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Home Health Care

Home health care — frequently referred to simply as “home health” — is clinical care services delivered directly to a patient’s home.

This type of care is provided by licensed and specialized professionals including RNs/LPNs, therapists, and home health aides for the purpose of treating or managing an illness, injury, or medical condition.

Home health care services can be delivered at a patient’s residence, assisted living, residential care or long-term nursing facility.

As an excellent, cost-effective alternative to hospital or other institutional care, clinical care services include skilled nursing; disease management; physical and occupational therapy and/or speech pathology.

No, home health care (i.e., home health) is different than home care. Though the two services sound similar (both take place at a patient’s residence), home health is administered by licensed medical and specialized professionals.

Skilled care includes in-home nursing for adults, seniors and children recovering from illness, chronic condition, disability or surgery. Services are provided by licensed professionals.

Skilled care also includes:

  • Injections
  • Wound care
  • Tube feedings
  • Education about a new diagnosis, worsening of a diagnosis or a change in medical condition
  • Management of your care plan

Our skilled care services focus on achieving your optimal levels of health and independence wherever you call home, while helping to reduce unplanned re-hospitalizations and emergency room visits.

  • People of any age;
  • People who can leave the hospital or nursing home but need additional care;
  • People who have short-term health needs;
  • People who need assistance, due to age or disability, to remain at home; and
  • People who need education about the disease process and training on how to best care for themselves.

Essentially, anyone recovering from illness, disease, surgery or managing a chronic condition can receive skilled home health care services under certain conditions.

For disabled adults and seniors, these services may be paid for by Medicare, long-term care insurance, private insurance or private pay. Medicare beneficiaries must have a written prescription from their physician and must be homebound.

Please check with any other providers you may have for their conditions of coverage. 

For pediatrics, these services may be covered by private insurance, Medicaid Waiver or state programs. 

To receive skilled care, an MD must certify the need for such care and that the patient is homebound.

Tri-County Home Care of Florida has two offices serving six counties in South Florida. We are Medicare-certified office that handles our home health care services for adults and seniors. We also provide personal/home care services for adults and seniors. Complete our in-home assessment form or call us at Call Us at +1 (954) 923-0695
for Broward County and Call Us at +1 (561) 922-9178 for Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties.

We will work with you to ensure that your needs are met. We can arrange for services ranging from a couple of hours a week to 24-hour care. No need is too great.

As a Medicare-certified home health agency, Tri-County Home Care of Florida complies with all Medicare regulations and has met rigorous national standards (known as conditions of coverage) in order to treat Medicare beneficiaries.

An individual’s Medicare benefit defines the conditions that qualify for service. The need for service typically starts after hospitalization or a significant change in medical condition.

Tri-County Home Care of Florida is Medicare-certified in Broward, Indian River, Martin, Palm Beach, Okeechobee and St Lucie counties. 

There are some services commonly misconceived as covered by the Medicare home health benefit. To clarify, these services are not covered:

  • 24/7 care at home, or long-term care
  • Home meal delivery
  • Help with getting dressed, bathing and using the bathroom (if this is the only type of care you need)
  • Help with cleaning, cooking, laundry, running errands and other homemaker services

Medicare may not cover 100% of the cost of home health care if:

  • Your doctor recommends services Medicare doesn’t cover.
  • Your doctor recommends you get services more often than Medicare covers.

Your home health agency can help explain all out-of-pocket costs before you receive care, so you know what to expect.

Home health care is available to any patient who needs it, but in order for it to be covered by Medicare, the patient must be deemed “homebound.” 

Homebound” does not mean that a patient is bed-ridden. It simply means that a patient can’t currently leave home because of illness or injury without “considerable and taxing effort,” or that the patient’s condition prevents them from being able to safely leave the home without assistance from others or assistive devices (e.g. canes, walkers, crutches, or wheelchairs).

Your doctor certifies that you’re homebound. This means, for example, you have trouble leaving home without the help of another person or a walker, wheelchair, cane or other device. You may also qualify if leaving home isn’t recommended because of your condition. You may also be considered “homebound” if you typically cannot leave home, but the occasional times that you do leave home require a considerable and taxing effort (for example, you only leave home for medical treatment or occasional, short outings).

In most cases, patients are still considered homebound even if they leave the home as needed for medical treatments that cannot be provided in-home. Brief and occasional non-medical absences may also be allowed, such as going to church, the beauty shop, or special family events.

Due to the Covid-19 Pandemic, the term “homebound” also includes patients having a confirmed or suspected case of COVID-19 or being at risk of severe illness from COVID-19 because:

  • Age 65+
  • Any age with an underlying medical condition such as chronic lung disease, moderate to severe asthma, serious heart conditions, immunosuppression, severe obesity, diabetes, chronic kidney disease or liver disease, among others

We provide both in-home health care and personal/home care services in any place that is considered a permanent residence. This may be:

  • A house or condo
  • An apartment
  • A relative’s home
  • Nursing home
  • An assisted living facility or home for the elderly

Service can begin once an MD, patient or family member initiates. Note that Medicare and many insurance plans will require physician oversight.

