Health Care provider is helping seniors live a healthier and longer life.

First, your doctor must determine that you do indeed need home elder care because of medical conditions.  Your needs must be for sporadic health care in your home from a nurse or health care provider, physical therapy, speech pathology, or other similar care.  Medicare and Medicaid will not pay for full time home elderly care.  You also must be homebound, rarely able to leave home due to medical or age related conditions.  And finally, the provider who will give you the home care that you need must be approved by Medicare or Medicaid.  Unapproved providers can\'t be used. San Diego Caregiver from Home Care Assistance are using a combination of diet, exercise, and social ties to help seniors live an independent and healthy lifestyle.

If you think that you or your loved one might qualify for elderly care at home that is paid for by either Medicare or Medicaid, you should contact your doctor or the Medicare/Medicaid office to find out more.  It may be the best way to ensure that you get the quality home care you want, need, and deserve without putting an unbearable financial strain on you.  Times are hard, and every penny counts.  Don't hesitate to find out more about this health care option for you or your loved one.  You'll be glad that you did. Read more about Senior Care San Diego on our website.

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About the Author
Don't hesitate to find out more about this health care option for you or your loved one. You'll be glad that you did. Read more about Senior Care San Diego on our website.

May 13, 2012

Positions in Home Health Care

Author: laurabonson

The home health care industry is seeing an increased need for professionals. If you are considering a career change, or trying to find a career path, there are a variety of jobs that fall under the home health care class. This industry is anticipated to grow significantly over the next few years.

Although the majority of home health care positions involve services for our geriatric community, there are also positions available to provide for younger patients that are ill or disabled. The needs are great in this industry; however, the variety of positions available may not be as diverse. This job field does offer a variety of rewards in that the services you offer improve the quality of life for those that require the services.

If you are more management minded and want to make a difference, you could consider a career as a placement agent or account manager. A job such as this will place you in the interview phase of the home health care process. You will meet with the family or the client and assess their needs and help create a plan of action that will provide the best options for the care needed.

If you prefer to work directly with the patient, you could consider becoming a home health aide. This job will allow you to interact directly with the patient. This is a good position for someone that wants to see the immediate rewards of the efforts they put into their job. You can work directly for the patient, or their family, or you can work through an agency that will place you with a patient.

There are varied positions with home health care agencies. The two most recognizable job types are Personal Care Aides (PCA) and Home Health Aides (HHA). Both positions required training in specialized areas, and are supervised by a Registered Nurse. Although similar in some aspects, each position has certain differences.

A Personal Care Aide can meet the daily needs of an individual that requires assistance. They may perform duties like bathing the patient, or helping them with walking and exercising. A PCA has also been trained to assist with tasks like toileting. They also are trained in how to help with transfers using mechanical lifts. A PCA might also be hired to help with cleaning, meal preparations, and running errands.

A Home Health Aide also offers the services provided by the PCA. However, a Home Health Aide is also trained in other areas that a PCA does not perform. If you hire a HHA, they can offer services such as measuring fluid intake, tracking vital signs, or assisting with bandaging needs of the patient.

A job in this industry often leaves you feeling at the end of the day that you made a difference in the life of another person. The home health care industry may not give a great variety in the positions available, but it does have a great amount of job opportunities available with our geriatric population.

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About the Author
Laura is healthcare expert who specializes in companion care in Nashville.

May 12, 2012

Ten Reasons Why Home Care is Preferred to Nursing Home Placement

Author: BrightStar

To move a loved one to a nursing home or bring in home care services…that is often the question. Research has shown that when people are discharged from a hospital, the majority of patients prefer to be discharged back to their own homes, rather than being discharged to a facility.

