_

Skilled Nursing

Skilled nursing care is provided by a Registered Nurse (RN) or a Licensed Practical Nurse (LPN) to manage, observe, and evaluate care. Most often, skilled nursing is needed when an individual is recovering from injury or illness. Our nurses have significant training and experience in treating and educating patients within the home setting. We offer a range of skilled nursing care in treatment areas such as anti-coagulation therapy, cancer care, cardiopulmonary disease, diabetes, IV therapy, medication management, pain management, stroke, wound care, and more.

Rehabilitation Therapy

Rehabilitation therapy plays an important role in helping an individual regain productivity and independence. At Eden Home Health, we offer physical, occupational, and speech therapy services that deliver real results. From improving mobility, reducing fall risk, and enhancing verbal communication, to reducing the risk of aspiration pneumonia, our skilled therapists work with physicians to create a customized plan for each patient’s specific needs.

Home Health Aides

Our home health aides are trained to assist patients with activities of daily living (ADL) such as eating, bathing, grooming, and taking vital signs. Home health aides also provide support through care activities such as checking a patient’s pulse, respiration, and blood pressure. These team members work under the supervision of our nurses and therapists to ensure that each patient’s customized care plan is fulfilled.

Medical Social Services

Recovering from illness or injury can be a very difficult time. Illness, disability, and life-limiting conditions can have an impact beyond your physical health. Our medical social workers review the emotional factors affecting ill and disabled patients and provide counseling and assistance in finding additional community resources. They often serve as case managers when patients’ conditions are so complex that professionals need to assess medical and supportive needs and coordinate a variety of services. In addition, medical social workers consult with the patient regarding financial, social, and/or transportation problems, help establish long-term plans, crisis intervention, and counseling.

Care Transitions Program

For patients transitioning directly from hospital to home, our Care Transitions Program is designed to help you play a more active role in your health care and prevent the likelihood of rehospitalization. This 3-phase journey follows you every step of the way to make sure you are receiving the right level of care to get you back to your highest level of independence and quality of life.

Phase 1:

Your transition coach first visits you in the hospital to arrange a post-discharge home visit and to provide you with a personal health record. This record, which you will be instructed to share with future health care providers, includes a list of your health problems, medications, allergies, and warning signs/symptoms to closely monitor.

Phase 2:

During your post-discharge home visit, which will take place 48-72 hours after your discharge from the hospital, your transition coach will:

• Review your prescribed medications to confirm there are no dangerous interactions.
• Discuss your medication regimen with you.
• Teach you how to effectively communicate your needs to your healthcare professionals.
• Review “red flags” or warning signs/symptoms in your health record, including how to manage them and when to contact a doctor.

Phase 3:

After your home visit, your transition coach follows-up with three telephone calls during the first four weeks after your hospital discharge to make sure you have received necessary medical services, medications, and equipment, and to discuss and answer any questions you may have about recent medical appointments.

Telehealth

Our Telehealth program allows us to provide a superior in-home experience by enabling secure, compliant, reliable and organized communication between patients and their care team. Telehealth connects patients daily to a nurse via the use of next-generation Telehealth and Telemedicine technologies. Telehealth devices measure blood pressure, pulse, weight, oxygen saturation, and blood glucose levels. Information is relayed to our Telehealth nurse, who makes an assessment and coordinates follow-up as needed. If a reading is outside parameters established by the patient’s physician, action is taken. The Telehealth program is proven to reduce hospitalization and emergency room visits while building patient confidence to self-manage their conditions at home.

Real-time patient engagements include:

• Remote Monitoring of Vital Signs
• Medication Reminders
• Secure Video Visits
• Incident Recording
• Event Alerts
• On-Demand Access to Education
• Surveys and Feedback Modules
• Eden Health Provider Access

WHAT IS HOME HEALTH CARE?

Home health care consists of skilled nursing, physical therapy, occupational therapy, speech-language pathology, aide services and medical social work provided to beneficiaries in their home. Home health care provides medical treatment for an illness, injury or surgery with the goal of helping you recover, and regain your independence.

WHO IS ELIGIBLE FOR HOME HEALTH CARE?

To be eligible for the home health benefit, beneficiaries must need part-time (fewer than eight hours per day) or intermittent skilled care to treat their illnesses or injuries and must be unable to leave their homes without considerable effort. Medicare requires that a physician certify a patient’s eligibility for home health care and that a patient receiving service is under the care of a physician.

WHO PAYS FOR HOME HEALTH SERVICES?

For patients who meet home health eligibility requirements, Medicare may pay for your covered home health care for as long as you remain eligible and your doctor certifies that you need it. In addition, your state’s Medicaid program will pay for home health services, or your private insurance may also cover home health care. Please contact your state Medicaid program or insurance company to learn about their specific eligibility requirements.

WHAT IS YOUR NON-DISCRIMINATION POLICY?

It is our policy to admit and treat all clients, without regard to race, ancestry, national origin, age, religious creed, color, gender, physical or mental disability, or sexual orientation. There is no distinction in eligibility, assignment, or in the manner clients are provided home care services by Eden. Any person or organization that may refer or recommend clients for home care service must do so based on an agency’s non-discrimination policy.