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Extra info for Geriatric Home-Based Medical Care: Principles and Practice
Aides can also provide non-skilled wound care and reinforcement of the home therapy program. 10 T. R. Murphy Medicare Skilled Home Health Skilled home health is a valuable partner to the HBPC provider. In our experience, approximately one-third to one-half of HBPC practices’ patients require skilled home health services in a given year. The service is relatively ubiquitous, with over 99 % of Medicare beneficiaries in 2012 living in a zip code with at least one HHA and 84 % living in an area with five or more HHAs .
7 Home Health Therapy Home health therapy provides rehabilitative treatment in the home. The goals of therapy are to maximize safety in the home environment, train the patient and family in a home exercise program, optimize assistive devices, attain maximum function, and possibly progress to the appropriate next level of care (such as outpatient therapy). The three areas of therapy are described below: • Physical therapy: provides skilled evaluation/assessments of individuals with mechanical, physiological, and functional limitations and disabilities.
Each region offers a range of senior supporting services, including Information and Referral Services intended to help families connect to services. Given community-level and regional variation, HBPC providers are advised to reach out and develop a relationship with a contact at their local AAA or subgranting agency; this minor investment of time will yield valuable guidance but may also offer secondary benefits in regard to facilitated or improved referrals, timely guidance about changes in resources/eligibility, and even referrals of appropriate patients to your clinical practice.