We understand that it can be a difficult decision and that caregivers want to do what's in the best interest of their loved ones. In order to help family members in this situation, and based on what we've learned and heard from caregivers exploring home care as an option, we\'ve come up with a list of 10 reasons for choosing home care services:
  1. The likelihood of contracting illnesses and infections are reduced in a home situation, in comparison to living in a facility.
  2. With continuous home care, there is more one-on-one supervision, which can help prevent and reduce falls, unsafe wandering, and other negative situations from occurring.
  3. Home care can be a less costly alternative to nursing home placement.
  4. With less health care workers involved in the caregiving process, family members have a more consistent/reliable source for communication, consultation, and management of their loved one's care.
  5. With depression being a common occurrence in nursing home residents, patients who live at home may be at a reduced risk for becoming depressed.
  6. A person who obtains home care services has more personal privacy.
  7. Home care patients can often enjoy the comforts of their own home such as sleeping in their bed, having their own furniture, using their own bathroom for bathing and personal care, eating at their own dining room table, etc., surrounded by their own pictures, furniture, music, backyard, kitchen, etc.
  8. Home care residents have more autonomy in directing their own days. They are not subject to potential facility rules (quiet hours, when to eat, food choices, times and types of social activities, where they can and cannot sit, when to get their hair done, when they can bathe, etc.).
  9. Often times with home care, patients have access to a personal driver to run errands, go on social outings, get to doctor appointments, and more — on their own schedule.  This is typically not available in a care facility.
  10. Research shows that family members and friends prefer visiting their loved ones in their own homes, in comparison to nursing home facilities.
Do you, or some one you know, find yourself weighing the options for a loved one?

The above points where mentioned by BrightStar of Naperville/Dupage County, who may be able to give you some additional tips and insights, as to how to best care for an older parent or loved one.

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About the Author
BrightStar Care is a full-service healthcare staffing agency that provides medical and non-medical homecare to private clients within their homes, as well as supplemental healthcare staff to corporate clients.

BrightStar consists of 150 franchises that provide homecare to anyone who needs it, from children to seniors, and medical staffing solutions to individuals, families and organizations nationwide. BrightStar Franchising recruits and on boards new franchisees into our system.

10 Home Health Care Myths De-Bunked

Author: BrightStar

The need for homecare is growing, and so are the number of questions people have about it. According to the AARP, 82% of people said that they would prefer to stay in their homes as long as possible. So it's no wonder that an increasing number of families face the challenge of arranging home health care for loved ones every day.

When you or a loved one needs care, regardless of whether you\'re looking for senior transportation and peer-level companionship or highly skilled adult home care, there is too much at stake to risk being misinformed.

When it comes to your health or that of a loved one, there is no room for compromise. That's why we\'re cutting through the noise and de-bunking common myths about home health care.

1. You don't need homecare if you can't meet a 4-hour minimum -  If you need care, whether it's for one hour or 24, you should be able to get what you need. Everyone's situation is unique and different people have different needs. Make sure that you find a provider that recognizes this and has a no-minimum policy.
2. If my family is already helping, there is no need for additional care - People who are emotionally and physically exhausted or guilt-ridden cannot provide good care. According to the Harvard Medical School Family Health Guide, as a caregiver, you should neither expect-nor try-to be on-call 24 hours a day. Every caregiver needs respite and relief.
3. There are added health risks for receiving medical care at home - No qualified care professional will administer a plan of care in the home unless it is deemed safe and medically sound (check with providers you are evaluating to ensure each care plan is overseen by an RN).
4. If I can't do my own shopping and housework, I just shouldn't do these activities anymore - Everyday tasks, like vacuuming or rearranging the basement, can be tedious for a senior with arthritis. Organizing a closet can be extremely tiring for a cancer patient. They're never ending and, if they become more difficult during post-op, or due to treatment or age-related conditions, they can take precious time away from an already very busy schedule. When even the most basic daily tasks become overwhelming, or you just need a helping hand, a qualified care provider can help you to.
5. Homecare is just for seniors - Home health care is often associated with, but not limited to elder care. Homecare can be a great solution to provide newborn care for new parents with a new baby or even multiples as well as additional support for children and adults enduring chemotherapy, people recovering post-op (from cosmetic procedures to hip replacement surgery) and more. A good home health care solution for your family can be whatever you need it to be.
6. If I get home health care, I have no say in who my caregiver should be - Caregiver compatibility is imperative due to the personal nature of homecare. When you arrange for a care professional to come into your home, you must ensure that you find someone you can trust. Each family should be matched with a caregiver with whom they are comfortable, which is why family members should must identify what they would like in a caregiver and be upfront about this with your homecare provider.
7. I may need homecare, but it is unsafe to invite a stranger into my home - From a security standpoint, if you are dealing with a qualified, reputable agency, you should feel safe in arranging for help in the home. From a medical standpoint, studies show that the home can be a safer than the alternatives and not only because of the one-on-one care. One study indicated that half of infections could be linked directly to hospital care. Another study reported that, given they are seeking the appropriate treatment for their condition, patients with chronic heart disease fare better at home versus the hospital. And, ultimately, remaining home can be less stressful because it is familiar, which can foster a sense of calmness and comfort for patients.
8. I only need help with basic hygiene care, so I don't qualify for homecare - However basic your needs, there should be no limit for a homecare provider to assist you. Be sure to find a home health care agency that can provide the full range of homecare, from basic peer-level companionship and hygiene assistance to highly skilled nursing and therapy.
9. We had an emergency at 3 a.m., but we'll just have to wait until normal business hours to get help at home - When you and your family face an urgent situation, the last thing you want to do is wait around. Read these first time parents' story about finding newborn care at 3 a.m. Find a provider that can provide 24/7 customer service and assistance.
10. Until I know exactly what we need, I don't need in-home care - You don't need to know, that's what qualified homecare professionals are here for. Just make sure any agency you turn to offers R.N. oversight on every case to ensure all of your loved one\'s needs (from safety, health and everything in between) are accounted for. Take this case from one of our homecare agencies as an example:

An elderly woman who was looking for basic bathing and shopping assistance was found to have been suffering from cellulitis unbeknownst to the woman\'s daughter and hidden under her sock - all because an R.N. is required to perform an assessment on every case, no matter what kind of assistance is being provided.

What misconceptions about homecare have you seen? Share them now!

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About the Author
BrightStar provides full continuum of home care including adult and elder care , childcare including newborn care, babysitter and nanny services in addition to medical staffing services for individuals, families and health care facilities.
Do you have a question about home health care? Ask us.

May 11, 2012

Inadequacies in Home Health Care.... There are Alternatives!

Author: Dorian Lassiter

Home health agencies enlist the service of aides to spend several hours a day in the homes of the frail elderly handling many of these types of tasks, thus allowing the patient to remain living at home and to retain a certain level of the freedom and independence they have valued their entire lives.
The problem with this type of care is fundamental, not systemic. These agencies, as well as the various legislators that govern and fund their function, are simply too ignorant of the true needs of the people they care for and are sworn to protect.

Agencies are always understaffed, and because aides are not required to obtain more than the simplest of training, the agencies do not pay enough to attract the services of professional health care workers. Instead, many are staffed by uneducated housewives looking to make a few extra bucks, not career minded professionals looking to help people truly in need. And when I say a few extra bucks, I really mean a few – typical pay scale for a home health aide is between $8.00 and $12.00 per hour. The variance between the top and bottom of this pay scale depends on the level of certification the aide achieves on his/her own AND (believe it or not) the brand of insurance coverage carried by the patient. Different insurance companies allow these agencies to bill them at different rates for the same services, thereby paying the attending aides different rates per job assignment; a pay scale determined solely upon the brand name of the insurance company each patient carries.

Typically, aides are provided for patients anywhere from 3 to 12 hours per day depending on the needs of the patient as they are assessed by actual medical professionals and social workers.
In and of itself, this sounds like a good program that just needs a little tweaking, But when you live in the day to day grind with a frail family member as I have, and functioned as their primary caregiver, the not so blatant flaws become abundantly clear and quickly!

First, I have nothing against the people of the home health care agencies or their staffs of aides. the majority of the hard working people who travel to these patients' homes, change diapers, bathe, cook and clean for them, do it all for a beggars pittance and are truly an asset to their profession, and should never be disparaged for their efforts. Most perform virtually life saving tasks and establish very close, personal mutual bonds with the people they care for. My only point with them is that they simply lack the training in proper care to provide a high enough level of attention during those infrequent times of higher distress that, while extreme to the patient, don't necessitate a call to 911, (which is pretty much all they are trained for and allowed to do by law). That being said, there are a minority of aides out there that truly have no business caring for any human (or even a cat, for that matter). Fortunately those are in the minority, however, I mention it here only to express the need for greater diligence in the home health agency hiring/screening process for new applicants.

