Home Health & Rehab Services
Home health & rehab services are for those requiring the
skills of a nurse or therapist to monitor or manage an unstable medical
condition.
Home Health is appropriate for persons who prefer to stay in their home but are in need of ongoing skilled care that
cannot be adequately provided by themselves, their family or friends.
Any illness or injury that requires a healthcare professional may qualify you for home health care. Typical examples
include: heart disease, cancer, diabetes, kidney disease, lung disorders, neurologic conditions, joint replacements and
recoveries from any number of other surgical procedures.
A team of home care professionals, with direction from your physician, carefully plans and provides the services required
to meet your comprehensive health care needs. Our goal is unwavering – to help you achieve the highest quality
of living that your health and circumstances will allow.
What is Home Care?
Home care is a service offered to recovering, disabled, or chronically ill persons who need medical treatment and/or
assistance with the activities of daily living. Generally, home care is appropriate when a person requires care and
family and friends cannot easily or effectively provide it on their own. The National Association for Home Care
(NAHC) estimates that more than 7 million Americans currently receive home care for mild, acute and long-term
needs. This figure increases every day, as greater numbers of people are able to leave institutions or avoid entering
them due to advances in technology. State-of-the-art medical equipment for use in the home can now provide treatment
and services that once were only available in the hospital.
What are the Advantages of Home Care?
- Home care improves our society’s quality of life by enabling individuals to stay in the comfort and security of their own homes during times of illness, disability, and recuperation.
- Home care maintains the patient’s dignity and independence–qualities that may be lost in institutional settings.
- Home care offers a wide range of specialized services tailored to meet the needs of every individual on a personal provider-to-patient basis.
- Home care reinforces and supplements informal care by educating the patient’s family members and friends about the caregiving process.
Who Pays for Home Care?
Public third-party payers include: Medicare, Medicaid,
the Veterans Administration, Social Security Block Grant
programs and community organizations. Private insurance
programs typically cover some services for acute needs,
but benefits for long term services vary from plan to plan.
Rehab Therapy
Promoting independence and participation to help you or
your loved one recover after injury or illness.
Adoray’s Rehabilitation Therapy Services provide customized
rehab programs designed with aggressive but achievable goals
to get our patients back to living the life they love as soon
as possible.
Therapy at Home:
If you or your loved one is unable to leave home, Adoray’s
rehab team brings client-centered therapy services to
wherever they call home. Adoray meets clients wherever
they are on the road to recovery.
Rehabilitation Care Plan
Adoray provides a team approach to rehab therapy care.
Our expert and specially trained rehab therapists were
carefully selected for their caring, compassionate, and
respectful attitudes. Our rehab team members are encouraging
and friendly professionals dedicated to our patients well-being.
Your loved one’s Adoray therapy team works with his/her physician
and hospital discharge planner to build a program designed especially
to help your loved one achieve the highest possible level of
independence and physical functioning.
Adoray’s expertly trained and compassionate rehab therapy staff can help your loved one rediscover independence. A client’s care plan may include:
- Therapy services: physical, occupational and/or speech and language therapy
- Medical director and skilled and professional nursing services
- Comprehensive case management and social services
- Registered dietitian and nutrition counseling
- Aide services to assist with personal care*
*Services are physician ordered and depend upon your individualized plan of care.
Rehab Therapies Offered
Physical Therapy is the treatment of injuries and conditions
to promote a return to function and independent living. Physical
therapists are experts in how your body moves and functions
focusing not only on treating injuries, but also on preventing
them. Physical therapy includes the use of hands-on care and
exercise for restoring motion and strength as well as training
that allows a patient to return to daily activities.
Occupational Therapy is similar to physical therapy, but with
a different emphasis. The majority of occupational therapists
treat hand-and-upper-limb injuries, as well as injuries that
affect movement and function. Stroke, brain injury, spinal cord
injury, and multiple sclerosis are some of the conditions that
may benefit from this type of therapy. Occupational therapy
focuses on critical activities of daily living such as bathing,
eating, grooming, dressing, cooking, driving, cleaning, and
getting into and out of bed.
Speech Therapy is the treatment of conditions resulting in
difficulty with talking and/or swallowing. Common treatments
may range from strengthening exercises, and instructive or
repetitive practice, to the use of sound or visual aids and
strategies that allow everyday communication to become easier.
Speech therapy may also include sign language and the use of
picture symbols.
Specialized Treatments Offered:
- Falls Risk Evaluation
- Balance Evaluation and Treatment
- Therapy following Orthopedic/Joint Surgery or Injury
- Rehabilitation after Stroke or Other Brain Injury
- Osteoporosis
- Chronic neurological diseases-Parkinson’s, ALS, Alzheimer’s
- Arthritis – Osteo/Rheumatoid
- Balance/Vestibular Specialty Care
- Seating Evaluations and Wheelchair Assessments
- Lymphedema Treatment
- Wound Care
- IV/ Infusion Administration
Eligibility
- Requires the skills of a registered nurse or physical therapist
- Has MD ordered services
- Is “homebound”, only leaving home for medical appointments, church, and infrequent outings
- Resides in a private residence, assisted living, or group home
Payment of Services
Medicare, Medical Assistance and the VA who reimburse for visits at 100%.
Other insurances whose terms vary depending on the individual plan
Bills for these services are submitted to Medicare, Medicaid, VA,
or private insurance directly by Adoray.
Adoray will work with patients and families to help determine
eligibility and to verify insurance coverage.
Acceptance to Home Health Services Policy
POLICY: Adoray is committed to providing high-quality care
to all patients referred for services. Acceptance to Home
Health services will be based on an assessment of the
prospective patient’s needs, the organization’s capacity
to meet those needs, and the qualifications and training of our staff.
PROCEDURE:
1. Evaluation of Prospective Patient Needs:
a. Upon receipt of a referral, a comprehensive review of the
prospective patient’s anticipated needs will be conducted,
including but not limited to:
i. Medical and clinical needs
ii. Psychosocial, emotional, and environmental factors
iii. Equipment, supplies, or special accommodation required
iv. The patient’s geographic location
b. Input from the referring provider, family, and/or caregiver
will be sought as needed and in accordance with Hipaa regulations
to ensure a full understanding of the patient’s condition and care requirements.
2. Assessment of Organizational Caseload and Case-Mix:
a. The current caseload will be reviewed to ensure that
adding a new patient will not compromise the quality of
care delivered to existing patients.
b. The case-mix, including the complexity and diversity
of patient needs, will be analyzed to maintain an
appropriate balance within the organization’s resources.
3. Review of Staffing Levels:
a. The organization’s staffing levels will be evaluated to
ensure adequate personnel are available to provide timely
and effective care to the prospective patient.
b. Consideration will include:
i. Total staff availability
ii. Ongoing staff commitments and assignments
iii. Projected workload for the period under consideration
4. Skills and Competencies of Staff:
a. The organization will determine if its staff possesses
the necessary skills, training, and competencies to meet
the specific needs of the prospective patient.
b. Staff assignments will align with:
i. Licensure and certification of staff
ii. Specialized skills (e.g., wound care, IV therapy, lymphedema treatment, dementia care, falls prevention)
5. Documentation:
a. All assessments, decisions, and communications regarding acceptance or denial of services will be documented in the patient’s referral record.
6. Skilled services provided found on Adoray’s website: https://adoray.org/
Getting Started
Home Health & Rehab Patient Referral Form
Our enrollment team responds promptly to referral requests throughout
each day. However, if there is an urgent need and outside the hours
of 8:00am – 4:30pm, please also call Adoray Enrollment at 800.359.0174.