Journal articles: 'Montana. Home Health Services Program'

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Fernandes, Jessie C., William W. Biskupiak, Sarah M. Brokaw, Dorota Carpenedo, Katie M. Loveland, Sonja Tysk, and Shea Vogl. "Outcomes of the Montana Asthma Home Visiting Program: A home-based asthma education program." Journal of Asthma 56, no. 1 (February 9, 2018): 104–10. http://dx.doi.org/10.1080/02770903.2018.1426766.

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Schlaht, Dell H. "Local staff enhances service delivery." Rural Special Education Quarterly 8, no. 1 (March 1987): 32–33. http://dx.doi.org/10.1177/875687058700800107.

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This article describes how the Blackfeet Head Start Program in north-central Montana utilized professional to train local residents as screeners and home trainers. The training is structured to provide specific intervention strategies and family support. The numbers of handicapped children and their families who receive services has increased as a result of using local home trainers and teachers as direct care providers.

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Kitchener, Martin, Terence Ng, Nancy Miller, and Charlene Harrington. "Medicaid Home And Community-Based Services: National Program Trends." Health Affairs 24, no. 1 (January 2005): 206–12. http://dx.doi.org/10.1377/hlthaff.24.1.206.

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McRae, Ian, and Mai Pham. "When is a GP home-visit program financially viable?" Australian Journal of Primary Health 22, no. 6 (2016): 554. http://dx.doi.org/10.1071/py15074.

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Despite a decline in GP home visits in Australia, these services remain an important aspect of healthcare access and delivery for the aged population. Home visits can both provide better care and decrease use of ambulance and emergency department (ED) services. The net costs of providing GP visits are complex, depending on the relative costs of home visits and ED attendances, the number of ED attendances saved by GP visits, and the number of services provided per day by a visiting GP. The Australian Capital Territory government created the General Practice Aged Day Service (GPADS) program in March 2011. Using data and information from this program as a basis, we examine the financial aspects of a daytime home-visit program in the Australian context. Whether or not a program is financially viable depends on a range of parameters; if all factors are aligned a program can generate net savings. While there is no information available on the net health benefits of home visits relative to ED attendance, these differences need not be large for the program to be cost-effective.

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Hill, Robin Renee. "Clinical pharmacy services in a home-based palliative care program." American Journal of Health-System Pharmacy 64, no. 8 (April 15, 2007): 806–10. http://dx.doi.org/10.2146/ajhp060124.

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Landis, Nancy Tarleton. "Joint Commission folds other pharmacy services into home care program." American Journal of Health-System Pharmacy 57, no. 18 (September 15, 2000): 1646. http://dx.doi.org/10.1093/ajhp/57.18.1646a.

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Collins, Louisa, Paul Scuffham, and Sue Gargett. "Cost-analysis of gym-based versus home-based cardiac rehabilitation programs." Australian Health Review 24, no. 1 (2001): 51. http://dx.doi.org/10.1071/ah010051.

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A cost-analysis of an existing gym-based program was compared with a proposed home-based program for deliveringcardiac rehabilitation services in West Moreton, Queensland. Cost and baseline data were collected on 95 cardiacrehabilitation patients living in Ipswich and West Moreton. Cost data included costs to the program funders andpatients. The average cost per patient rehabilitated was $1,933 in the gym-based program and $1,169 in the home-basedprogram. Adopting the lower cost home-based program would allow the services to be provided to many morepatients. The relevance of home-based rehabilitation programs for rural patients facing barriers accessing traditionalhospital- or gym-based programs is significant.

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Montgomery, Patrick R., and Wendy M. Fallis. "South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly." Canadian Journal on Aging / La Revue canadienne du vieillissement 22, no. 3 (2003): 275–81. http://dx.doi.org/10.1017/s0714980800003895.

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ABSTRACTThe objective of this study was to compare enhanced access to geriatric assessment and case management to usual home care service provision for the frail elderly. This was a demonstration project, with randomized allocation to control or intervention groups of frail elderly persons who had been referred to the Home Care service in Winnipeg. Of the 164 persons who were randomized, 78 intervention and 74 control patients were evaluated. Intervention subjects received a multidimensional assessment as soon as possible by a specially trained coordinator, who had enhanced access to geriatric medical and day-hospital services; intervention patients were case managed for a 3-month period. Control cases received usual care from home care coordinators. The intervention group received significantly faster assessment and deployment of home services, as well as greater utilization of the geriatric day-hospital services. Utilization of emergency room and hospital services was similar for both groups. Control subjects experienced more prolonged hospital stays and a significantly higher proportion (23%) were designated for long-term care than of intervention clients (9%). We conclude that the SWING program, which facilitated access to geriatric services and case management, reduced or delayed the need for long-term care.

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Solhkhah, Ramon, Cathryn L. Passman, Glenn Lavezzi, Rachel J. Zoffness, and Raul R. Silva. "Effectiveness of a children’s home and community-based services waiver program." Psychiatric Quarterly 78, no. 3 (June 12, 2007): 211–18. http://dx.doi.org/10.1007/s11126-007-9042-2.

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Williams, Corrine M., Sarah Cprek, Ibitola Asaolu, Brenda English, Tracey Jewell, Kylen Smith, and Joyce Robl. "Kentucky Health Access Nurturing Development Services Home Visiting Program Improves Maternal and Child Health." Maternal and Child Health Journal 21, no. 5 (January 16, 2017): 1166–74. http://dx.doi.org/10.1007/s10995-016-2215-6.

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Hall, Nancy, Paula De Beck, Debra Johnson, Kelly Mackinnon, Gloria Gutman, and Ned Glick. "Randomized Trial of a Health Promotion Program For Frail Elders." Canadian Journal on Aging / La Revue canadienne du vieillissement 11, no. 1 (1992): 72–91. http://dx.doi.org/10.1017/s0714980800014537.