The biggest and most common issue faced in the home health care arena though is probably the most fundamental and timeless of all issues: when people are making at or close to minimum wage, they have a tendency to put life's daily obstacles ahead of their jobs. If they decide they don't want to go to work today, many just don't. They have little fear of losing their jobs when, let\'s face it, they could get another job at McDonald's making at least as much and not having to change diapers. Once they make the choice to take a day off, the few that bother to call, never do so early enough for an agency to find a replacement aide; and of course, that's even if they bother to call at all. This happens MUCH more frequently then you could ever imagine and when it does, it can place the lives of the neglected patients in imminent danger. If there is no local family support system, these people are left to fend for themselves when many can\'t even stand up on their own, let alone cook, bath or make it to the toilet. Consequently, (and this is not some crazy one in a million scenario – it happens EVERYDAY somewhere in America), the patient is left to stew in their own fluids, starve, and sit totally helpless, in most cases while being as fully alert and aware as they were when they were in their youth. This, in my opinion, is the greatest tragedy that faces the home health industry today. The physical consequences, stress and turmoil suffered by the often helpless patients is so severe that it should seriously be considered as a criminal act. In reality, however, this happens every single day and usually needs to be done three times by an aide before her job is even in serious jeopardy. That, is a travesty in the most extreme sense of the word.

Before you say, 'oh, it must have just been a bad agency or isolated incident,' guess again. In the 12 years my mother received home health care, she was serviced by a total of 8 different agencies, located in 3 different geographical areas, and it happened numerous times with each, precipitating me to relocate 1,400 miles across the country to care for her so she wouldn't be faced with the only other alternative — a nursing home.

So what is the alternative? It's great to point out deficiencies in policies and agencies that exist in all manner of life, but what can we do to effect change?

While I don't for a minute pretend to have all the answers, I do know a few ways you can protect yourself or your senior family members and minimize the risk you and your family face from bureaucracy and unscrupulous home health care workers. The answer to the biggest parts of the home health care dilemma is: to register with a local adult day care facility!

If you've never heard of adult day care, I'm not surprised. Neither had I until I began my frantic search for relief from a seemingly merciless home health care system, but I detail everything you need to know about adult day care in my article: 'What is Adult Day Care and is it Right for Us?'
Adult Day Care adds a vital extra level to the stages of progression between being a fully independent citizen and needing the services of a residential nursing home or intermediate care facility.

The question of when the transition to a residential facility is in the best interest of a senior or disabled adult is often the topic of highly contested debate. In recent years, it has almost become a trend to deposit 'grandma' into a residential facility when she loses the ability to fully provide for her own needs; typically when chores such as toileting, bathing, cooking and cleaning become too physically daunting to be handled independently.

The most important thing you need to know now is: You are NOT alone in your quest for better and more reliable senior care! There are many people, like myself, who have endured it, learned our lessons the hard way, and are now more than willing to share what we\'ve learned with you. Nobody should have to endure the futility and hardship of being alone or seeing someone they love being neglected either directly or indirectly. And whether the intent to neglect is there or not, is merely an academic argument as far as I am concerned.

Rather than looking to point fingers, call names, or sling mud (as frustrated and eager to do so as we might be) it's most important to remain focused on the ultimate prize: getting better care for ourselves or our seniors before it's too late and they are forced to suffer any (or any more) of the indecencies mentioned earlier in this article.

For more information, please read: 'What is Adult Day Care and is it Right For Us?' as I spell out where to look; what to do; who to contact; and how to contact them to get you on the road to less stressful care. There is no quick fix to home health care woes, but there are things you can do to get you and your family on the path to easier times. I will endeavor to highlight many of them for you in each successive article on this and related topics.

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About the Author
Dorian Lassiter is the author of numerous articles, short stories and suspense novels.  He is the divorced, 39 year old father of 3, and currently lives in New York City.  He has recently created a trendy new e zine called Omnizine, which will launch it\'s first edition in July, 2011.
for more information on Dorian or his career:
Visit Dorian's Blog @
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Home Health Care Accounting Is Challenging

Author: Gustavo Viera CPA

Home Health Care Accounting Is challenging, not because it's different from other accounting practices, because of the level of detail your financial statements must have in order to properly file your Home Health Care Agency Medicare Cost Reports.  Our Home Health Care Accountants specialize in the field of home health care accounting, Medicare Cost Reports and other regulatory requirements.

