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Home Health and Hospice Care Pharmacy
Published in William N. Kelly, Pharmacy, 2018
Much has been made of integration in healthcare, although the idea is simple. Freestanding home care agencies offer a single product line such as private duty nursing, home medical equipment (HME), or infusion therapy. There are also home care agencies that provide more than one product, with the most common being nursing care and infusion therapy. However, only a healthcare system can provide integrated care: emergency care, chronic care, ambulatory care, home care, and long-term care.
The Americanization of Old World medicine
Published in Lois N. Magner, Oliver J. Kim, A History of Medicine, 2017
During the early twentieth century, the expanding public health movement offered trained nurses a field with more professional autonomy than routine hospital work or private duty nursing. Public health nurses were involved in settlement houses, school nursing, child welfare, anti-venereal disease campaigns, factory dispensaries, first aid stations, preventive medicine, and health education. By having an approved protocol and standing orders from a doctor, the nurse avoided legal problems and enjoyed considerable autonomy. The National Organization for Public Health Nursing was founded in 1912, but most local governments had little interest in sponsoring public health nursing services. Visiting nurse associations were profoundly impacted by changes in the medical system as the role of hospitals expanded.
How Palliative Care Is Unique in the Health Care System
Published in Stephen R. Connor, Hospice and Palliative Care, 2017
Home health care is provided by a number of providers in the United States. Home health agencies, homemaker services, home infusion companies, durable medical equipment providers, and private duty nursing pools all provide services to patients at home. They most often deliver care to patients who are recovering from an illness and help rehabilitate them to the point where they are able to care for themselves. Current home health agency payment rules encourage patients to be admitted, and the agency is rewarded if they can complete the care in as short a period as possible. Home health agencies also provide health services in the home to chronically ill patients whose prognosis is uncertain. These patients may use home health care to be able to leave the hospital early or to prevent readmission. Home health agencies also care for terminally ill patients but are less effective at meeting their total needs than hospice programs.
Profile of medical care costs in patients with amyotrophic lateral sclerosis in the Medicare programme and under commercial insurance
Published in Amyotrophic Lateral Sclerosis and Frontotemporal Degeneration, 2018
Lisa Meng, Amy Bian, Scott Jordan, Andrew Wolff, Jeremy M. Shefner, Jinsy Andrews
Monthly costs increased nine months before the diagnosis was made (Figure 1), with the highest-cost month being the month of diagnosis (index month) (Table 2). Costs were lower in the month following the index month but were still higher after diagnosis than they were pre-diagnosis. Total costs in the months following diagnosis were substantial and increased with longer survival times (Figure 2). Inpatient facility costs accounted for most costs incurred in the index month and were over $600 higher in the final month of life versus the post-index period. In contrast, costs associated with durable medical equipment (DME) were highest in the months following the index month and were lower in the final month of life (Table 2). Private duty nursing/home health costs also increased across the study period.