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AbstractThis study evaluates a local health promotion project that may be widely adaptable to assist frail elderly persons to live longer at home. Subjects, enrolled in New Westminster, B.C., were men and women aged 65 and over living in their own homes but assessed and newly admitted to “personal care at home” by the Long Term Care (LTC) program of the B.C. Ministry of Health. About 90 per cent of eligible clients consented to participate. Randomized to Treatment or Control, they were followed for three years. Controls (n = 86) received standard LTC services, which included screening and pre-admission assessment, arrangement/purchase of needed services and review at three months and at least yearly thereafter. The Treatment group (n = 81) received standard LTC services plus visits from the project nurse who helped each subject to devise a personal health plan based on his or her needs in the areas of health care, substance use, exercise, nutrition, stress management, emotional functioning, social support and participation, housing, finances and transportation. The visits concentrated on setting goals and developing personal health skills, with referral to appropriate community services. An additional group of LTC clients (n = 81) from the adjacent community of Coquitlam was also followed. Success or “survival” was defined as “alive and still assessed for care at home”. After three years the “survival rate” for the Treatment group was 75.3 per cent, compared with 59.3 per cent for the Control group and 58.0 per cent for the Coquitlam group. Standard Kaplan-Meier “survival” graphs show that Treatment subjects were more likely to be alive and living at home at every time point during the three years. Differences between the Treatment and Control groups were statistically significant (p ≤ 0.05) both for simple cross-tabulations of care status at 24 and 36 months and in tests comparing “survival” curves. The results are especially striking because Control subjects received LTC services in a geographic area that offers universal access to health care and community resources and because the Control data were concurrent, not historical.

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Taki, Sarah, Li Ming Wen, Miranda Shaw, Paula Caffrey, and Paola Gordon. "Integrating an effective obesity prevention program into existing home visiting services: The Healthy Beginnings Program." International Journal of Integrated Care 18, s1 (March 12, 2018): 164. http://dx.doi.org/10.5334/ijic.s1164.

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Johns, Mark J., Judith Flaxman, Madeleine Y. Gomez, Neil R. Bockian, and Mitch Hall. "Psychotherapeutic Home Intervention Program: Impact on Medicaid Readmission Rates." Care Management Journals 8, no. 4 (December 2007): 179–86. http://dx.doi.org/10.1891/152109807782590673.

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Records of 52 Medicaid managed care psychiatric patients engaged in a home intervention program (HIP) were analyzed to determine (a) if home-based intervention reduced a participant’s readmission rates to an inpatient behavioral health facility and (b) if a negative relationship existed between total HIP sessions and readmissions following the implementation of home-based services. A paired t test comparing admissions 6 months prior to HIP with admissions 6 months after HIP demonstrated an average decrease of readmissions by 2.5 (p < .0001), or 86%. These results supported the hypothesis that HIP reduces participants’ readmission rates.

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Ahmad, Iftikhar. "LADY HEALTH WORKERS PROGRAM IN PAKISTAN." GJMS Vol 17, No.4, Oct-Dec 2019 17, no. 4 (December 31, 2019): 105–6. http://dx.doi.org/10.46903/gjms/17.04.2094.

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Being signatory to Alma Ata declaration, the Government of Pakistan started the ‘National Program for Family Planning and Primary Health Care’ (NPFP & PHC), also called ‘Lady Health Workers (LHWs) program’ in 1994. Being one of the largest and successful, community-based program in the world, it is providing door-step PHC services to about one billion people, especially home-bound, rural, poor women, children and elderly. The program has been improving many health indicators including infant and maternal mortality rates in the last two & a half decades.

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Haswira, Ma'mur, Wahidin Wahidin, and Syarif Ahmad. "EVALUATION OF HOME CARE PROGRAM IMPLEMENTATION IN THE BARA-BARAYA PUSKESMAS MAKASSAR CITY." Jurnal Administrasi Negara 25, no. 3 (December 30, 2019): 212–28. http://dx.doi.org/10.33509/jan.v25i3.889.

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Home care services at midnight many residents complained and there is no distribution of home care officers at the Bara-Baraya Public Health Center in Makassar. The focus of research in this study is the evaluation of the implementation of home care programs at the Bara-Baraya Public Health Center in Makassar City. This study aims to evaluate the implementation of home care programs at the Makassar City of Bara Baraya Health Center. The approach used in this study is a qualitative approach that describes and observes deeply the evaluation of the implementation of home care programs at the Makassar City of Bara Baraya Health Center. This research also uses applied research design. The data source in this study was taken from four home care officers at the Bara-Baraya Public Health Center in Makassar City and four people who use home care services. The results showed that the input sub-variables can be quite good. Medical devices such as thermometers, tensimeters, and stethoscopes function properly and are suitable for use in home care health services. Then operational funds such as staff salaries are paid according to the number of visits to the community. The doctor for Rp. 100,000 / visit and nurses 75,000 / visit. But in the aspect of home care officers is still inadequate. Home care workers have a dual role between serving the community at the puskesmas, as well as serving the community at the residence. In the process sub-variables, it can be quite good. In the call center aspect, people can easily call the call center because this service is toll free. Home visits and observations have been carried out carefully. But the division of duties of home care officers is not optimal. In the output sub-variable, it can be said to be good because the public can directly benefit from home care services.

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Keefe, Janice M., and Pamela Fancey. "Financial Compensation or Home Help Services: Examining Differences among Program Recipients." Canadian Journal on Aging / La Revue canadienne du vieillissement 16, no. 2 (1997): 254–78. http://dx.doi.org/10.1017/s0714980800014343.

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RésuméL'octroi d'une compensation financière aux membres de la famille qui assurent des soins à des parents âgés a fait l'objet de fréquents débats au Canada, mais n'a été implanté qu'en de très rares occasions. L'une de ces exceptions est le Nova Scotia Home Life Support Program, qui accorde une compensation financière aux personnes qui doivent s'occuper d'un parent âgé. La présente étude explore les différences entre les soignants qui bénéficient de services officiels, soit une compensation financière ou des services de soutien à domicile. Les soignants rémunérés sont dans la plupart des cas des jeunes femmes qui habitent hors des zones urbaines et qui résident avec la personne qui reçoit les soins. Comparativement aux soignants qui reçoivent des services d'aide à domicile, les soignants rémunérés signalent une atténuation de leurs inquiétudes de nature économique, mais sont engagés plus à fond dans les soins prodigués et ont une charge plus élevée quant au temps consacré aux soins. Avant d'implanter des programmes de compensation financière pour les soignants, il faudra done procéder à des études portant expressément sur l'impact de ces programmes sur les soignants.

