Notes from 01/12/11 lecture

From Iusmicm

• started here on 01/12/11 at 1PM.

[edit] Home health

[edit] VNS

• Nancy Bus at the home health care service with which we're partnered (VNS).
• Physical therapy
• Occupational therapy
• Supervision, education, intervention.
• Who pays:
  • Medicare, mostly
  • Medicaid, 50% lost
  • Charity care: dollars from their organization
    • Among hhc services 25-50% of patients
• They try to work around the patient's schedule as opposed the nursing home model in which the schedule is set for the patient.
• They teach the patient a lot:
  • Helps the patient monitor themselves
  • Helps the home health care monitor remotely
• Goal:
  • Be independent as possible
  • Get one-on-one education
• Expense:
  • $150 / visit
  • Much cheaper than the hospital
• Main interaction of hhc worker with physicians is with the specialist who is directing care.
• Tech:
  • Get vitals and such through tele- or gps-enabled units
  • About $3000
• Medicare:
  • Requires homebound status
  • If it stabilizes then they get the boot after 3 weeks
• HERG scores:
  • Homecare's DRG
  • DRG: the code that tells medicare or medicaid how much to pay.
• Housecalls:
  • Wishard program
  • Provides home visits of physicians and nurses and the hhc service
• Eligibility:
  • Most everyone is eligible.
• VNS:
  • This group originated as Public Health Service of Indianapolis.
  • Many patients.
  • Capital drive to build a housing unit.
  • Have an immunization program, includes international vax.
  • Spread over many central Indiana counties.

[edit] Clarian Home Health Service

• Some stuff about this.

• stopped here on 01/12/11 at 2PM.