Home from the hospital already?
As stays for hospital patients grow progressively shorter, even for procedures as serious as repairing a brain aneurysm or inserting a pacemaker, patients' need for highly skilled nursing care at home is growing. Indeed, every week, thousands of these patients are referred to home health care services. But many times patients accept the referrals their hospitals make without knowing that they have a choice of care providers. Vulnerable from fatigue and pain, too weak or tired to drive back and forth for doctors' follow-up and without family to stay with them, they may be more inclined to accept these hospital recommendations without question. Yet, federal law requires that hospital patients needing home health care following discharge be informed that they have a choice.
"Patients and their families have the right to ask questions and talk with their doctors, friends or community service directors, and bring up names of agencies they've heard of, and they do not have to feel obligated to accept a hospital's referral. There are differences in the ways home health care agencies operate and one may meet their needs better than another. In fact, for serious conditions, who they choose may affect the length of their recovery or their ability to stay out of the hospital for the long term," said Judith Boyko, CEO of the Natick Visiting Nurse Association.
As a result of the Balanced Budget Act of 1997 and the Medicare Conditions of Participation for Hospitals, patients needing home health care must be given a list of their options prior to their hospital discharge. The list must include organizations in patients' geographic area that are Medicare certified and have asked to be included on the list, and hospitals must disclose if they have a financial interest in any them.
Natick VNA offers the following checklist to help patients and their families make the most informed choice of a home health care provider:
The Natick Visiting Nurse Association encourages all potential home care patients and their families to remember that they do have a choice of provider when it comes to home care, and it is important to have satisfactory answers to the above questions, when it comes time to make that choice.
About Natick VNA. For over 111 years, the Natick Visiting Nurse Association of Natick, Massachusetts has been serving more than 20 communities in MetroWest Boston. As the area's premier freestanding, not-for-profit home health care agency, Natick VNA helps patients of all ages reduce hospitalizations and live with maximum independence in their own homes. Utilizing the latest in home care technology, Natick VNA's highly skilled professional and compassionate caregivers make over 60,000 home visits each year to more than 2,500 people, seeing 350 patients every day. The Natick VNA endeavors to provide care, regardless of a patient's ability to pay. For more information, please visit: www.natickvna.org