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Daro, Deborah, Karen McCurdy, Lydia Falconnier, and Daniela Stojanovic. "Sustaining new parents in home visitation services: key participant and program factors." Child Abuse & Neglect 27, no. 10 (October 2003): 1101–25. http://dx.doi.org/10.1016/j.chiabu.2003.09.007.

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Street, Annette, Jeanine Blackford, Anne Turley, and Judy Kelso. "Issues for General Practitioners Caring for Dying Patients in the Home." Australian Journal of Primary Health 5, no. 2 (1999): 9. http://dx.doi.org/10.1071/py99015.

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General practitioners have a central role in the provision of quality health care to the terminally ill patient and family in their own homes. Staff from the Department of Human Services were concerned that GPs were experiencing stress through their increasing role in the provision of palliative care and that there was a need for a fee-for-service stress counselling program for them. A small qualitative study was conducted to verify this perceived need. Semi-structured telephone interviews were conducted with 50 GPs selected from a sample of metropolitan attendees at postgraduate educational activities or doctors known to palliative care services. GPs faced a number of issues in their care for terminally ill people in the community but a fee-for-service counselling program was deemed unnecessary. Evidence from the study confirmed that effective communication strategies between GPs, palliative care services and acute hospitals, an interdisciplinary team approach, and improved understanding between health professionals would enhance the quality of care for dying people and their caregivers.

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Daly, Tamara. "Out of Place: Mediating Health and Social Care in Ontario's Long-Term Care Sector." Canadian Journal on Aging / La Revue canadienne du vieillissement 26, S1 (2007): 63–75. http://dx.doi.org/10.3138/cja.26.suppl_1.063.

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ABSTRACTThe paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a “managed competition” delivery model. The second is the Ministry of Health and Long-Term Care's privileging of “health care” over “social care” through changes to which types of home care and home support services receive public funding. It addresses the effects of these reforms on the state–non-profit relationship, and the shifting balance between public funding of health and social care. At a program level, and with few exceptions, homemaking services have been cut from home care, and home support services are more medicalized. With these changes, growing numbers of people no longer eligible to receive publicly funded home care services look for other alternatives: they draw available resources from home support, they draw on family and friend networks, they hire privately and pay out of pocket, they leave home and enter an institution, or they do without.

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Meador, Rhoda, Emily Chen, Leslie Schultz, Amanda Norton, Charles Henderson,, and Karl Pillemer. "Going Home: Identifying and Overcoming Barriers to Nursing Home Discharge." Care Management Journals 12, no. 1 (March 2011): 2–11. http://dx.doi.org/10.1891/1521-0987.12.1.2.

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This article describes barriers to nursing home discharge encountered in an intervention designed to transition nursing home residents to the community. Staff in the intervention (“Project Home”) provided intensive case management and discharge planning services to nursing home residents who expressed a desire to return to community-based living arrangements. Sixty program participants took part in the program evaluation that informs this article. With the exception of Medicaid status, no differences were found between the social, demographic, and health characteristics of individuals who remained in the nursing home and those who were discharged. A qualitative analysis was conducted to describe barriers to discharge and strategies intervention staff used to leverage each client’s strengths and work around obstacles. Three main barriers to discharge were found: having an unstable or complex medical condition, lacking family or social support, and being unable to obtain suitable housing. Intervention staff advocated on the behalf of clients, encouraged clients to build skills toward independent living, and contributed extensive knowledge of local resources to advance client goals. Cases of successful transition suggest that a person-centered approach from intervention staff combined with a flexible organizational structure is a promising model for future interventions.

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Semeah, Luz M., Colleen L. Campbell, Diane C. Cowper, and Amanda C. Peet. "Serving Our Homeless Veterans: Patient Perpetrated Violence as a Barrier to Health Care Access." Journal of Public and Nonprofit Affairs 3, no. 2 (July 31, 2017): 223. http://dx.doi.org/10.20899/jpna.3.2.223-234.

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In 2009, the Department of Veterans Affairs (VA) set a goal to end veteran homelessness by 2015. Since then there has been a 36% reduction in homelessness due, in part, to the VA Supportive Housing (HUD-VASH) program. These services include the receipt of home-based services to the veterans’ home. However, safety concerns and the threat of violence toward health care workers remain problematic in non-institutional care settings. This article discusses the concept of access to care and how safety concerns act as a barrier to services and optimal patient outcomes. Our study provides information on the prevalence of patient violence toward health care workers in the HUD-VASH program in a large veterans’ health system. Results suggest 70% of home-based service providers were exposed to violence and aggression. Providing services to veterans outside of institutional care settings, and the goal of eradicating homelessness among veterans, warrants further examination of access barriers.

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Brierley, Stephen, and David King. "An emergency department tackles bed management and home-based care." Australian Health Review 21, no. 4 (1998): 127. http://dx.doi.org/10.1071/ah980127.

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Ipswich Hospital Emergency Department played a vital role in the Post AcuteTreatment in the Home Program (PATH) of West Moreton District Health Service.PATH used two strategies to reduce the district reliance on acute hospital beds: a short-stayunit for rapid assessment, treatment and early discharge of patients with simpleconditions; and a hospital-in-the-home program utilising community health servicesto treat acute conditions.The program enhanced existing services to create a new treatment stream for acutepatients and to promote a cultural shift from fragmented care to district responsibilityfor total episode of patient care.

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Lippert, M., S. Semmens, L. Tacey, T. Rent, K. Defoe, M. Bucsis, T. Shykula, et al. "The Hospital at Home program: no place like home." Current Oncology 24, no. 1 (February 28, 2017): 23. http://dx.doi.org/10.3747/co.24.3326.

