Services Comprehensive In-Home Healthcare Services A Person-Centered Care Process Each agency is unique in its own way. At Vital Sign Home Care, we understand how important it is to plan for care that is person-centered, or in other words, focused on the client’s needs first. As soon as we receive an inquiry about our services, we begin our assessment process. This process involves reviewing personal and medical information that is unique to your loved one’s needs. This process begins with a: 1. Phone InterviewOur admission coordinator will schedule a time to conduct an initial phone interview to gather as much information about your loved one’s needs as well as the family’s needs. Once this information is gathered, we will then schedule an appointment to meet with one of our RN coordinator to begin the next step. 2. Care Plan MeetingOur care plan meetings are designed to assess your loved ones, home environment, and recommend and plan care based on information provided. After the care plan meeting, a person-centered plan is developed with the family’s permission. No plan is implemented until the family approves the plan. 3. Caregiver SelectionOur RN coordinator along with our admissions coordinators work together to select caregivers based on the needs and interests of the client and family. This process can be tedious but through. We take into consideration various factors to select the proper caregiver for your loved one. Experience as well as personality is taken into consideration during the selection process with a home visit arranged before the final decision is made. 4. Care MonitoringCaregivers are required to document (care notes) daily about the day-to-day activities as well as the care provided. Care notes remain on-site at the homes. Our RN monitors the caregivers by doing unscheduled visits. Payment Options We accept the following forms of payment: Medicaid Clients We participate in Maryland’s Medicaid Waiver Programs. Our staff may be able to assist with the application process (must be Medicaid eligible). Long-Term Care Insurance We can assist with long-term care insurance paperwork and reimbursement. Private Pay Clients Out-of-pocket expense paid by the client with a minimum of four paid hours on any schedule. Workmans CompensationIf you are receiving workmans Comp because on work related injury, we will bill the workmans comp claim directly. Staffing can be provided 24 hours a day, 7 days a week. There is a minimum of eight paid hours on any schedule. Home Care Vital Sign Home Care offers the following services: Companion Care Skilled Care Personal Care Including Assisting With Bathing, Grooming, Dressing, Meals, and Ambulation Laundry and Light Housekeeping Meal Preparation Medication Management or Medication Reminders Diabetes Care Wound Care Monitoring Skin Integrity Alzheimer’s / Dementia Care Incontinence Care Respite Care Assistance With Medical Appointments, Hospital Visits, and/or Personal Errands Shopping Services Personal Home Care Assistance Frequently Asked Questions If you or a loved one could use a hand at home with activities of daily living such as personal hygiene assistance, meal preparation, and transportation, considers utilizing a professional caregiver. Here are some of the most frequently asked questions about personal home care assistance. Q: What is personal home care assistance? Personal home care assistance can best be described as assistance with activities of daily living, the common things that a healthy person would do for him/herself on a daily basis. This would include personal care (bathing, dressing, help with the bathroom), light housekeeping, laundry, linen changes, meal preparation, transportation, running errands, and medication reminders. It also consists of things like supervision and companionship. Q: Who can receive personal home care assistance? Individuals of all ages and with a variety of personal care needs can receive personal home care assistance services. If you feel that you or a loved one may benefit from home care, we are only a phone call away. A member of our experienced staff can meet for a complimentary in-home assessment to determine if personal home care assistance is right for you. Q: What should I watch for that might indicate that someone needs personal home care assistance? Everyone ages at a different rate and many people can remain independent well into their 80s. Some things to look for when visiting an elderly loved one include: Is the house tidy? Do they have adequate groceries (not just frozen dinners)? Have you noticed any weight loss? Has personal hygiene declined? Are there any concerns with memory? These are just a few things to consider when you’re thinking about personal home care assistance. A great resource is the person’s primary care physician. Often PCPs will be the ones to initiate the idea that some help might be needed in the home. Q: Can we arrange for occasional transportation to doctors’ appointments? Transportation, especially to medical appointments and procedures, is a popular home care service. It can often be arranged in a few hours, but the more