The narrower aim of home health care accounting and our Home Health Care Accountants  is to assemble and structure information on the health care system that is needed to hold the providers of health care formally accountable for the cost and the quality of the products and services they deliver.  Our Home Health Care Accountants seek to measure the financial outcome of the myriad decisions made in a business during a quarter or full year.

The challenges of home health care accounting can be illustrated the chart below:

The fundamental statement in this chart is the company's statement of financial position. It presents dollar estimates of the real, financial and intangible assets to which the company has legal title, all of the debt it owes and the difference between total assets and total debt, which is the company's net worth, also called owners' equity.

Our Home Health Care Accountants understand the reporting requirements of a Home Health Care Agency via the Medicare Cost Reports. A typical business can group all its sub-contractors into a single line item on its financial statements. Home health care accounting is much different. You must track and break out the individual disciplines of the sub-contractors on your financials (i.e. PT, OT, ST, HHA etc). If these are grouped together, preparing your Medicare Cost Report will be a nightmare. Furthermore, the corporate tax returns must match the Medicare Cost Reports. Which means that if you're chart of accounts is not sufficiently detailed the preparation of both your Medicare Cost Reports and corporate tax returns will be impossible.

A rejection of your Medicare Cost Report by Palmetto GBA could mean your payments from Medicare will be suspended.

Our Home Health Care Accountants specialize in home health care accounting. Please call us for a free initial consultation and assessment of your accounting records to ensure a smooth year end and subsequent filing of your tax returns and Medicare Cost Reports.

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About the Author
Welcome to our CPA Firm focused on accounting services, tax services, auditing services and bookkeeping services to small & mid sized business as well as individuals. Gustavo A Viera, CPA is a boutique CPA Firm with unique expertise in the medical industry. We are experts in Medicare Cost Reporting, Medicare Credit Balance Report, Proof of Financial Ability Reports and Medicare Parts B & D. A full service accounting firm with a genuine commitment to professional, affordable and personalized service. Gustavo A Viera, CPA a Miami CPA and a Miami Accountant since 1983 takes pride in providing quality services at very reasonable rates. We believe in building long term relationships with our clients. We do that with very little turn over being responsive and progessive to our clients needs and charging a FLAT MONTHLY FEE which eliminates billing surprises. We want to help you grow.

We take a great deal of pride in being able to provide these accounting services all our clientele swiftly, effectively, and maintain our personal touch (see ‘ Miami accounting firms ‘ ). Depending on your internal and external reporting needs, our Miami accounting firms also offer Bookkeeping Services in Miami to help your company comply with basic financial filing and reporting requirements, satisfy stakeholders, and provide more intricate knowledge about your business. For companies that want the objectivity of an audit , but don't require the same degree of scrutiny, a review from a may be a cost-effective alternative. Like an audit , the review is independent report prepared by a Certified Public Accountant and prepared in accordance with generally accepted accounting principles (GAAP) . However, the review provides only limited assurance on the reliability of financial statements, and is therefore recommended for companies whose owners are comfortable with the effectiveness of existing controls and the accuracy of internally prepared statements.

Home Health Care vs Assisted Living

Author: david

The differences here are similar to the differences between assisted living facilities and nursing homes. Much like assisted living facilities, home health care lets seniors enjoy a good measure of independence. An elderly individual or couple will appreciate having privacy as well as assistance in daily living needs.

What Home Health Care Provides
What kind of services does home health care provide? Home health care may help seniors with daily living needs such as bathing, dressing, house keeping and cooking and dining preparation. Depending on the needs of the resident, there may be special provisions such as transportation services and errands, volunteer programs, exercise and walking, and toileting assistance. More extensive forms of home health care would also provide rehabilitation programs, including visits from physical therapists and nurses. Other qualified home health care professionals may include respiratory nurses, occupational nurses, social workers, mental health workers and physicians.

Who pays for home health care? This type of outside assisted living program can be paid by private resources from the resident or family, by public payers such as Medicare and Medicaid or by employer-sponsored health insurance plans. Medicare will usually not pay for home health care on a long term basis while Medicaid is more likely to help low-income families with little or no assets. Employer-sponsored home health care is likely to be on a short term basis unless the insurance plan is very generous. Most of the time home health care will be paid for by a family's own resources.