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BackgroundThe treatment of children with cancer is associated with significant burden for the entire family. Frequent clinic visits and extended hospital stays can negatively affect quality of life for children and their families.Methods Here, we describe the development of a Hospital at Home program (H@H) that delivers therapy to pediatric hematology, oncology, and blood and marrow transplant (bmt) patients in their homes. The services provided include short infusions of chemotherapy, supportive-care interventions, antibiotics, post-chemotherapy hydration, and teaching.Results From 2013 to 2015, the H@H program served 136 patients, making 1701 home visits, for patients mainly between the ages of 1 and 4 years. Referrals came from oncology in 82% of cases, from hematology in 11%, and from bmt in 7%. Since inception of the program, no adverse events have been reported. Family surveys suggested less disruption in daily routines and appreciation of specialized care by hematology and oncology nurses. Staff surveys highlighted a perceived benefit of H@H in contributing to early discharge of patients by supporting out-of-hospital monitoring and teaching.Conclusions The development of a H@H program dedicated to the pediatric hematology, oncology, or bmt patient appears feasible. Our pilot program offers a potential contribution to improvement in patient quality of life and in cost–benefit for parents and the health care system.

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Vecchio, Nerina. "Gatekeepers to home and community care services: the link between client characteristics and source of referral." Australian Health Review 37, no. 3 (2013): 356. http://dx.doi.org/10.1071/ah13011.

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Objectives. To identify characteristics associated with the likelihood of a client receiving a referral to the Home and Community Care (HACC) program from various sources. Methods. Data were collected from 73 809 home care clients during 2007–08. Binary logistic and multinomial logistic regression were used to investigate the likelihood of a client being referred by health workers v. non-health workers. Results. Females and clients cared for by their parents were less likely to receive referrals from health workers than non-health workers after confounding variables were controlled for. While poorer functional ability of clients increased the probability of receiving a referral from a health worker, the opposite was true for those with behavioural problems. Over 43% of the sample either self-referred or was referred by family or friends. Conclusions. Eligible individuals may miss out on services unless they or their family take the initiative to refer. There is a need for improved methods and incentives to support and encourage health workers to refer eligible individuals to the program. What is known about the topic? The absence or inappropriate referral to a suitable home care program can place pressure on formalised institutions and increase burdens on family members and the community. Factors largely unrelated to healthcare needs carry significant weight in determining hospital discharge decisions and home care referrals by practitioners. What does this paper add? The effectiveness of the HACC program is dependent on the referrer who acts to inform and facilitate individuals to the program. The purpose of this study is to identify the characteristics associated with the likelihood of individuals receiving a referral to the HACC program from various sources. What are the implications for practitioners? This study will assist policy makers and practitioners in developing effective strategies that transition individuals to suitable home care services in a timely manner. An effective referral process would provide opportunities for implementing preventative strategies that reduce disability rates among individuals and the burden of care for the community. For instance, individuals with unmet needs may be at higher risk from injury at home through inadequate monitoring of nutrient and medication intake and inappropriate home surroundings. Improving knowledge about care options and providing appropriate incentives that encourage health workers to refer individuals would be an effective start in improving the health outcomes of an ageing population.

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Friedman, Carli. "Stakeholders’ Home and Community Based Services Settings Rule Knowledge." Research and Practice for Persons with Severe Disabilities 43, no. 1 (November 23, 2017): 54–61. http://dx.doi.org/10.1177/1540796917743210.

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Medicaid Home and Community Based Services (HCBS) waiver programs provide the majority of long-term services and supports for people with intellectual and developmental disabilities (IDD). Relatively new (2014) HCBS rules (CMS 2249-F/2296-F) governing these programs require meaningful community integration of people with disabilities who receive services under this Medicaid program. States are required to develop and submit transition plans, which document how their programs will meet the so-called settings rules. Public comment periods provide advocates the opportunity to impact states’ rules by ensuring that plans are truly community based. Yet the lengthy and technical description of the rules may be inaccessible for people with disabilities and their allies. Because knowledge of the HCBS settings rules can be crucial for people with IDD to enable them to access their rights, the aim of this study was to explore HCBS settings rules knowledge of people with IDD and key stakeholders. Our findings confirmed that there is a need to make the HCBS settings rules more accessible to those most affected by the changes—people with IDD and family members of people with IDD. Doing so is a necessary first step to promote advocacy regarding its implementation.

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Chumbler, Neale R., W. Bruce Vogel, Mischka Garel, Haijing Qin, Rita Kobb, and Patricia Ryan. "Health Services Utilization of a Care Coordination/Home-Telehealth Program for Veterans With Diabetes." Journal of Ambulatory Care Management 28, no. 3 (July 2005): 230–40. http://dx.doi.org/10.1097/00004479-200507000-00006.

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Treml, Linda A., and Carrie Carter Schulman. "Home Health Care Aides as Extenders of Therapy Services: A Managed Care Pilot Program." Home Health Care Management & Practice 10, no. 5 (August 1998): 16–29. http://dx.doi.org/10.1177/089780189801000507.

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Treml, Linda A., and Carrie Carter Schulman. "Home Health Care Aides as Extenders of Therapy Services: A Managed Care Pilot Program." Topics in Geriatric Rehabilitation 14, no. 4 (June 1999): 34–52. http://dx.doi.org/10.1097/00013614-199906000-00004.

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Hayashida, Cullen T., and Harumi Sasaki. "The Musashino Plan: Japan's home equity conversion program for social, health and financial services." Journal of Cross-Cultural Gerontology 1, no. 3 (1986): 255–76. http://dx.doi.org/10.1007/bf00116127.

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Sinaga, Janno, Amila Amila, and Evarina Sembiring. "MUTIARA HOME CARE." JURNAL PENGABDIAN KEPADA MASYARAKAT 23, no. 4 (January 8, 2018): 440. http://dx.doi.org/10.24114/jpkm.v23i4.8605.