Once an MD prescribes home health care services, he or she authorizes a coordinated treatment plan, commonly called a “plan of care,” and periodically reviews services and the patient’s progress.

If an MD does not prescribe home health care, but the individual still desires services, private care can suggest a plan of care to meet a wide variety of needs and budgets.

While some insurance plans may pay for private duty services, they are typically an out-of-pocket expense.

No, not at all. We provide home health care services for intermittent skilled care to those disabled or have an acute illness, those with chronic conditions, recent hospitalization or surgery.

Keep in mind that if the adult or senior is a Medicare beneficiary and is homebound, he or she must have an MD’s prescription for Medicare coverage. 

We also provide skilled care/private care for children (birth to 21) in Broward County.  

If the adult or senior has medical needs that require more than intermittent care can provide, private care nursing is also available.

For an adult or senior who needs a non-medical help, our care professionals providing a full range of personal/home care from homemaker to live-in aides.

We understand that your medical information is personal and confidential. We create a medical record of the care you receive because it’s our legal obligation, but more importantly because we want to provide you with quality care.

Please know we are committed to protecting your personal medical information from any use for which it was not intended. In short, the law requires us to:

  • Keep your medical information private.
  • Notify you of our legal duties and privacy practices with respect to your medical information.
  • Follow the terms of the most current notice.

VIEW HIPAA

At Tri-County Home Care of Florida, we believe that you are in control of your health and the decisions about your health. We are passionately committed to supporting your decisions.

We support the Patient Bill of Rights and Responsibilities. Knowing your rights and role as a patient will help you make better decisions about your health care.

Federal law obligates home care agencies to inform patients of their rights and responsibilities before care is provided. The law guarantees an individual receiving home care the right to participate in the healthcare decisions that directly affect them and the responsibilities the individual accepts in participating in these decisions.

 

VIEW PATIENT BILL OF RIGHTS & RESPONSIBILITIES

We require that our caregivers have at least one year of practical experience, though most caregivers have advanced training.  Our caregivers go though a rigorous screening process that includes a formal interview, a reference and criminal background check as well as drug screening.

We ensure that our caregivers remain in good standing with the licensing and certification authorities. In addition, our caregivers are bonded and insured.

The primary benefit of home health care is that it can be delivered directly to the residence, whether it’s a private home, adult foster home, assisted living or residential care facility, long-term nursing home. By delivering care directly to the patient, expensive hospital bills can be avoided.

In addition, in many cases, home health care allows a person to be discharged earlier from a hospital, reduces hospital admissions, and helps with a faster recovery.

Most importantly, people are happier at home and receive more care and attention from family, friends and home health care professionals.

Family members are encouraged to be active participants in the planning process to help set and meet goals, working with home health care professionals for the benefit of the patient.

Additional benefits of home health care include:

  • Faster recuperation and recovery.
  • Improved level of independence and self-sufficiency (over time).
  • Maintaining or improving of current health condition and/or level of function.
  • Slowing of the disease decline.
  • Better symptom management.

Pros of Home Health Care

  • Care is delivered directly in the patient’s residence (either a home or facility).
  • Medical services are provided by skilled professionals.
  • Home health care staff follow an MD-prescribed plan.
  • Patients maintain independence and self-sufficiency at home
  • Care is typically less expensive than hospitalization or a long-term nursing home or care facility.
  • Multiple chronic conditions with complex management can be better managed.

Cons of Home Health Care

  • Personal/home care services like meal preparation and light housekeeping may not be included.
  • Patients must meet the “homebound” requirements to qualify for Medicare or have Medicare Advantage.
  • May not be adequate for patients who require 24-hour monitoring.

Patients can continue to see their physicians but they must meet the homebound criteria.  Our care team works closely with physicians when the plan of care is created.  

An in-home assessment is performed by an RN or a care manager who visits the patient’s home, screens for various risk factors and red flags, and assesses the need for in-home care with the purpose of providing a solution that supports the patient’s need to live independently at home for as long as possible.

On average, an in-home assessment takes about 90 minutes, during which time we speak with the patient and family members directly involved with the patient’s condition to understand specific needs and desired outcomes.

The issues reviewed include functional requirements, social engagement, emotional well-being, financial resources, and safety concerns. This assessment also covers home safety, daily activities,* physical health and mental health and cognition. A full assessment gives us a comprehensive look at everything the patient faces, which in turn leads to the development of a comprehensive care plan tailored to fit the patient’s needs and desires.

*Assessment of patient’s ability to safely carry out activities of daily living (ADL) such as bathing, dressing, laundry, cleaning, shopping, and cooking—all of which contribute to their functional well-being.

