There is no place like home is a well-known adage that the healthcare industry has recently embraced as it enters in the early years of the 21st century. According to the Joint Commission, the home is the best place for healthcare, and it has proven to benefit the patients in many ways, because the cost of care is lower, the patients are happier and the environment is friendlier (Dilwali, 2013). CMS defines home care as “prescribed services delivered in the patient’s home such as nursing care; physical, occupational and speech language therapy; and medical social services” (Dilwali, 2013, p. 269). Home care includes disease prevention, health promotion and illness related services (Stanhope & Lancaster, 2014). The goal of home care is to ensure that the client’s health improves while increasing the individual’s independence. This combination guarantees an optimal level of well-being (Dilwali, 2013). Many models fall under the umbrella of home care and assist in the success of these goals: population-focused, transitional, home-based primary, home health and hospice. In order to fully understand home care, one must analyze each of these models and understand the financial, ethical and legal challenges that the community health nurse faces while serving the clients.
Studies have proven that population-focused care prevents avoidable hospital readmissions, improves quality of care and reduces costs. Population-focused care has “improved understanding of chronic disease complexity and improved care coordination in the population” (Hewner, 2014, p. 109). The premise for population-focused care is that the population is divided into groups that have comparable needs, which redirects care to needed servic...
... middle of paper ...
...ues. Home health agencies are reimbursed by a variety of sources however the process is rather complex. The majority of the reimbursement comes from Medicare and Medicaid, but other funds come from grants, contracts or third-party payers (Stanhope & Lancaster, 2014). Once Medicaid is billed as the primary payer, the other insurances are utilized such as Medicare or third party. Medicare has instilled a payment process to prevent fraudulent billing. Consequently, nurses must be extremely conscientious on how they bill and they must explain to patients what Medicare will cover and what it will not, which sometimes is difficult for patients to understand. In the patient’s eyes they require the services that these nurses render; it is difficult for them to understand that the services are covered only if their condition become unstable (Stanhope & Lancaster, 2014).
Need Writing Help?
Get feedback on grammar, clarity, concision and logic instantly.Check your paper »
- No Place like Home: The Advantages of Homeschooling Mahatma Gandhi once said, “There is no school equal to a decent home and no teacher equal to a virtuous parent.” Why send your children to a school, when they can receive an even better education from the comfort and safety of home. Although many people believe that it is bad for children 's education, homeschooling is actually a better and safer alternative to public and private schools. A very clear advantage to homeschooling is that students can learn at their own pace.... [tags: Homeschooling, Education, Alternative education]
1175 words (3.4 pages)
- There’s No Place Like Home for Christmas We heard the tell-tale screech of my father’s car pulling into the drive. Five O’ clock had rolled around, and having the whole day for laundry, we were expected to be ready. We three kids scrambled to finish our packing, cramming the last bits of road-tripping essentials into our already bursting book-bags. All the while, our mother was frantically trying to herd the three housecats into the car. After about a dozen other distractions, we were finally set.... [tags: Family, Grandparent, Christmas, Mother]
1893 words (5.4 pages)
- There's No Place Like Home- Personal Narrative Other than the sweltering heat in the summer time in Oklahoma City, the only dilemma are tornadoes. I grew up in the middle of this “tornado alley” and eventually developed a sixth sense for detecting tornadic activity. Even in the 1980’s tornadoes were known for their violent crime wave, vandalizing neighborhoods and kidnapping children and adults. Imagine a beautiful evening in Moore, a suburb lying on the outskirts of Oklahoma City. Mom is in the kitchen and the kids are playing in the yard.... [tags: Papers]
765 words (2.2 pages)
- Chihuahua the Place I Call Home Each one of us have a special place that we like to call home. For me home is not only the place where I currently live. Home is where I made my most important memories both good and bad, where I have no regrets, and the place that I have to look back to every time I need to remember who I am. My hometown for me is not only the place where I was born and raised, it is the place where my story begin, the place that made me who I am, and perhaps the place that defines who I will become.... [tags: United States]
911 words (2.6 pages)
- In Alison Bechdel’s Fun Home, Bechdel uses the theme of appearance versus reality to highlight her relationship with her father. Bechdel utilizes her illustrations and short sentences to reveal these things about herself and her father. Bechdel opens her memoir with a chapter entitled “Old Father, Old Artificer”. Bechdel refers to her father, Bruce Bechdel, as an artificer because she sees him as a skilled craftsman. Bechdel describes, “His greatest achievement, arguably, was his monomaniacal restoration of our old house.” (Bechdel 4).... [tags: Family, Mother, The Way Home, Fun Home]
1346 words (3.8 pages)
- Becoming organized could be the key to generating your daily life as being a work at home mom efficient and, fairly, pressure free. If it is possible to get and vacation organized, your business and your house lifestyle will flourish. With out taking some simple decluttering tips you might be overwhelmed with perform and laundry in no time. One of your most important components of home organizing being a work-at-home mom should be to establish your business hours. Establishing specific functioning moments all through each day has numerous positive aspects.... [tags: Management, Time, Hour, Home]
797 words (2.3 pages)
- Reader Response to A Clean, Well-Lighted Place In 1933, Ernest Hemmingway wrote A Clean, Well-Lighted Place. It's a story of two waiters working late one night in a cafe. Their last customer, a lonely old man getting drunk, is their last customer. The younger waiter wishes the customer would leave while the other waiter is indifferent because he isn't in so much of a hurry. I had a definite, differentiated response to this piece of literature because in my occupation I can relate to both cafe workers.... [tags: A Clean Well-Lighted Place Essays]
1127 words (3.2 pages)
- What is home. If one looks in a dictionary the answer would come out to be, “The place where one lives permanently, especially as a member of a family or household.” However, for anyone who has had an actual home, they would know that such a term goes much beyond its concrete description. It is an impassioned aspect filled with values and foundation of nurturing. A home is not just an abode built to live in; in fact, that is just a definition of a house. Home is a place where one not only feels comfortable, but a place they look forward to opportunely live in every day.... [tags: home, family, household]
744 words (2.1 pages)
- A Clean Well-Lighted Place Today in class we talked about plot in relation to "A & P" by John Updike. I had always thought of plot as just being the sequence of events, but after our reading assignment I realize that there is much more to it. I’d never thought of looking for plot in things like patterns. My reaction to "A & P" is mixed because I disagree with the main character being a hero (as Updike intended). While reading the story I thought that the girls who came into the store were merely looking for attention.... [tags: A Clean Well-Lighted Place Essays]
7904 words (22.6 pages)
- Home My definition of home is not a word I can say or a thought I can think, but a feeling. This feeling is like a calm that settles over me like a blanket, just a quiet assurance telling me I belong in that place. It took me forever to understand where exactly that place was, and the answer was always right in front of me. This feeling would come and go, and I would never recognize it because I knew that only my address and the house that I parked my car at and went in to eat and sleep for 18 years was my home.... [tags: Personal Narrative Home Descriptive Observation]
1781 words (5.1 pages)