Showing posts with label assisted living. Show all posts
Showing posts with label assisted living. Show all posts

Wednesday, May 20, 2009

14 QUESTIONS YOU MUST ASK WHEN SELECTING A HOME CARE AGENCY

“Home care” usually refers to “non-medical” services such as personal care, meal preparation, housekeeping services or transportation. (“Home Health Care” covers medical care). Be sure to know what services you need.
When you choose a home care provider, you are inviting someone into your home. Don’t let “nice” get in the way of asking tough questions. A little precaution and research can go a long way in giving you peace of mind and preventing problems. Asking friends, relatives or a trusted advisor for home care recommendations is a good start. Your medical providers (such as your hospital discharge planner, social worker or your family doctor) may also have suggestions.

The 14 Recommended Questions:
1. Does my state license home care? If ‘yes’ - is the agency licensed? If ‘no’ - does the agency follow policies and procedures similar to those in a licensed state?
2. Is the agency locally owned and operated? Are the owners on-site actively managing the agency? If the agency is part of a franchise, what ‘watchdog’ organizations is the franchise a member of?
3. Are the agency’s care givers employees or independent contractors? (You might want an agency that knows its employees, not one that just acts as an employment agency.)
4. Are caregivers bonded and insured? (They should be.)
5. What criminal screening and background checks does the agency run on its caregivers? Are these national or simply local?
6. What sort of training do the employees receive? Is training ongoing?
7. Will an agency supervisor evaluate the quality of care you receive? How often?
8. How is billing handled? If private insurance will pay for some of the costs, will the agency bill them directly?
9. If you have a family member who is involved in your care, how does the agency ensure they stay informed and included? What if your family lives in a different state?
10. What provisions are there for backup care? Who do you call if no one shows up? Does the agency have someone on call? After hours? What provisions are there for care during a disaster?
11. What is the process for resolving problems? Who can you call to discuss any issues and be sure to have them resolved?
12. Are you committed to a long contract with the agency?
13. How long will it take to get a care giver?
14. Can the agency provide services to someone in a facility or residential living (hospital, nursing home, assisted living etc)?

Synergy HomeCare Website

Monday, May 18, 2009

How to Choose Between Home Health Care, Assisted Living, and a Nursing Home

Caring for someone can be time-consuming and exhausting—for you and your bank account. Family and friends can step in to assist, of course, but there may come a point when your loved one needs professional care. Here are some basic options to consider.

Home sweet home
In-home health aides average $19 an hour, and hired companions who don't provide health care are slightly less expensive. Do the math and you'll see that for round-the-clock assistance, the tab can run as high as $170,000 a year, making home care a very costly option.

"It's so expensive because people are basically trying to recreate the nursing facility at home," says Chris Cooper, a certified financial planner and social gerontologist in Toledo. Medicare and private insurance generally do not cover long-term in-home care. So unless you have a long-term-care insurance policy, the cost must be paid out-of-pocket, which may mean liquidating assets or applying for a reverse mortgage.

Despite the expense, "most people try to do what they can to stay at home before placement in a facility," says Nancy Wexler, a Los Angeles–based geriatric care manager and author of Mama Can't Remember Anymore: Care Management of Aging Parents and Loved Ones. The good news is that many people don't need 24-hour care, at least not right away. Someone with a chronic condition like heart disease, for instance, might only need help with specific tasks, like meal preparation or bathing.

To find an in-home aide, ask others who have used one or consult a geriatric care manager. It might cost more to employ an aide through an agency, but if any sort of problem arises, the agency will furnish a replacement quickly. That beats spending stressful days trying to find aides and conducting background checks.



Click here to find out more! at Health.com
Lead writer: Ilana Polyak
Last Updated: November 06, 2008