Skilled Home Health Care Programs

Feel confident you’ll get high-quality care and a treatment plan that works for you. Our experienced team offers services that are overseen by a highly skilled team. Benefit from:

• Chronic condition management – Care for long-term conditions, including diabetes, chronic obstructive pulmonary disease (COPD) and heart failure
• Fall prevention – Help to assess your risk for a fall and make your home safer
• Medication management – Services to understand and safely take drugs
• Palliative care – Care to improve wellbeing for people with a life-threatening illness and their families
• Pain management – Treatments to improve your comfort
• Pediatrics – Support for families with newborn babies, children and adolescents
• Post-operative rehabilitation – Help to heal and reduce risk of infection after surgery
• Neurological rehabilitation – Therapies to treat brain, spine and nerve conditions, including dementia, multiple sclerosis (MS) and Parkinson’s disease
• Rehabilitation therapies, such as occupational therapy, physical therapy and speech and language therapy
• Safe and healthy at home program – Follow-up services to reduce risk of medical complications and readmission to the hospital
• Wound and ostomy care – Care for surgical incisions, stomas, burns and other types of wounds

All people with Part A and/or Part B who meet all of these conditions are covered:

• • You must be under the care of a doctor, and you must be getting services under a plan of care created and reviewed regularly by a doctor.
  • You must need, and a doctor must certify that you need, one or more of these:
    • Intermittent skilled nursing care (other than drawing blood).
    • Physical therapy, speech-language pathology, or continued occupational therapy services. These services are covered only when the services are specific, safe and an effective treatment for your condition. The amount, frequency and time period of the services needs to be reasonable, and they need to be complex or only qualified therapists can do them safely and effectively. To be eligible, either: 1) your condition must be expected to improve in a reasonable and generally predictable period of time, or 2) you need a skilled therapist to safely and effectively make a maintenance program for your condition, or 3) you need a skilled therapist to safely and effectively do maintenance therapy for your condition.
  • You must be homebound, and a doctor must certify that you’re homebound

You’re not eligible for the home health benefit if you need more than part-time or “intermittent” skilled nursing care. You may leave home for medical treatment or short, infrequent absences for non-medical reasons, like attending religious services. You can still get home health care if you attend adult day care.

Your costs in Original Medicare

• • $0 for covered home health care services.
  • After you meet the Part B deductible, 20% of the

Medicare-Approved Amount

•   for Medicare-covered medical equipment.

Before you start getting your home health care, the home health agency should tell you how much Medicare will pay. The agency should also tell you if any items or services they give you aren’t covered by Medicare, and how much you’ll have to pay for them. This should be explained by both talking with you and in writing. The home health agency should give you a notice called the Advance Beneficiary Notice” (ABN) before giving you services and supplies that Medicare doesn’t cover.

Patient & Caregiver Education

Depend on our staff to answer questions and provide information about your condition. During visits to your home, we’ll provide education to you and your loved ones to help you learn to live as independently as possible and take care of yourself at home.

Nutrition Assessment & Care

Nutrition services may be helpful if you have:

• A certain health condition, like cancer, diabetes or HIV/AIDS
• Eating, drinking or swallowing problems
• Feeding tube
• Mental health concerns, like depression
• Trouble cooking or getting groceries

During a nutritional screening, an Adventist HealthCare dietitian will check if you or a loved one are at risk for poor nutrition. Other services include:

• Diet education for specific health conditions, such as diabetes
• Meal planning
• Nutritional counseling and education about healthy food choices
• Nutrition screening

Social Services at Home

Your care plan may include visits from Adventist HealthCare medical social workers and social work assistants. Count on these caring professionals to offer emotional support and connect you with resources in the community. These social services may include:

• Food delivery
• Equipment resources
• Prescription assistance
• Rental and utility assistance
• Transportation

Spiritual Care

Reach out for guidance that can restore your wellbeing and prevent loneliness and depression, whatever your faith or spiritual background. Ask for chaplains from Adventist HealthCare to visit you at home. Spiritual care may help you, your friends or family members cope with:

• Diagnosis or serious illness
• Grief support over the recent loss of a loved one
• Personal relationship or family problems
• Questions about pain or death

How to Get Home Care

Talk to your primary care provider or another member of your care team to learn if home health care is right for you. You may need a doctor’s referral for certain services.

Streamlined Care

Trust us to talk regularly with your other health care providers. We’ll work together so you get the best care, even if your condition changes.

Home Care After Hospitalization

Planning to get home care may mean you can go home sooner after a hospital stay. Dedicated care at home can help you avoid problems that could lead to a health emergency or readmission to the hospital.

Chronic Condition Management

Depend on the compassionate specialists at Adventist HealthCare for services to improve your wellbeing and help you achieve your goal of living independently at home.

Conditions We Treat

Partner with nurses, therapists and other care providers with experience treating:

• Arthritis
• Chronic wounds
• Breathing conditions, such as chronic obstructive pulmonary disease (COPD)
• Cancer
• Diabetes
• Heart and vascular conditions, including congestive heart failure (CHF), coronary artery disease (CAD) or hypertension (high blood pressure)
• Neurological conditions, such as dementia, multiple sclerosis (MS) and Parkinson’s disease

Services at Home

Your care providers will offer information about your diagnosis and a personalized plan to manage your condition. This can help you know when to call a doctor, avoid injuries and prevent a health emergency.

Your care plan may include:

• Catheter care
• Feeding tube support
• Home safety assessment and fall prevention
• Injections and blood draws
• Medication management
• Oxygen therapy and safety
• Patient and caregiver education
• Skin care
• Wound and ostomy care

In-Home Rehabilitation

Work towards your rehabilitation goals at home with a dedicated therapist. Depending on your condition, you may have:

• Neurological rehabilitation – Addresses symptoms caused by brain, spine and nerve conditions
• Occupational therapy, including learning to use adaptive equipment – Helps you do your daily activities
• Physical therapy – Uses exercises, massage and other treatments to improve your ability to move and lessen pain
• Speech and language therapy – Treats communication, eating and swallowing problems

Coordinated Care

Rely on your care providers to communicate with other members of your care team, including your primary care provider. Your care plan may change to make sure you get the most benefit.