Private Skilled Care

Unlike traditional in-home health care services which provides intermittent care, private skilled care provides one-on-one advanced medical care. Our clinical staff is qualified to offer care in the comfort of the patient’s own home, or in a facility such as a hospital or nursing home. Private duty nurses are Registered Nurses (RNs) or Licensed Practical Nurses (LPNs).

Private skilled care provides advanced care and specialized services to patients of all ages. This type of care should be considered when a family caregiver or home health aide isn’t enough. Tri-County Home Care of Florida provides this necessary, higher level of care at home and not in a nursing facility or hospital.

Care is provide to patients that need in-home monitoring, those who require adjustments to treatment regimens often, and patients with medical conditions that require frequent assessments and care plan changes.

The goal of private care is the prevention medical complications that could result in facility placement, delivering medically-necessary nursing care to patients in their homes, to patients transitioning to in-home care, and assessing, providing, and monitoring professional care for patients by the hour (or round-the-clock).  

Private skilled care nurses are trained and certified to perform the following advanced medical tasks:

  • Colostomy care and urinary catheter maintenance
  • Personal medical care including nail trimming, oral cavity cleaning, and bowel program supervision
  • Administering medication including injections, inhalants, eye drops, oral, and topical medications
  • Setting up and maintaining a medication schedule, including weekly pill boxes or automatic dispensers
  • Tracking oxygen levels, use heart monitors, or other advanced in-home equipment
  • Providing advanced care training for family members

Private care also provide the following:

  • Diabetes care
  • Traumatic brain injury care
  • Medication and insulin administration
  • Wound care
  • Hospice care
  • Tube feedings
  • Tracheotomy care
  • Catastrophic injury care
  • Pulmonary injury care

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 or senior care services are needed, 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.

These services are often covered by private pay or private insurance plans including long-term care (LTC) policies. These services may also be covered through Medicaid Waiver (pediatrics).

If you have additional questions about paying for private care services, Tri-County Home Care of Florida can help. For Broward county, call us at +1 (954) 923-0695. For Indian River, Martin, Okeechobee, Palm Beach and Port St. Lucie counties, call us at +1 (561) 922-9178

We understand that your medical information is personal and confidential. We create a medical record of the care you receive because it’s our legal obligation, but more importantly because we want to provide you with quality care.

Please know we are committed to protecting your personal medical information from any use for which it was not intended. In short, the law requires us to:

  • Keep your medical information private.
  • Notify you of our legal duties and privacy practices with respect to your medical information.
  • Follow the terms of the most current notice.

VIEW HIPAA

At Tri-County Home Care of Florida, we believe that you are in control of your health and the decisions about your health. We are passionately committed to supporting your decisions.

We support the Patient Bill of Rights and Responsibilities. Knowing your rights and role as a patient will help you make better decisions about your health care.

Federal law obligates home care agencies to inform patients of their rights and responsibilities before care is provided. The law guarantees an individual receiving home care the right to participate in the healthcare decisions that directly affect them and the responsibilities the individual accepts in participating in these decisions.

VIEW PATIENT BILL OF RIGHTS & RESPONSIBILITIES

An in-home assessment is performed by an RN or a care manager who visits the patient’s home, screens for various risk factors and red flags, and assesses the need for in-home care with the purpose of providing a solution that supports the patient’s need to live independently at home for as long as possible.

On average, an in-home assessment takes about 90 minutes, during which time we speak with the patient and family members directly involved with the patient’s condition to understand specific needs and desired outcomes.

The issues reviewed include functional requirements, social engagement, emotional well-being, financial resources, and safety concerns. This assessment also covers home safety, daily activities,* physical health and mental health and cognition. A full assessment gives us a comprehensive look at everything the patient faces, which in turn leads to the development of a comprehensive care plan tailored to fit the patient’s needs and desires.

*Assessment of patient’s ability to safely carry out activities of daily living (ADL) such as bathing, dressing, laundry, cleaning, shopping, and cooking—all of which contribute to their functional well-being.

Personal/Home Care

Personal/home care involves unskilled services that are typically paid for through private pay (not paid by insurance). These services are designed to lend an extra helping hand with daily activities such as bathing and dressing, or meal preparation (also known as Activities of Daily Living, or ADLs). Our services are customized to fit your individual needs.

Tri-County Home Care of Florida provides personal/home care services for adults and seniors in Broward, Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties. 

The difference between home health and personal/home care is the necessity for skilled services. Home health care requires skilled or clinical services that would come from a physician’s order. 

Personal/home care involves unskilled assistance with ADLs. 