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AbstrakTujuan jangka panjang pelaksanaan program Mutiara Home Care adalah menciptakan akses bagi terciptanya wirausaha baru, menunjang otonomi kampus perguruan tinggi melalui perolehan pendapatan mandiri. Bagi pasien program ini membantu meringankan biaya rawat inap yang makin mahal, karena mengurangi biaya akomodasi pasien, transportasi dan konsumsi keluarga. Dampak ekonomi nasional home care bagi pasien dan keluarga adalah semakin pendeknya hari rawat, sehingga jumlah klaim rumah sakit ke BPJS semakin rendah, sehingga berdampak bagi penurunan anggaran biaya perawatan masyarakat secara nasional. Produk Jasa Layanan Mutiara Home Care memiliki keunggulan dibandingkan home care lain. Pertama, Mutiara Home care akan dikelola dan diorganisir secara profesional oleh tenaga dosen profesional dibidang kesehatan dan keperawatan. Selama ini, home care dilakukan secara individu atau berkelompok tanpa wadah atau organisasi yang jelas. Tenaga kesehatan yang akan ditempatkan di komunitas atau di rumah telah terlatih dimulai sejak masa pendidikan dan tersertifikasi dari USM-Indonesia. Kedua, menyediakan layanan antar jemput pasien yang membutuhkan perawatan rumah sakit atau pemeriksaan khusus, seperti radiologi dan laboratorium. Layanan Mutiara Home Care pada tahap awal melayani pasien paska stroke dan perawatan lanjutan jantung, perawatan pasien DM dengan atau tanpa luka dan perawatan pasien lanjut usia. Secara bertahap akan dilakukan pengembangan serta layanan terhadap berbagai penyakit yang membutuhkan jasa perawatan profesional di rumah.Kata Kunci: Home care, MutiaraAbstractThe long-term goal of the Mutiara Home Care program is to create access to new entrepreneurs, to support college campus autonomy through the acquisition of independent income. For patients this program helps alleviate the cost of increasingly expensive hospitalization, as it reduces patient accommodation costs, transportation and family consumption. The national economic impact of home care for patients and families is the shortening of day care, so the number of hospital claims to BPJS is lower, thus impacting the reduction of national community maintenance budget. Products Care Services Pearl Home Care has advantages over other home care. First, Mutiara Home care will be managed and organized professionally by professional lecturers in the field of health and nursing. During this time, home care is done individually or in groups without a clear container or organization. Health workers who will be placed in the community or at home have been trained since the education and certified from USM-Indonesia. Secondly, it provides a shuttle service to patients who require hospital treatment or special examinations, such as radiology and laboratories. Pearl Home Care Services in the early stages of serving post-stroke patients and advanced heart care, treatment of DM patients with or without injuries and care of elderly patients. Gradually will be developed as well as services against various diseases that require professional care services at home.Keywords: Homecare, Mutiara

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Reckrey, Jennifer M., Linda V. DeCherrie, Micheline Dugue, Anna Rosen, Theresa A. Soriano, and Katherine Ornstein. "Meeting the Mental Health Needs of the Homebound: A Psychiatric Consult Service Within a Home-Based Primary Care Program." Care Management Journals 16, no. 3 (September 2015): 122–28. http://dx.doi.org/10.1891/1521-0987.16.3.122.

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The growing population of homebound adults increasingly receives home-based primary care (HBPC) services. These patients are predominantly frail older adults who are homebound because of multiple medical comorbidities, yet they often also have psychiatric diagnoses requiring mental health care. Unfortunately, in-home psychiatric services are rarely available to homebound patients. To address unmet psychiatric need among the homebound patients enrolled in our large academic HBPC program, we piloted a psychiatric in-home consultation service. During our 16-month pilot, 10% of all enrolled HBPC patients were referred for and received psychiatric consultation. Depression and anxiety were among the most common reasons for referral. To better meet patients’ medical and psychiatric needs, HBPC programs need to consider strategies to incorporate psychiatric services into their routine care plans.

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Brickhouse, T. H., R. R. Haldiman, and B. Evani. "The Impact of a Home Visiting Program on Children's Utilization of Dental Services." PEDIATRICS 132, Supplement (November 1, 2013): S147—S152. http://dx.doi.org/10.1542/peds.2013-1021n.

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Evans, Ron L. "Perceived Functional Health of Disabled Elderly Persons in a Follow-up Program for Primary Care." Psychological Reports 84, no. 2 (April 1999): 553–57. http://dx.doi.org/10.2466/pr0.1999.84.2.553.

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180 disabled elderly persons were followed in a home care program after acute care rehabilitation in order to correlate subjective and objective ratings of medical, physical, and social functioning. To assess the benefits of case management services, 95 test patients receiving such care at home were compared with 85 controls who did not receive services. Both groups reported gains in functional health and their reports were verified with objective measures. There was no difference, however, between the groups in outcome. Our findings indicated that self-assessments correlate highly with measures of functional health. Procedures for self-ratings should be developed as important complements to objective functional health measures.

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Widdup, John, Elizabeth J. Comino, Vana Webster, and Jennifer Knight. "Universal for whom? Evaluating an urban Aboriginal population's access to a mainstream universal health home visiting program." Australian Health Review 36, no. 1 (2012): 27. http://dx.doi.org/10.1071/ah10961.

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Objective. To investigate access to a Universal Health Home Visit program for families of Aboriginal and non-Aboriginal infants and the effect of a one-off home visit on subsequent health service utilisation. Methods. A case-control study was undertaken drawing 175 Aboriginal infants from an Aboriginal birth cohort study and 352 matched non-Aboriginal infants. A structured file audit extracted data from child and family health nurse records. Receipt of home visit and effect on ongoing use of child and family nurses services was compared for Aboriginal and non-Aboriginal infants. Results. Of the 527 infants, 279 (53.0%) were visited at home within 2 weeks. This is below NSW Health benchmarks. Significantly fewer Aboriginal infants (42.9%) compared to non-Aboriginal infants (58.0%) received a home visit within 2 weeks (P < 0.01). Receipt of a single home visit did not affect future service use or the number of child health checks infants received. Conclusion. This study highlights the challenges of ensuring equitable access to a universal post-natal home visiting program. Assessing ways in which universal services are delivered to ensure equity of access may help to re-evaluate target expectations, reduce demand on nursing staff, improve targeting of vulnerable infants and help in further developing and implementing effective health policy. What is known about the topic? The rate of home visits within NSW is 45%, which is well below the recommended target rate of 65%. Aboriginal families utilise health services differently than non-Aboriginal families. What does this paper add? Inequalities in accessing a home visit within 2 weeks were found, with families of Aboriginal infants being less likely than families of non-Aboriginal infants to receive a home visit within 2 weeks. Factors such as being a young mother, an unpartnered mother, a mother with psychosocial risks identified antenatally, or residing in a disadvantaged suburb were associated with not receiving a visit within 2 weeks. Receipt of a home visit did not, despite the program’s aim, affect further health service use. What are the implications for practitioners? Practitioners and managers need to be aware of the challenges in providing equitable access within a universal post-natal home visiting program.

