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Identify At Risk Diabetes Patients

In order to distinguish your homecare patients with Type 2 Diabetes who are at increased risk of developing other chronic diseases – such as heart disease, kidney disease, etc. – identify patients with one or more of the following risk factors within a particular time period:

  • more than one HbA1C that is greater than 7% and/or
  • LDL-C greater than 100 mg/DL and/or
  • blood pressure readings of greater than 140/90 and/or
  • individuals who smoke…
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Posted by HomeCareCommunity.org on April 2, 2012 at 8:06am

Supporting Accountable Care Objectives: Implementation

Three main areas or systems will need to be addressed in order to support accountable care objectives; care transition, coordination of evidence-based care and consistent reporting and communication.

Care Transition and Coordination of Evidence-Based Care

As the patient transitions from one care setting to another, it is important to address those areas that are often a concern, such as summary of care provided by previous setting, medications, follow-up with primary care…

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Posted by HomeCareCommunity.org on March 19, 2012 at 7:52am

 

Homecare News

The Health Lowdown on Caffeine

Daily, approximately 90% of Americans consume caffeine in one form or another; coffee, tea, soft drinks, energy drinks and or chocolate. Besides its ability to provide increase wakefulness it has been touted to have many health benefits. Multiple studies show caffeine consumption provides cardiovascular protection and decreases the risk for developing type 2 diabetes mellitus, stroke in women, certain cancers and several neurological conditions. However, consumption in higher quantities does carry risk for adverse health condition.

Describing Variation in Home Health Care Episodes for Patients With Heart Failure

This cohort study used Outcome and Assessment Information Set (OASIS) data to describe home health care episode variation for patients (N = 103 869) with heart failure (HF), according to prior site of care. The most common episode is admission followed by discharge home, occurring for 63% of patients in the hospital, and 58% of patients at home, prior to home health care admission. Hospitalization with no return to home health care comprised the next most frequent pattern, occurring most often (16%) for patients with skilled nursing facility as prior site of care, and least often (11%) for patients at home prior to admission. Home health care episodes vary for patients with HF according to prior site of care, perhaps a reflection of variation in patients’ care needs (restorative, maintenance, palliative).

Public Policy and the Future of Social Work in Long-Term Home Health Care

The history of long-term home health care (HHC) for aging persons in the United States is one of alternating successes and of dashed hopes for persons wishing to remain in their own homes during their last years. Personal issues and public policy issues are woven into a maze of challenges faced by individuals and families wrestling with the difficult choice of elder health care options. Some of the elements of choosing home health care options are presented, and a suggestion of fundamental reform that puts Medicare and Medicaid on the table is suggested as a means to develop a new framework for social work services in home health care.

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