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I will be giving this presentation to the Richardson Center in Commerce Twp, on May 6th.. I am available to present this information or other presentations to senior communities.
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An Introduction to In-Home Care Options
Robert Dickinson
Owner, Trillium HomeCare
Trillium HomeCare
• Our Mission and Core Values• Home Care Services• Home Health Care Services• Hospice Services• Family Caregiver and Respite• Ask Questions• Payment Options
Trillium HomeCare
A Passion for Making a Difference in the Lives of the Jewels of Our Community
Core Values
Integrity is the Foundation
Treat Each Other with Respect
Teamwork Empowers us to Excel
Setting Higher Standards of Excellence
Home Care
• Includes non-medical, personal care & companion care
• Services are tailor-made to clients, based on needs and wants
• Care is often supervised by a nurse• Care can be provided privately, by a registry,
family or an agency• Minor medical services may be available
Home Care Services
• Meal Preparation • Home Safety Supervision • Housekeeping & Laundry • Accompany to
Appointments• Medication Reminders • Shopping, Errands &
Transportation
• Bathing, Dressing & Oral Hygiene
• Assistance in the bathroom
• Vital signs • Monitoring oxygen • Colostomy care • Recording overall
physical and mental health
• Medication Set Ups
Home Care
PROS• Security and comfort • Dignity and
independence• Flexibility of scheduling• Customized care (1:1)• Can be cost-effective• May use hospice and/or
home health agency as care needs increase
CONS• Agency services & quality
can vary widely• Medicare or commercial
carrier will not reimburse• Can become costly
Home Health Care
• Medical services (skilled and therapeutic) delivered to client in their place of residence
• Usually prescribed by MD• Care providers are nurses, physical, occupational and
speech therapists, social workers and home health aides• Often used only temporarily, during a period of rehab• Can hire privately, but an agency is generally the safest
& most comprehensive source of assistance
Home Health Services• Rehabilitation- physical,
occupational & speech-language
• Medical social services & counseling
• Infusion therapy• Specialized high-tech
services• Respiratory therapy
• Laboratory & diagnostic services
• Case management• Nutritional support
therapies & counseling• Behavioral and mental
health counseling & support services
Home Health ServicesPROS• Stay in the comfort of home
while rehab• Medicare or other insurance
pays for many of these services (but only for a short time)
• Can maintain a higher quality of life- physically and emotionally- when rehabilitate at home
• Limited risk of communicable diseases
CONS• When skilled or
therapeutic services are no longer needed, Medicare will not continue to pay for care by HHA’s
• May lose “personal touch” if using home telehealth care
Family Caregiving and Respite
• Family members (or friends & neighbors) provide care to clients in their place of residence
• Because of the demands on time, care is often augmented or substituted by volunteers or a home care agency (respite care)
Family Caregiver and Respite
PROS• Respite care provides
more flexibility & stress relief for family caregivers
• Can be cost effective for client
• Client has close contact with family members
CONS
• Caregivers may or may not have appropriate skills
• Caregiver burnout is common
• Caregivers’ own health can suffer
• Client may need to move into adult children’s home
What Hospice Care Is• Comfort oriented care• Wide array of services
– Physicians– Social Worker– Spiritual Care– Nurses– Volunteers
• Extensive family support• High touch
What Hospice Care Isn’t• Not “all or nothing.”
The patient identifies the services they want Hospice to provide.
• Not a place or person. Hospice is a philosophy that can be applied anywhere:– Private Home – Adult Foster Care– Nursing Homes
Ask Questions
• Insurance and bonding• Licensing or certification• Employee verification- background & reference
checks, motor vehicle records & check nurse aide registry
• What payer sources do they accept? • Minimum number of hours• How quickly can they find a caregiver
Ask Questions
• What will this cost?• If a home care/home health agency:
– Does the agency take care of quarterly taxes and worker’s compensation insurance or is client responsible?
– Are quality assurance programs in place (ongoing education, supervision, care calls & weekly updates)?
– Are caregivers trained and experienced?
Payment Options
• Private Pay (accounts for 90% of payments for ALFs and home care)
• Long Term Care Insurance is your best bet• Medicare & Medicaid (hospice and skilled care
only) • Veterans Aid and Attendance Pension
28237 Orchard Lake Rd, Suite 103
Farmington Hills, MI 48334
248-539-0714www.trilliumhomecare.com
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