Services and equipment provided in the home for a limited period of time to patients experiencing an acute injury or illness episode.
An antibiotic used in aerosol form as a prevention against PCP.
Used to monitor the Cessation (stopping) of breathing.
A program eligible to long term home health care programs under separate certification designed to meet the special needs of Acquired Immune Deficiency Syndrome (AIDS) patients. A home care service agency that posses a valid certificate under Article 36 of the New York State Public Health Law, or a hospital or nursing facility possessing a valid certificate under Article 28 of the Public Health Law. Regulated by the New York State Health Department, it provides part time, intermittent health care and support services to individuals who have immediate and skilled healthcare needs for a short time. These agencies provide nursing and home health aide services, and provide or arrange for other professional services, including physical therapy, occupational therapy and speech therapy, as well as social work and nutrition services.
CHAP (Community Health Accreditation Program): CHAP is the leader in improving the quality of care in the home care industry. By combining a high quality accreditation program with deemed status and a strong national presence, CHAP accreditation is a valuable asset to today's home care organization. It brings recognition for quality care and a reputation for caring about people. CHAP's goal is that home care not only prosper, but gain strength in the overall health care industry. To achieve this, CHAP is devoted to providing consultation of the highest caliber, along with a broad network of professional resources.
The identification and provision of services, support and assistance, as related to the health, social, emotional and spiritual satisfaction of the consumer.
DURABLE MEDICAL EQUIPMENT (DME): Equipment which can withstand repeated use, is primarily and customarily used to serve a medical purpose. Generally this equipment is not useful to a person in the absence of an illness or injury, and is appropriate for use in the patient’s home.
A federal program established under Part H of the Individuals with Disabilities Education Act (IDEA) assists states in developing a statewide family-certified system of early intervention services for infants and toddlers up to three years of age with developmental delays or disabilities and their families.
Nutritional support given via the alimentary canal or any route connected to the gastrointestinal system (i.e., the enteral route). This includes oral feeding, sip feeding, and tube feeding using nasogastric, gastrostomy, and jejunostomy tubes.
The traditional method of paying for medical services. A physician charges a fee for each service provided, and the insurer pays all or part of that fee.
One or more services provided to persons at home by a home care services agency, such as home health aide services, personal care services, homemaker services, or housekeeper or chore services.
Provides health care tasks, personal hygiene, housekeeping tasks and other related support services essential to a patient’s health. In a certified home health agency, a home health aide must have successfully completed a state-established, or other training programs meeting federal requirements, and a competency evaluation or state licensure program.
Supplies essential nutrients, fluids, electrolytes, medications, blood or blood products directly into the patient’s blood stream. Specific therapies include antibiotics, diuretics, pain control, hydration, chemotherapy, and total parenteral nutrition.
Joint Commission on Accreditation of Healthcare Organizations. An accreditation body whose mission is to improve the quality of healthcare provided to the public. JCAHO received deemed status from the federal government for health care agencies.
Children who stay home alone, either for a few hours after school during the school year or for the summer months, are commonly referred to as "latchkey children." The phrase "latchkey" originates from the early 19th century, when children in a similar situation would wear the key to their home tied to a string they wore around their neck and were responsible for their own care.
LONG TERM HOME HEALTH CARE PROGRAM (LTHHCP): Regulated by the New York State Health Department, the Long Term Home Health Program offers health care and support services to disabled or chronically ill persons who are medically eligible for admission to a hospital or residential health care facility (nursing home), but who prefer to remain at home. These programs provide a full range of professional and aide-level health care services to those in need over a long period of time.
Enacted into law in 1965 (PL 89-97), Medicaid is a federal-state health insurance program. All categories of home care services in New York State are currently paid for under the Medicaid program.
Signed into law in 1965 under Title 18 of the Social Security Act, Medicare is the federal health insurance program for the elderly (those 65 and older) and disabled. Medicare will pay for home health provided by CHHAs to individuals who are homebound and require skilled nursing care on a short-term basis.
This universal part of Medicare pays for hospital care, home health care, skilled nursing facility care, and hospice.
This voluntary part of Medicare, known as Supplementary Medical Insurance, covers medical expenses, home health care and laboratory services.
The assessment of each individual by a registered professional nurse from a Certified Home Health Agency (CHHA). This assessment is based upon a visit to the home of the potential client.
A Registered Dietitian (RD) may assess a patient’s nutritional needs and develop a plan to meet them. These services may include basic meal planning on a limited income, or planning complex therapeutic diets.
Outcome and Assessment Information Set. The set of data that Health Care Financing Administration (HCFA), requires Home Health Aide (HHAs) to collect on their patients.
An Occupational Therapist (OT) is needed if a patient has suffered an injury or illness which has affected perceptual motor skills or the ability to perform activities of daily living, such as dressing, eating, or cooking. The occupational therapy program can consist of evaluation, activities of daily living training, adaptive equipment, recommendations, therapeutic exercises or perceptual motor training, all geared toward helping the patient attain his or her maximum potential in perceptual motor and daily activity skills.
Administration of oxygen for the treatment of conditions resulting from oxygen deficiency.
IV infusion of nutrients.
PATIENT REVIEW INSTRUMENT (PRI) ASSESSMENTS: For an older person to be considered for admission to a long-term facility, the New York State Department of Health requires a comprehensive evaluation of their health care needs and functional abilities, and completion of a Patient Review Instrument (PRI) assessment. A specially trained nurse will schedule a visit to a client's home to explain and conduct this assessment at a time convenient for the client and their family.
Assists with personal hygiene, nutritional support and environmental maintenance necessary for an individual to remain in his/her home.
Treatment with light. For example, a newborn with jaundice may be put under lights.
A Physical Therapist (PT) is needed if a patient has suffered an injury or illness which has affected motor skills or function. The physical therapy program may consist of evaluation, therapeutic exercises, gait training, adaptive equipment recommendations, massage, heat, cold, or electrical treatments – all geared toward helping the patient attain his or her maximum functional motor potential.
Care provided to pregnant women after childbirth or after delivery.
Care provided to pregnant women in order to prevent complications, and decrease the incidence of maternal and prenatal mortality
PROSPECTIVE PAYMENT SYSTEM (PPS): Under prospective payment system, Medicare will pay home health agencies (HHAs) a predetermined base payment. The payment will be adjusted for the health condition and care needs of the beneficiary. The payment will also be adjusted for the geographic differences in wages for HHAs across the country. The adjustment for the health condition, or clinical characteristics, and service needs of the beneficiary is referred to as the case-mix adjustment. The home health PPS will provide HHAs with payments for each 60-day episode of care for each beneficiary. If a beneficiary is still eligible for care after the end of the first episode, a second episode can begin; there are no limits to the number of episodes a beneficiary who remains eligible for the home health benefit can receive. While payment for each episode is adjusted to reflect the beneficiary’s health condition and needs, a special outer provision exists to ensure appropriate payment for those beneficiaries that have the most expensive care needs. Adjusting payment to reflect the HHA’s cost in caring for each beneficiary including the sickest, should ensure that all beneficiaries have access to home health services for which they are eligible.
Portable meter for the monitoring of oxygen saturation.
Provides treatment, education and training to patients with chronic lung problems. Respiratory home care patients are supplied with any needed respiratory equipment such as concentrators, liquid and cylinder oxygen systems, aerosol and drug nebulization equipment, and home ventilator support systems.
Activities requiring the skill of a registered nurse. They include assessment, education, and administration of medications and treatments.
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