Home Healthcare

What are home healthcare services?

Home healthcare services include a range of medical and non-medical services provided to individuals in the comfort of their own homes. These services are typically delivered by trained medical professionals and caregivers and are tailored to meet each patient’s specific needs. Nurses, therapists, aides, or other medical professionals can provide home health care services for the purpose of treating or managing an illness, injury, or medical condition. Home health care staff follow the physician-prescribed plan.

These services aim to promote recovery, enhance quality of life, and maintain independence for individuals with difficulty accessing traditional healthcare settings.

What do home healthcare services include?

Here are some standard home healthcare services:

• Nursing care: Registered and licensed practical nurses provide skilled nursing care, including medication administration, wound care, injections, catheter care, feeding tube care, tracheostomy care, and monitoring of vital signs.
• Physical therapy: Physical therapists (PTs) help patients regain strength, mobility, and function through exercises, stretches, manual therapy techniques, and assistive devices. They also educate patients and caregivers on safe movement and injury prevention.
• Occupational therapy: Occupational therapists (OTs) focus on improving patients’ ability to perform daily activities independently. They assess functional abilities, recommend adaptive equipment, teach compensatory techniques, and modify the home environment to enhance safety and accessibility.
• Speech therapy: Speech therapists assist patients with communication disorders, swallowing difficulties, and cognitive impairments. They provide speech and language exercises, swallowing therapy, cognitive-linguistic training, and strategies for improving communication skills.
• Home health aides/personal care assistants: Trained caregivers or home health aides assist with activities of daily living (ADLs), such as bathing, grooming, dressing, toileting, and feeding. They may also provide companionship, light housekeeping, meal preparation, and medication reminders.
• Medical equipment and supplies: Home healthcare agencies may supply medical equipment and supplies, such as oxygen therapy equipment, mobility aids (e.g., walkers, wheelchairs), hospital beds, wound care dressings, and urinary catheters, as prescribed by healthcare professionals.
• Chronic disease management: Healthcare professionals help manage chronic conditions such as diabetes, hypertension, heart disease, chronic obstructive pulmonary disease (COPD), and arthritis through medication management, lifestyle modifications, education, and monitoring of symptoms. The type of care encompassed by home health care covers a myriad of ailments and diseases, including aftercare following illness or surgery (e.g., Joint, knee, or hip replacement) and psychiatric conditions like Alzheimer’s and dementia.
• Palliative care services: For individuals with serious illnesses or nearing the end of life, home healthcare agencies may offer palliative care to relieve pain and manage symptoms, as well as hospice services to provide comfort and support for patients and their families.

How are home healthcare services different from outpatient services?

Patients visit healthcare facilities such as hospitals, clinics, or diagnostic centers to receive medical care. A team of healthcare professionals, including nurses, therapists, and caregivers, visit the patient’s residence to deliver medical care in-home healthcare services. It provides convenience for patients with difficulty traveling to healthcare facilities due to illness, disability, or other reasons. It eliminates the need for transportation and waiting times in healthcare settings.

How does the pricing of home healthcare services compare with those provided in healthcare setups?

Home healthcare is typically less expensive than hospitalization or a long-term nursing home stay.

What do I need to keep in mind when signing up for different categories of home healthcare services?

Factors to consider when choosing a home care agency

• Assessment of needs: Before signing up for home healthcare services, it’s essential to undergo a thorough evaluation of your medical, physical, and functional needs. This assessment helps determine the type and level of care required, such as nursing care, therapy services, or assistance with activities of daily living (ADLs).
• Credentials and Accreditation: Ensure the home healthcare agency and its staff members, including nurses, therapists, and caregivers, are appropriately licensed, certified, and accredited by relevant authorities. Check their qualifications, training, and experience to ensure they meet professional standards.
• Services offered: Understand the range of services provided by the home healthcare agency, including medical care, therapy services (e.g., physical therapy, occupational therapy, speech therapy), personal care assistance, medication management, and specialized treatments (e.g., wound care, palliative care).
• Communications: Establish clear lines of communication and coordination with the home healthcare team, including nurses, therapists, caregivers, and administrative staff. Ensure that you can easily reach them in case of emergencies or concerns.
• Quality of care and customization: Inquire about the home healthcare agency’s quality assurance measures, procedures for handling emergencies and unforeseen situations, safety protocols to ensure the highest standards of care and patient safety are maintained.
• Transparent billing and funding sources: The agency should provide clear and transparent billing information, including a breakdown of fees and any potential additional costs.

What are accreditation system in India for home health care and its advantage?

Quality and Accreditation Institute (QAI) is the accreditation body in India. QAI is a private institution that started health care accreditation activities in 2017 for both public and private health care facilities. QAI operates at national and international level. QAI accreditation is recognised by the Ministry of Health & Family Welfare’s Central Government Health Scheme for incentive-based empanelment. QAI offers 14 accreditation programmes (clinic, ambulatory care, hospital, home care, ART/IVF, dialysis, emergency department, stroke care, telehealth, transition care centre, rehabilitation centre, deaddiction centre, assisted living/senior care and green healthcare facility) for which standards have been developed by Technical Committees. The standards are developed using International Society for Quality in Health Care (ISQua)’s principles for standards development and best practices in each field.

QAI as an organization is accredited by ISQua External Evaluation Association (ISQua EEA), and the hospital and home care standards are also accredited by ISQua EEA.

Accreditation is voluntary in India. So far, 110 health care facilities have been accredited/processed by QAI.

Accreditation can be regarded as one of the most attractive form of tool for external quality assessment of healthcare organizations. One of the main purpose of the accreditation is to improve the quality of the healthcare by establishing optimal achievement goals in meeting standards for healthcare organizations. Health care accrediting bodies use a variety of evaluation approaches during onsite survey in order to determine the healthcare organizations performance with predetermined standards.

References

• https://www.medicare.gov/what-medicare-covers/whats-home-health-care
• https://keystone.health/home-health-care-101#who-qualifies-for-home-health-care
• https://www.amedisys.com/services/home-health-care/home-health-complete-guide/
• https://www.kendalathome.org/blog/things-to-look-for-when-choosing-home-care-agency
• https://med1care.org/company-news/home-care-findlay-oh-company-news/8-things-to-look-for-when-choosing-a-home-care-agency/
• https://americareinfo.com/guide-to-choosing-an-in-home-care-agency/
• https://hlh.who.int/ab-detail/health-care-accreditation-in-india—quality-and-accreditation-institute-(qai)-experience#:~:text=QAI%20as%20an%20organization%20is,been%20accredited%2Fprocessed%20by%20QAI.