Comparing Home Health Care with Assisted Living
How does home health care compare with in-house stays at nursing homes and assisted living facilities? Most seniors would prefer home health care, of course, as people always do value their privacy. However, there are also circumstances that would necessitate constant supervision of the resident at an assisted living facility, and not only occasional visits. Home health care is basically assisted living, but with even more independence. Therefore a resident that cannot be left alone for long periods of time would be better suited in a nursing or board and care type home.

It might appear that home health care would be cheaper than a stay in a nursing home. However, home health care costs can be just as expensive, depending on the number of hours aides work. Some residents have admitted that full time home health care usually costs twice as much as a stay in a board and care or assisted living home. Most home health care agencies will charge about $20.00 an hour or over. If the resident is relatively independent then the fees associated with the service can be controlled. However, don\'t forget that if your needs are minimal to begin with, you could hire a trusted individual to perform the same tasks and save money from paying an agency fee.

Home health care is ideal for seniors who feel well and can easily get around but who need occasional doctor visits and help with housekeeping. It is also a preferable choice if a senior needs full time care but does not want to become a resident in a public nursing home. Full time home health care provides the most privacy and personal attention possible. If you are looking for this type of senior assistance, you should always be mindful of the qualifications of workers, as opening one\'s home to a stranger could always be a security risk. The best home health care agencies have screened workers who are well qualified in their field.

How We Can Help You
RoyalProvidence is a company dedicated to helping seniors locate assistance in the southern California area. We inspect assisted living facilities and retirement communities in the area so that our clients will find the perfect home at a price they can afford. Can RoyalProvidence also help seniors find home health care? Yes. Our company can put you in touch with the right home health care agency, according to your special needs and budget limitation. We can also advise you on the differences between home health care services and assisted living and board and care facilities and which choice would better work for you. Seniors have worked hard all their life and surely deserve the best health care possible - whether in a senior living facility or in their own home.

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About the Author
Jane Sanchez is an expert professional on the topic of <a href=\'\'>home health care</a> and <a href=\'\'>Home health care providers</a> due to to her extensive research and experience in dealing with answering clientelle with the same problems or questions.

Retirement News

Seniors Health News

Frequently Asked Questions About Home Health Care

Author: Paloma Home Health Agency

Q: What is home health care?
Home health care is a service that permits patients to receive personalized health care, maintaining their quality of life in the privacy and comfort of their homes.

Q: Why home health care?
Home health care is a cost-effective option for receiving health care services. Returning to one’s home and family can quicken recovery and improve the quality of life for both patient and family or caregiver.

Q: Who pays for home health care?
Most health insurance companies, HMOs, PPOs and Workers Compensation cover home health care. In addition, Medicare and Medicaid pay for home care services. Some insurance providers do not cover all home health services. Our staff will verify health coverage for the patient.

Q: What criteria are required for Medicare to approve services?
The following criteria are used to meet Medicare requirements:
• The patient is a Medicare recipient.
• The patient must be homebound. This is defined by Medicare as “normal inability to leave the home and that leaving the home requires considerable and taxing effort.”
• The skilled care must be medically necessary as determined by the physician.

Q: What if I have a problem at night or on the weekend?
We have registered nurses on call 24 hours a day, 7 days a week.

Q: Do I need a physician’s order for home health care?
Yes, all health care provided in the home occurs under direct order and supervision of the patient’s physician.

Q: What types of services can be provided at home?
Many medical conditions that previously required hospitalization can safely be treated in the home. Home care services may include but are not limited to:

Skilled Nursing:
• Observation and assessment of condition
• Patient and family education of disease process
• Management and evaluation of patient care plan
• Medication education and management
• Dressing changes
• Home safety education
• Wound care
• Catheter care
• Injections
• IV therapy
• Ostomy care
• Pain management
• Diabetic care
• Nutritional support

Assistance with Daily Living:
• Bathing/dressing
• Transfer/ambulation
• Light meal preparation
• Light housekeeping
• Grocery shopping
• Medication reminder
• Laundry
• Companionship/Conversation
• Reading/writing
• Pet sitting/walking
• Escort to appointments
• Live-ins
• Respite
• Exercise therapy assistance

Q: How does Paloma Home Health Care, Inc. ensure quality care in the home?
Providing continuous quality care to patients is paramount to all we do. All patients are given a patient satisfaction survey that is incorporated into our ongoing evaluation process to continually increase our patient satisfaction. New programs and processes are developed through our quality improvement team to promote favorable outcomes.

