Home health services

home health services in India

1. Dr. priya Tiwari M.h.a 2 nd year

2. OBJECTIVES Define home health care. Purpose of home heath care . Home healthcare scenario globally & in india . Types of services available in home healthcare . Proposed model- home care services Key challenges Major players In India .

3. definition Home Health Care is the provision of medically related professional services and equipment to individuals and their families at their place of residence for the purpose of promoting , maintaining, or restoring health or of minimizing the effects of illness and disability . Home health care is a wide range of health care services that can be given in home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care one gets in a hospital or skilled nursing facility (SNF).

4. Healthcare context

5. The Indian Healthcare Scenario 200 Million or more will be over the age of 65 by 2018 40 million lose their lives to chronic diseases every year Lifestyle and eating habits have changed drastically Personalized healthcare has become the need of the hour

6. Home healthcare

7. Hospital vs home healthcare

8. Market segmentation: by devices

9. Market segmentation : by services

10. Global market forecast

11. India: market size

12. INDIA market forecast

13. SERVICES IN DEMAND in india

14. Types of patients Total knee replacement Fractures CVA\stroke Dementia Chronic pain COPD Heart failure Wounds Progressive neurological disorder

15. In the home, the nurse encourages the patient to use imagery to relax and relieve pain.

16. Role of Home Health Nurse Advocacy Coordinator Educator

17. Requisites of Home care The nurse should be well versed with- : Strong knowledge base Communication principles . Skilled or compassionate care. Involves family in care. Co-ordination with all disciplines . Independent decision maker. Accountability

18. CHANGES IN HOME HEALTH CARE JCAHO is looking for agencies to establish ethics committees to handle issues that arise in the home. Psychiatric nurse clinicians are being reimbursed by Medicare for home visits. s ocial workers are taking a more active role in home health care. More home health agencies are employing nurse pain specialists to assess and manage pain control in the home.

19. Care services Personal Care and Companionship services may include: Assistance with self-care, such as grooming, bathing, dressing, and using the toilet Enabling safety at home by assisting with ambulation, transfer ( e.g , from bed to wheelchair, wheelchair to toilet), and fall prevention Assistance with meal planning, medication reminders, and escorting to appointments Companionship and engaging in hobbies and activities Supervision for someone with dementia or Alzheimer's disease

20. Private Duty Nursing Care services may include: Care for diseases and conditions such as Traumatic brain injury (TBI ), Spinal cord injury (SCI), ALS, MS Ventilator care Tracheostomy care Monitoring vital signs Administering medications Ostomy /gastrostomy care Feeding tube care Catheter care

21. Home Health Care services may include: Short-term nursing services Physical therapy Occupational therapy Speech language pathology Medical social work Home health aide services

22. Branch model across the city for better reach Catering to 24x7 home health requirements 24x7 Call center for the subscribed members Focus on specialty services from Mental to Physical Wellbeing model… provide Home-based medical services. Focused on Out-of hospital services Pay per usage model with basic annual subscription fee

23. Hospital Association Better Service Delivery model for patient Continuum of care – seamless integration from Hospital to Home Adherence to care protocols at home Periodic follow up’s with the treating doctor / Specialist Retention of patients and great CRM initiative

24. Avoids high investment cost in running home care program Manpower issues associated with Home Care Speciality home care for chronic cases helps better ARPOB for Associate Hospital Cost Effective Hospital Association

25. Hospital Tie-up – Advantage: Heart Failure Clinic Patient walks into the Clinic Data Management will be done on cloud and the clinician will have access to the patient record on line Care Plan is created by the cardiologist and follow up is done by HHC team HHC team will follow up on Care Plan created by clinician and do ECG and Blood Investigations at home Proposed package will have PT INR, Serum Electrolytes ECG , pedal edema , weight monitoring etc... Which will be carried at home Adherence to care protocols at home

26. Associate Hospital will provide space in the hospital Associate Hospital will inform all stake holders about the association and all discharge summaries will have a recommendation for home care HHC Team will have a dedicated kiosk manned by a customer care team HHC Team will take the leads from the hospital / doctor’s Separate ID will be issued for associate Hospital patients for better tracking along with a welcome kit Patients will be engaged right from the discharge process Care plan will be reviewed with the treating physician/ specialists before implementing the same at patients home Periodic updates to the clinicians on the patient condition Billing will be done by HHC team Monthly report will be submitted by 5 th of every month How it works

27. Key benefits to consumers Convenience Lower chances of infection Significant cost savings Savings in terms of time and effort –especially for doctor visits and purchase of medicines Preventive care

28. Key challenges

29. Types of players

30. Major players: by city

31. and…. 1917, 1935, 1948, 1965, 1970, 1994 2018