Our personal/home care services include helping with ADLs:

  • Bathing
  • Dressing
  • Grooming
  • Transportation
  • Meal preparation
  • Light housekeeping
  • Medication reminders
  • Assistance with incontinence
  • Transferring/in-home mobility assistance
  • Companionship

Basic Activities of Daily Living
These are the basic self-care tasks that we initially learn as very young children. They are sometimes referred to as “Basic Activities of Daily Living” (BADLs). They include:

  • Walking, or otherwise getting around the home or outside. The technical term for this is “ambulating.”
  • Feeding, as in being able to get food from a plate into one’s mouth.
  • Dressing and grooming, as in selecting clothes, putting them on, and adequately managing one’s personal appearance.
  • Toileting, which means getting to and from the toilet, using it appropriately, and cleaning oneself.
  • Bathing, which means washing one’s face and body in the bath or shower.
  • Transferring, which means being able to move from one body position to another. This includes being able to move from a bed to a chair, or into a wheelchair. This can also include the ability to stand up from a bed or chair in order to grasp a walker or other assistive device.

If a person is not fully independent with ADLs, then we usually include some information about the amount of assistance they require.  For each ADL, people can vary from needing just a little help (such as a reminder or “stand-by assist”) to full dependency, which requires others to do the task for them. 

 

Instrumental Activities of Daily Living (IADLs)

These are the self-care tasks we usually learn as teenagers. They require more complex thinking skills, including organizational skills. They include:

  • Managing finances, such as paying bills and managing financial assets.
  • Managing transportation, either via driving or by organizing other means of transport.
  • Shopping and meal preparation. This covers everything required to get a meal on the table. It also covers shopping for clothing and other items required for daily life.
  • Housecleaning and home maintenance. This means cleaning kitchens after eating, keeping one’s living space reasonably clean and tidy, and keeping up with home maintenance.
  • Managing communication, such as the telephone and mail.
  • Managing medications, which covers obtaining medications and taking them as directed.

Many people remain very independent as they age, even through injury and illness. But if you think someone could benefit from personal/home care or senior care services, here are some things to look for:

  • Is the house tidy?
  • Are there adequate groceries (not just frozen dinners)?
  • Have you noticed any weight loss?
  • Has personal hygiene declined?
  • Does the person seem lonely or withdrawn?
  • Are there any concerns with memory?

Our personal/home care services are provided by home health aides or personal care aides. Our well-trained personal/home care aides have undergone rigorous background and criminal checks for your security and peace of mind.

If you or a loved one needs help with a simple activity of daily living that is a barrier to independence, or if you are feeling overwhelmed with completing daily tasks, personal/home care services could be what you need.  Take Our Home Care Assessment Quiz or call us at 1.954.923.0695.

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 or senior care services are needed, 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.

These services are often covered through private pay or private insurance plans including long-term care (LTC) policies. These services may also be covered through Medicaid.

If you have additional questions about paying for personal/home care services, Tri-County Home Care of Florida can help. For Broward county, call us at +1 (954) 923-0695. For Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties, call us at +1 (561) 922-9178

We understand that your medical information is personal and confidential. We create a medical record of the care you receive because it’s our legal obligation, but more importantly because we want to provide you with quality care.

Please know we are committed to protecting your personal medical information from any use for which it was not intended. In short, the law requires us to:

  • Keep your medical information private.
  • Notify you of our legal duties and privacy practices with respect to your medical information.
  • Follow the terms of the most current notice.

VIEW HIPAA

At Tri-County Home Care of Florida, we believe that you are in control of your health and the decisions about your health. We are passionately committed to supporting your decisions.

We support the Patient Bill of Rights and Responsibilities. Knowing your rights and role as a patient will help you make better decisions about your health care.

Federal law obligates home care agencies to inform patients of their rights and responsibilities before care is provided. The law guarantees an individual receiving home care the right to participate in the healthcare decisions that directly affect them and the responsibilities the individual accepts in participating in these decisions.

VIEW PATIENT BILL OF RIGHTS & RESPONSIBILITIES

An in-home assessment is performed by an RN or a care manager who visits the patient’s home, screens for various risk factors and red flags, and assesses the need for in-home care with the purpose of providing a solution that supports the patient’s need to live independently at home for as long as possible.

On average, an in-home assessment takes about 90 minutes, during which time we speak with the patient and family members directly involved with the patient’s condition to understand specific needs and desired outcomes.

The issues reviewed include functional requirements, social engagement, emotional well-being, financial resources, and safety concerns. This assessment also covers home safety, daily activities,* physical health and mental health and cognition. A full assessment gives us a comprehensive look at everything the patient faces, which in turn leads to the development of a comprehensive care plan tailored to fit the patient’s needs and desires.

*Assessment of patient’s ability to safely carry out activities of daily living (ADL) such as bathing, dressing, laundry, cleaning, shopping, and cooking—all of which contribute to their functional well-being.

Accreditations

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

Tri-County Home Care of Florida, Inc.

Tri-County Home Care of Florida, Inc.