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Ogbuanu, Chinelo A., Candace A. Jones, James F. McTigue, Samuel L. Baker, Marge Heim, JongDeuk Baek, and Lillian U. Smith. "A Program Evaluation of Postpartum/Newborn Home Visitation Services in Aiken County, South Carolina." Public Health Nursing 26, no. 1 (January 2009): 39–47. http://dx.doi.org/10.1111/j.1525-1446.2008.00752.x.

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Savino, Ryan, Elizabeth Bowen, Andrew Irish, and Amy Johnson. "Evaluating the Impact of In-Home Behavioral Health Services on Housing First Residents’ Emergency Room and Inpatient Utilization." Advances in Social Work 20, no. 3 (January 29, 2021): 675–93. http://dx.doi.org/10.18060/24293.

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: Individuals experiencing chronic homelessness are highly marginalized and frequently access acute healthcare services. This program evaluation used secondary data collected from adults experiencing chronic homelessness (n=133) who participated in a Housing First program offering in-home behavioral health services within a large Midwestern city. Participant demographics (e.g., gender, race, age) and data on health factors (e.g., substance misuse and mental health symptoms, and ER visits and inpatient hospitalizations) were collected at program enrollment and at 6-month and 12-month follow-ups. High proportions of missing data led the evaluators to exclude 12-month follow-up and in-home behavioral health data from the analyses. Neither inpatient nights nor ER visits changed significantly between enrollment and 6-months. Males were disproportionately hospitalized throughout the study, suggesting a need for gender-targeted services. Higher rates of hospitalization among African Americans at enrollment subsided by follow-up. Future evaluation should examine if in-home behavioral health services reduced racial health disparities. Acute care use was low overall, likely because of the stabilizing impact of housing. Data limitations suggest a need for more robust study designs to identify causal factors and to enrich our understanding of the role of behavioral health intervention within the Housing First paradigm. Results underscore the importance of using empirically-supported assessment tools to evaluate consumers' individualized needs and responsively allocate supportive services.

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Baral, Sushila, Sony Pandey, Rajesh kumar Yadav, and Sudarshan Subedi. "Moral Hazard on Free Health Care Services:A Study from Consumer's Side." Journal of Health and Allied Sciences 10, no. 2 (July 1, 2020): 1–5. http://dx.doi.org/10.37107/jhas.114.

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Free Health Service is a priority program and a boon to all citizens mostly for the poor and marginalized groups. It is a timely and exemplary program of government but some people have deviation in their normal behaviour as services have been provided free. A descriptive cross-sectional approach was done to assess moral hazard on free health care services by consumers. An interview schedule was used to collect quantitative data and in depth interview with health workers for qualitative data in selected eleven health facilities. The study showed the prevalence of moral hazards of free health care services by the consumers. Two-third (65%) respondents had medicines at home. Around one-third (33%) of respondent had self demanded for the medicines. Two-third (67.6%) doesn't seek for health services during health problems. One-fourth (23.6%) had poster at home for non IEC purpose. Age, education level, travelling time to health facility, occupation, and satisfaction towards services were significantly associated with availability of medicines at home. Age, education level, health workers behaviour were significantly associated with self demand of medicines. Peoples are misutilizing the services as, government bear the burden of cost. There was deviation in the normal behaviour of the peoples due to no registration fees and free drugs availability. Many people like to take medicines and have a notion that there is a pills for every ill as a result they self demand for the medicines and mostly don’t consume full dose which can develop drug resistance. Visit to health facilities to collect medicines at home have increase unnecessary burden to health facilities and also increase in morbidity status. The result can inform developing proper policy and safety measures to drop off moral hazard on free health care services.

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Traphagan, John W. "Independence, Security, and the Intergenerational Social Contract: Home-Helper Services and Elder Care in Rural Japan." Care Management Journals 4, no. 4 (December 2003): 216–22. http://dx.doi.org/10.1891/cmaj.4.4.216.63697.

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For several years, demographic trends and changing ideas about responsibilities for elder care in Japan have contributed to the desire, or need, for families to seek out new care approaches. This article focuses on one alternative to traditional approaches to caring for elder family members—the home-helper program that is available through the Japanese long-term care insurance program. Using ethnographic data collected in northern Japan, it will be argued that the home-helper program forms a compensatory elder care system that is intended to augment family-provided care and social support, rather than to promote independent living. This compensatory approach to elder care is based upon an intergenerational social contract in which it is assumed that some degree of dependence on family members is both an expected and preferred outcome of growing old.

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Rowe, Jimmy, and Barbara Stover Gingerich. "The Eight Elements of an “Effective” Compliance Program." Home Health Care Management & Practice 23, no. 6 (August 2, 2011): 461–66. http://dx.doi.org/10.1177/1084822311414792.

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This article outlines practical suggestions that home health care providers can utilize to develop an effective compliance program that meets the standards and requirements. The program model was designed to meet the New York State Medicaid regulations but is easily transferable to other state and federal compliance program requirements. By using these elements, a compliance program can be put in place for other state Medicaid programs providing services in the home care setting. The article is intended to expand the home health care provider’s organizational inquiry into identifying the most salient areas to be considered in the development of the compliance program’s eight required elements. Providers are encouraged to compare existing compliance programs to the required eight elements to assure ongoing comprehensiveness of their existing programs.

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Condon, Eileen M. "Maternal, Infant, and Early Childhood Home Visiting: A Call for a Paradigm Shift in States' Approaches to Funding." Policy, Politics, & Nursing Practice 20, no. 1 (February 2019): 28–40. http://dx.doi.org/10.1177/1527154419829439.