notice given is always better. It is best, if possible, to give us 24 hours’ notice. This allows us to meet with the person ahead of time so that he or she knows what to expect and feels comfortable with the whole process. A regular planned schedule can be set up, or the caregiver can be used on an “as needed” basis. Q: What are caregivers not allowed to do? Personal home caregivers cannot do anything that would be described as clinical or invasive. Most importantly, they cannot administer any medications. If the client requires insulin or other injections, they would have to be administered by the client or a trusted member of the family. Also, a caregiver should not be monitoring vitals such as blood sugar, blood pressure, etc. Q: Do you provide personal home care assistance for someone in an assisted living facility? Yes, we do. We first arrange a meeting with the family to conduct a thorough assessment and develop a plan of care. This is not only to fully understand what activities you would like to have completed for your loved one but also to get a sense of what kind of personality might best suit him or her. After this is completed, we will match the person with a caregiver. If at any time you would like to change your caregiver, this can easily be arranged. Q: Where do we get information on personal home care assistance for veterans and their spouses? This is a great question because veteran’s benefits are severely underused. Contact your local VA to learn more about the “Aid and Attendance” program. There are also several non-profits that work with veterans to process their claims. VA benefits are not automatically given; they must be applied for, and recipients must meet certain requirements. Veterans with spouses could receive over $23,000 annually toward personal home care assistance, assisted living, or nursing home care. Spouses of deceased veterans may be eligible for over $12,000 annually. Q: How often are we billed, and is there a deposit? An upfront deposit is required before personal home care assistance services are rendered, generally covering about two weeks of service. The deposit will be refunded at the end of your relationship with the agency if all invoices have been paid. You will be charged on a semi-monthly basis. No long term contract is required, allowing maximum flexibility as needs change. Q: Will we get the same caregiver each time care is scheduled? It generally depends on the amount of service you need. If you require extensive hours or 24-hour care, it is only practical to have more than one caregiver coming on a shift basis. But we will certainly strive for continuity with the staff that is providing the elder care, especially when effort has been made to match the right personalities and care needs. The caregivers like it that way, too. Due to the nature of personal home care assistance, especially with bathing and close physical contact, familiarity and routines make everything much more comfortable for the elderly person receiving care. Q: How does your agency select its caregivers? We participate in job fairs, place advertisements, and attract applicants through the internet. We have a rigorous screening process that includes background checks and verification of qualifications. All of our caregivers have at least one year of experience. All background information is available upon request. Our caregivers also have varied experience. For this reason, we meet with the family to get detailed information in order to put together a plan of care. By doing this, we can ensure that each employee that we send out has all of the skills to address the needs of each client. If a client’s health status deteriorates and requires more skill, we will make arrangements to staff as necessary. Q: What happens if my mom or dad has some sort of medical emergency? 911 is immediately called in the event of a medical emergency. There is an emergency preparedness procedure that every caregiver is trained on when hired, with annual training updates. We also ask the family to post a list of emergency numbers by the phone and put them in the order that they should be called. 911 would usually be the first call if it is a true emergency. Q: Are caregivers trained in CPR and basic first aid? All of our caregivers are trained in CPR and first aid before we hire them. Q: How can I check the quality of care from caregivers? Try to be involved in your loved one’s care. Get to know the caregivers and the supervisors providing and managing the care. If you see anything in the home that concerns you, report it immediately no matter how insignificant your observation may seem. Try to visit frequently to get a true understanding of what is occurring on a daily basis. (If you live out of the area, find someone you trust to make the visits.) Our own branch managers will do unscheduled supervisory visits, an important aspect of quality assurance. Lastly, we also provide a chart book, and the caregivers note all important information for you to review. Family members have full access to the charts, and the notes can be scanned and emailed if you wish.