disease management FOR diabetic CARE

Diabetes is a chronic indicator that the pancreas is not producing enough insulin resulting in high blood sugar.  Well-managed, diabetes can simply mean adapting diet and medication, and monitoring blood sugar levels.

However, without effective self-management, diabetes can spiral into debilitating and even life-threatening conditions. If left untreated or poorly treated, diabetes can increase a risk for heart disease, stroke, high blood pressure, kidney disease, neuropathy, wounds, and blindness.

Skilled nursing care and disease management is vital to patients who may require additional care at home, specifically those with:

  • Frequent hospital admissions
  • Diabetic wounds or foot ulcers
  • Multiple new medications
  • New to insulin therapy
  • Underlying disease processes that may contribute to poor diabetic control

How DIABETES care Works

We focus on guidance, monitoring, and treatment with the underlying goal of helping our patients develop a solid self-care management plan that gets diabetes under control, regains and maintains a healthy lifestyle and helps our patient get the most from a life with diabetes. 

Our skilled care team:

  • Assesses and monitors patient to ensure stability and reduce risks of complications.
  • Educates patient and family on understanding the disease and how it impacts health and well-being.
  • Educates on how to monitor the disease and what to do when levels aren’t where they should be.
  • Promotes medication management for all medication, not only diabetic medication, by focusing on proper usage to reduce medication errors and gain by better blood sugar control.
  • Establishes a plan on testing blood sugar levels before, during, an after exercise to ensure patient is exercising within safe limits.
  • Actively engages patient toward self-care and self-monitoring including understanding signs/symptoms, red flags and treatment for hypoglycemia/ hyperglycemia; and identifying signs and symptoms that require emergency medical attention.
  • Offers nutritional assessment and provides instructions on a healthy diet.
  • Stresses the importance of regular foot exams to avoid complications and provides wound care, when necessary.

Diabetes Management:

  • Increases patient’s ability to manage diabetic care and nutritional intake
  • Enhances well-being by reducing the number and frequency of hospital admissions and visits to the ER
  • Diminishes complications and risk factors
  • Maintains patient’s independence

https://www.cdc.gov/diabetes/pdfs/data/statistics/national-diabetes-statistics-report.pdf

Medicare

Original Medicare Part A typically covers home care services at 100 percent, provided the services are ordered by your surgeon, are performed by skilled professionals and are medically necessary. In addition, the patient must be essentially “homebound,” meaning that it is difficult for the patient to perform activities outside the home, except to go to doctor’s appointments.

Medicare enrollees may be eligible for skilled nursing care, disease management and in-home therapy as prescribed by a physician.  

Private Insurance

Most insurance plans provide some coverage for home care services. But plans, deductibles and out-of-pocket expenses will vary. These plans generally follow the same rules as Medicare regarding payment for long-term care services. If they do cover long-term care services, it is typically only for skilled, short-term, medically necessary care.

Like Medicare, the skilled nursing stay must follow a recent hospitalization for the same or related condition and is limited to 100 days. Coverage of home care is also limited to medically necessary skilled care. Most forms of private insurance do not cover custodial or personal care services at all. Your plan may help you pay for some of the copayments or deductibles. It is best to contact your home care provider of choice prior to your surgery to see if it is in-network with your insurance company. You will also want to contact your insurance company to determine if any pre-authorization is required for home care services.

Short Term and Long-Term Disability Insurance

Disability insurance may pay all or a portion of home health and home care services. It is best to contact your policy provider to determine your coverage.

Long-Term Care Insurance

Long-Term Care Insurance may cover in-home assistance with Activities of Daily Living such as bathing, dressing, incontinence care, toileting, eating and assistance with transfers in addition to things like meal prep, light housekeeping, transportation, medication reminders & more.  Companies that provide Long-Term Care Insurance include Mutual of Omaha, Transamerica, MassMutual, New York Life and others.

Other options:

*Eligibility varies per investment vehicle.
**Note that home health care, home care and private skilled care are, in most cases, tax-deductible expenses.

Private Pay

 

 

Accredited by The Joint Commission in Broward County.

Accredited by Accreditation Commission for Health Care (ACHC) in Indian River, Martin, Okeechobee, Palm Beach and Port St. Lucie counties.