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Early home visiting is a vital health promotion strategy that is widely associated with positive outcomes for vulnerable families. To expand access to these services, the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) program was established under the Affordable Care Act, and over $2 billion have been distributed from the Health Resources and Services Administration to states, territories, and tribal entities to support funding for early home visiting programs serving pregnant women and families with young children (birth to 5 years of age). As of October 2018, 20 programs met Department of Health and Human Services criteria for evidence of effectiveness and were approved to receive MIECHV funding. However, the same few eligible programs receive MIECHV funding in almost all states, likely due to previously established infrastructure prior to establishment of the MIECHV program. Fully capitalizing on this federal investment will require all state policymakers and bureaucrats to reevaluate services currently offered and systematically and transparently develop a menu of home visiting services that will best match the specific needs of the vulnerable families in their communities. Federal incentives and strategies may also improve states' abilities to successfully implement a comprehensive and diverse menu of home visiting service options. By offering a menu of home visiting program models with varying levels of service delivery, home visitor education backgrounds, and targeted domains for improvement, state agencies serving children and families have an opportunity to expand their reach of services, improve cost-effectiveness, and promote optimal outcomes for vulnerable families. Nurses and nursing organizations can play a key role in advocating for this approach.

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Kerber, Nalú Pereira da Costa, Ana Lúcia Cardoso Kirchhof, Marta Regina Cezar-Vaz, and Rosemary Silva da Silveira. "Right of the Citizen and Evaluation of Health Services: theoretical-Practical Approaches." Revista Latino-Americana de Enfermagem 18, no. 5 (October 2010): 1013–19. http://dx.doi.org/10.1590/s0104-11692010000500024.

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This study was carried out at a Family Medical Unit in a city in the south of Brazil, aiming at analyzing how the evaluation process takes place in a Brazilian public health unit, specifically considering a home care service. Data were collected through observation of the work process and interviews with workers, managers and users, between March and June 2006. The subjects were asked about the means applied to evaluate the home care service. No work is done to identify problems and reorient actions taken, evaluating the practices and measuring the impact of service and program actions on the population’s health status.

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Babyar, Julie Christine. "Design matters in home visiting improvement." International Journal Of Community Medicine And Public Health 4, no. 12 (November 23, 2017): 4370. http://dx.doi.org/10.18203/2394-6040.ijcmph20175307.

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Maternal and child health home visiting services play a critical role in healthcare within the United States. Programs are widely varied and services offered depend on local and regional adopted designs. Observational and experimental research provides mixed conclusive results. Some literature reports statistically significant positive outcomes for home visitation services while other research fails to duplicate or provide secondary matched findings. Future research design opportunities include national, inclusive, cross collaborative home visiting research that seeks to minimize limitations. Future home visiting programs should utilize research opportunities in public and private program redesign, continuous quality improvement as well as in accreditation for optimal effect on target populations. Only with strong, supportive research can maternal and child home visiting services be tailored, replicated and consistent across the United States.

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Mardiyanti, Siti, Dewi Rahayu, Ahmad Karbito, and Atikah Adyas. "Management of Free Health Services in Hospital." Indonesian Journal of Global Health Research 3, no. 3 (August 14, 2021): 341–52. http://dx.doi.org/10.37287/ijghr.v3i3.525.

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The Government of Indonesia is obliged to provide guarantees for the fulfillment of the right to a healthy life for every citizen by enforcing the Social Security Administration (BPJS) for Health. The success of hospitals in carrying out their functions is marked by an increase in the quality of hospital services. To implement the implementation of SJSN in the BPJS program, the phenomenon of existing problems where the management of free health services in hospitals has not been carried out optimally, seeing some complaints in the community, therefore it is necessary to study the management of health services in terms of input, process and output. and 5M management at Tjokrodipo Hospital, Bandar Lampung City. This study aims to determine and describe the Management of Free Health Services at Tjokrodipo Hospital, Bandar Lampung City in 2021. This research is a qualitative study with a descriptive approach. The time of the study was carried out from May to June 2021 in Tjokrodipo Hospital Bandar Lampung Research subjects were selected using purposive sampling technique, researchers used data triangulation techniques and data processing carried out in this study was source triangulation. not available for BPJS patients, so patients are advised to look for other dispensaries, medical equipment such as patient beds are still lacking because during the pandemic, the availability of health human resources (HR), such as dentists and specialists are not in accordance with class C hospital standards, patients feel that the free health services provided are not good, the average patient complains of a lack of equipment such as uncomfortable beds and rooms because there are many patients.

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Lee, Sue-Hyang, Soo-Myoung Bae, Bo-Mi Shin, and Sun-Jung Shin. "Types of Perception of Home Visiting Oral Health Care Services for Korean Older Persons: A Q Methodology Study." International Journal of Environmental Research and Public Health 18, no. 1 (December 30, 2020): 214. http://dx.doi.org/10.3390/ijerph18010214.

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This study was conducted using the Q methodology to categorize Korean older persons’ subjective perceptions of home visiting oral health care services. Various opinions regarding home visiting oral health care services were collected based on related literature, and by conducting in-depth interviews with 12 people. Thirty-two statements were finally selected, and Q classification was applied. Based on data analysis with the PC-QUANL program, six factors (seven types) were derived, which accounted for 49.6% of the total variance. By comprehensive analysis of the types of subjective perceptions of home visiting oral health care services, the following two characteristics were identified. Korean older persons were expected to promote their own oral health activities, or improved access to expert health care services, through the home visiting oral health care services. Additionally, they had a need for social, economic, emotional, and informational support. Therefore, home visiting dental personnel should be able to provide customized visiting oral health care services based on evaluation of the need and type of perception of older persons. Thus, it is essential for visiting dental personnel to be trained in the knowledge of social welfare, and to develop diverse competencies.

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Ginther, Shawn Damon, Susan Elizabeth Humphers-Ginther, Patrick J. Fox, and Leonard S. Miller. "Why Home Health Services Are Provided to Alzheimer's Disease Patients in California's Alzheimer's Disease Program." Home Health Care Services Quarterly 14, no. 2-3 (April 4, 1994): 111–25. http://dx.doi.org/10.1300/j027v14n02_09.