Q: How do I find out more about home health care?
Please call our office to learn more about how you can benefit more about the service, at 972 346 2013

Q: What services can Paloma Home Health Care, Inc. offer?
Our services include but are not limited to:
• Supportive Care Education of Disease Process
• Individual and Family Counseling
• Management and Evaluation of Patient Care
• Observation and Assessment
• Home Safety and Emergency Education
• Medication Education
• Assistance with ADLs
• Nutrition Education
• Restorative Therapy (Physical, Occupational and Speech)

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About the Author
Paloma Home Health Agency Inc. provides quality service to the elderly, sick, and disabled Let us meet your everyday needs

Fact Sheets: Home Health Care

Author: Paloma Home Health Agency

Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of services and can often delay the need for long-term nursing home care.

More specifically, home health care may include occupational and physical therapy, speech therapy, and even skilled nursing. It may involve helping the elderly with activities of daily living such as bathing, dressing, and eating. Or it may include assistance with cooking, cleaning, other housekeeping jobs, and monitoring one's daily regimen of prescription and over-the-counter medications.

At this point, it is important to understand the difference between home health care and home care services. Although they sound the same (and home health care may include some home care services), home health care is more medically oriented. While home care typically includes chore and housecleaning services, home health care usually involves helping seniors recover from an illness or injury. That is why the people who provide home health care are often licensed practical nurses, therapists, or home health aides. Most work for home health agencies, hospitals, or public health departments that are licensed by the state.

How Do I Make Sure That Home Health Care Is Quality Care?
As with any important purchase, it is always a good idea to talk with friends, neighbors, and your local area agency on aging to learn more about the home health care agencies in your community.

In looking for a home health care agency, the following 20 questions can be used to help guide your search:
  1. How long has the agency been serving this community?
  2. Does the agency have any printed brochures describing the services it offers and how much they cost? If so, get one.
  3. Is the agency an approved Medicare provider?
  4. Is the quality of care certified by a national accrediting body such as the Joint Commission for the Accreditation of Healthcare Organizations?
  5. Does the agency have a current license to practice (if required in the state where you live)?
  6. Does the agency offer seniors a 'Patients' Bill of Rights' that describes the rights and responsibilities of both the agency and the senior being cared for?
  7. Does the agency write a plan of care for the patient (with input from the patient, his or her doctor and family), and update the plan as necessary?
  8. Does the care plan outline the patient's course of treatment, describing the specific tasks to be performed by each caregiver?
  9. How closely do supervisors oversee care to ensure quality?
  10. Will agency caregivers keep family members informed about the kind of care their loved one is getting?
  11. Are agency staff members available around the clock, seven days a week, if necessary?
  12. Does the agency have a nursing supervisor available to provide on-call assistance 24 hours a day?
  13. How does the agency ensure patient confidentiality?
  14. How are agency caregivers hired and trained?
  15. What is the procedure for resolving problems when they occur, and who can I call with questions or complaints?
  16. How does the agency handle billing?
  17. Is there a sliding fee schedule based on ability to pay, and is financial assistance available to pay for services?
  18. Will the agency provide a list of references for its caregivers?
  19. Who does the agency call if the home health care worker cannot come when scheduled?
  20. What type of employee screening is done?
When purchasing home health care directly from an individual provider (instead of through an agency), it is even more important to screen the person thoroughly. This should include an interview with the home health caregiver to make sure that he or she is qualified for the job. You should request references. Also, prepare for the interview by making a list if any special needs the senior might have. For example, you would want to note whether the elderly patient needs help getting into or out of a wheelchair. Clearly, if this is the case, the home health caregiver must be able to provide that assistance. The screening process will go easier if you have a better idea of what you are looking for first.

Another thing to remember is that it always helps to look ahead, anticipate changing needs, and have a backup plan for special situations. Since every employee occasionally needs time off (or a vacation), it is unrealistic to assume that one home health care worker will always be around to provide care. Seniors or family members who hire home health workers directly may want to consider interviewing a second part-time or on-call person who can be available when the primary caregiver cannot be. Calling an agency for temporary respite care also may help to solve this problem (see the Respite Care fact sheet for more information about these services).

In any event, whether you arrange for home health care through an agency or hire an independent home health care aide on an individual basis, it helps to spend some time preparing for the person who will be doing the work. Ideally, you could spend a day with him or her, before the job formally begins, to discuss what will be involved in the daily routine. If nothing else, tell the home health care provider (both verbally and in writing) the following things that he or she should know about the senior:
  1. Illnesses/injuries, and signs of an emergency medical situation
  2. Likes and dislikes
  3. Medications, and how and when they should be taken
  4. Need for dentures, eyeglasses, canes, walkers, etc.
  5. Possible behavior problems and how best to deal with them
  6. Problems getting around (in or out of a wheelchair, for example, or trouble walking)
  7. Special diets or nutritional needs
  8. Therapeutic exercises.
In addition, you should give the home health care provider more information about:
  1. Clothing the senior may need (if/when it gets too hot or too cold)
  2. How you can be contacted (and who else should be contacted in an emergency)
  3. How to find and use medical supplies and medications
  4. When to lock up the apartment/house and where to find the keys
  5. Where to find food, cooking utensils, and serving items
  6. Where to find cleaning supplies
  7. Where to find light bulbs and flash lights, and where the fuse box is located (in case of a power failure)
  8. Where to find the washer, dryer, and other household appliances (as well as instructions for how to use them).
Although most states require that home health care agencies perform criminal background checks on their workers and carefully screen job applicants for these positions, the actual regulations will vary depending on where you live. Therefore, before contacting a home health care agency, you may want to call your local area agency on aging or department of public health to learn what laws apply in your state.


The cost of home health care varies across states and within states. In addition, costs will fluctuate depending on the type of health care professional required. Home care services can be paid for directly by the patient and his or her family members, or through a variety of public and private sources. Sources for home health care funding include Medicare, Medicaid, the Older Americans Act, the Veterans\' Administration, and private insurance.

Medicare is the largest single payer of home care services. The Medicare program will pay for home health care if all of the following conditions are met:
  1. The patient must be homebound and under a doctor\'s care;
  2. The patient must need skilled nursing care, or occupational, physical, or speech therapy, on at least an intermittent basis (that is, regularly but not continuously)
  3. The services provided must be under a doctor\'s supervision and performed as part of a home health care plan written specifically for that patient
  4. The patient must be eligible for the Medicare program and the services ordered must be 'medically reasonable and necessary'
  5. The home health care agency providing the services must be certified by the Medicare program.
To get help with your Medicare questions, call 1-800-MEDICARE (1-800-633-4227, TTY/TDD: 1-877-486-2048 for the speech and hearing impaired) or look on the Internet at

There are several national organizations that can provide additional consumer information about home health care services. These include the following:
  • The National Association for Home Care, which can be reached at 202-547-7424 or by visiting its website at The postal address is: 228 7th St., SE; Washington, DC 20003.
  • The Visiting Nurse Associations of America, which can be reached at 617-737-3200 or by visiting its website at The postal addresses are: 99 Summer St., Suite 1700; Boston, MA 02110.
To find out more about home health care programs where you live, you will want to contact your local aging information and assistance provider or area agency on aging (AAA). The Eldercare Locator, a public service of the Administration on Aging (at 1-800-677-1116 or  can help connect you to these agencies.

Case Study
Because it is not always clear to the average person when an ailing senior needs home health care and when he or she needs nursing home care, it is usually best to consult a medical professional for advice. The following case study describes one situation in which home health care proved to be the right choice.

Francis is 84 years old and recently had a stroke. She was hospitalized briefly and then discharged to continue recovering at home. To enable her to return home, her doctor called a home health care agency, and the agency gave Francis a complete home health care plan for six weeks. Since the doctor ordered the home care for Francis, Medicare paid for it.

For the first week after Francis went home, a nurse visited her every day. The nurse met with Francis's family to discuss her special dietary needs and to arrange for exercise therapy to help Francis regain her strength. Once that was done, the nurse visited Francis twice a week to check on how well she was recovering. The home health care agency also sent a homemaker, a personal care attendant, and a physical therapist to visit Francis several times during the week. The homemaker would do the shopping and cook light meals. The personal care attendant would help Francis bathe, get dressed, and walk. The physical therapist would keep Francis moving and see to it that she got some exercise to aid in her recovery.

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