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Seitz, Rae, Charles F. Miller, Michael Duick, and Robert Eubanks. "A home-based palliative care pilot program for patients with advanced cancer." Journal of Clinical Oncology 33, no. 29_suppl (October 10, 2015): 164. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.164.

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164 Background: Advanced cancer care often lacks a comprehensive approach; in Hawaii most oncology practices do not have access to palliative care teams. This causes high use of acute care services and suboptimal symptom management. Hawaii Medical Service Association (HMSA) created a pilot program called Supportive Care in which home-based palliative care services are offered to members with advanced cancer with goals of improved clinical outcomes and decrease utilization of acute care services Methods: Patients must have stage III or IV malignancy and ECOG PS of 2 or greater. Palliative care services are provided by Medicare-certified hospice agencies, with interdisciplinary teams, 24/7 on-call capacity, and expertise in symptom management. Hospice agencies are paid by HMSA to provide intermittent home visits. DME and pharmaceuticals. Care is coordinated with the patient's treating oncologist and other care providers. Each patient may receive 90 days of Supportive Care services in a 12 month period. Services are suspended during hospitalization or placement in a skilled nursing facility. Results: Patients enrolled in this program utilized hospital services significantly less than other Medicare Beneficiaries during the end-of-life period, suggesting that complex medical and psychosocial needs can be met in the home environment. The table compares findings from cancer patients enrolled in Supportive Care during 2014 with the most recent data available from The Dartmouth Atlas of Health Care. Conclusions: Multiple studies show improved quality of life for cancer patients receiving palliative care. Supportive Care resulted in improved clinical outcomes. Anecdotal feedback indicates high satisfaction among patients, families, and providers. Research to collect data and quantify satisfaction continues. [Table: see text]

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Kleinsorge, Christy A., Michael C. Roberts, Kimberlee M. Roy, and Michael A. Rapoff. "The Program Evaluation of Services in a Primary Care Clinic: Attaining a Medical Home." Clinical Pediatrics 49, no. 6 (February 4, 2010): 548–59. http://dx.doi.org/10.1177/0009922809358615.

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Chambers, Larry W., Peter Tugwell, Charles H. Goldsmith, Patricia Caulfield, Murray Haight, Laura Pickard, and Mary Gibbon. "The Impact of Home Care on Recently Discharged Elderly Hospital Patients in an Ontario Community." Canadian Journal on Aging / La Revue canadienne du vieillissement 9, no. 4 (1990): 327–47. http://dx.doi.org/10.1017/s0714980800007455.

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ABSTRACTHospital and long-term care facility utilization, mortality and functional status over a 12-month follow-up period are described for elderly home care recipients who had been discharged from an acute care hospital. Of those eligible for receipt of services from the Program, 356 (92%) patients 65 years of age and older agreed to participate in the study at the time of discharge from an acute care hospital. Of these, 82.2 per cent survived during the subsequent 12 months, 44 per cent were readmitted to hospital, and 5 per cent were admitted to a nursing home or home for the aged. After adjusting for socio-demographic and health variables using regression analyses, the total number of home care services received was significantly associated with physical function and social function at 12 months. Similarly, the analyses revealed home care “social services” (social worker visits, meals on wheels, visiting home maker visits and volunteer visits) received were significantly associated with morale at 12 months. The clinical significance of these findings for case-management and home care program management and monitoring are discussed.

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Toussaint, Nigel D., Lawrence P. McMahon, Gregory Dowling, Stephen G. Holt, Gillian Smith, Maria Safe, Richard Knight, et al. "Introduction of Renal Key Performance Indicators Associated with Increased Uptake of Peritoneal Dialysis in a Publicly Funded Health Service." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 37, no. 2 (March 2017): 198–204. http://dx.doi.org/10.3747/pdi.2016.00149.

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BackgroundIncreased demand for treatment of end-stage kidney disease has largely been accommodated by a costly increase in satellite hemodialysis (SHD) in most jurisdictions. In the Australian State of Victoria, a marked regional variation in the uptake of home-based dialysis suggests that use of home therapies could be increased as an alternative to SHD. An earlier strategy based solely on increased remuneration had failed to increase uptake of home therapies. Therefore, the public dialysis funder adopted the incidence and prevalence of home-based dialysis therapies as a key performance indicator (KPI) for its health services to encourage greater uptake of home therapies.MethodsA KPI data collection and bench-marking program was established in 2012 by the Victorian Department of Health and Human Services, with data provided monthly by all renal units in Victoria using a purpose-designed website portal. A KPI Working Group was responsible for analyzing data each quarter and ensuring indicators remained accurate and relevant and each KPI had clear definitions and targets. We present a prospective, observational study of all dialysis patients in Victoria over a 4-year period following the introduction of the renal KPI program, with descriptive analyses to evaluate the proportion of patients using home therapies as well as home dialysis modality survival.ResultsFollowing the introduction of the KPI program, the net growth of dialysis patient numbers in Victoria remained stable over 4 years, at 75 – 80 per year (approximately 4%). However, unlike the previous decade, about 40% of this growth was through an increase in home dialysis, which was almost exclusively peritoneal dialysis (PD). The increase was identified particularly in the young (20 – 49) and the elderly (> 80). Disappointingly, however, 67% of these incident patients ceased PD within 2 years of commencement, 46% of whom transferred to SHD.ConclusionsIntroduction of a KPI program was associated with an increased uptake of PD but not home HD. This change in clinical practice restricted growth of SHD and reduced pressure on satellite services. The effect was offset by a modest PD technique survival. Many patients in whom PD was unsuccessful were subsequently transferred to SHD rather than home HD.

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Wheeler, Kathleen, and Lydia Greiner. "Integrating Education and Research in an APRN Mental Health Services Program." Journal of Community Health Nursing 21, no. 3 (September 2004): 141–52. http://dx.doi.org/10.1207/s15327655jchn2103_2.

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Journal articles on the topic 'Montana. Home Health Services Program'

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