Nursing Home Care vs. Home Health Care

NURSING НОМMЕ НОМЕ HOME Vs. HEALTH à CARE CARE a What makes the most cents for you and your loved "Research shows that about 70 percent of people ones? age 65 or older will need long term care services at some point in their lifetime." AVAILABILITY 15,622 33,000 • Total Number of Total Number of Nursing Homes Home Health Agencies (U.S.) (U.S.) SERVICES OFFERED Room and Board Skilled Nursing Care Nursing Care Physical Therapy Personal Care (Assistance with ADLS) Occupational Therapy Social & Recreational Activities Speech Therapy Medication Management Medical Social Services Adult Day Services Home Health Aide CONSIDER THIS Nearly 41% of long term care is provided to people under age 65 who need help taking care of themselves due to diseases, disabling chronic conditions, injury, developmental disabilities, and severe mental illness. LEADING DIAGNOSES Disease of the Diseases of the Circulatory System Circulatory System Mental Disorders Heart Disease Diseases of the Diseases of the Nervous System MusculoSkeletal System ALZHEIMER'S CARE COMPARISON 87% o o 79 Of Nursing Homes provide Alzheimer's care Of Home Health Agencies provide Alzheimer's care 20%o o 1% Of Nursing Homes charge an additional fee for Alzheimer's Only of Home Health HOME CARE SERVICE Agencies charge an additional fee for IS MORE TAILORED TO THE SPECIFIC NEEDS OF THE care Alzheimer's care INDIVIDUAL WHAT DOES MEDICARE COVER? Skilled Nursing Skilled Nursing Care Care Only Physical, Occupational, Speech-Language Therapy Medical Social Services Select Medical Supplies MEDIC WHAT MEDICARE DOESN'T COVER? NURSING HOME HOME HEALTH CARE Custodial Care 24 hour-a-day care at home (bathing, dressing, Meals delivered to your home ML RD using bathroom, Homemaker services eating) Custodial Care 86% In a recent survey conducted by AARP, 86% of the 50+ population want to stay in their homes to receive long-term care. Why? Cost. COST COMPARISON $75,555 $28.800 YEAR YEAR HOURS b PER DAY 2.4 50 5 DAYS PER WEEK Average Nursing Home stay YEARS Average Home Care $20/HOUR service Home Health Aide Hourly Rate U.S. Health Care Act Provisions in place to make long-term care more affordable. 1=3 • Community Living Assistance Services and Supports Act. • Criminal background checks for Nursing home employees. • Available to everyone 18 and older, regardless of MEDICAID program can provide Home and Community Based Services to THREE ( 3) people for the cost of ONE (1) person in a nursing home. pre-existing medical condition. COST INCREASE COST INCREASE OF CARE 4.50% SURVEY (2007 - 2012) NURSING HOME (Semi-Private) 4.28% COST INCREASE 1.09% NURSING HOME (Private) HOME CARE AGENCIES Percentage increase represents the compound annual inflation rate for surveys conducted from 2007 to 2012. "In most cases, people who live at home need less than the 24-hour care that's paid for institutions." 22 IMPORTANT CONSIDERATIONS WHEN CHOOSING HOME CARE AGENCIES How do they train their caregivers? Are quality guidelines in place? Certified by Medicare? Check licensing Check credentials Ask for references REFERENCES http://www.metlife.com/assets/cao/mmi/publications/studies/2011/mmi-market-survey-nursing-home-assisted-living-adult-day-services-costs.pdf http://www.genworth.com/content/etc/medialib/genworth_v2/pdf/Itc_cost_of_care.Par.85518.File.dat/Executive%20Summary_gnw.pdf http://www.genworth.com/content/non_navigable/corporate/about_genworth/industry_expertise/cost_of_care.html http://www.statehealthfacts.org/comparemaptable.jsp?yr=138&typ=1&ind=D411&cat-8&sub=97&sortc-1&0=a http://www.usatoday.com/money/story/2012-05-27/on-the-money-nursing-home-tips/55188204/1 http://www.medicare.gov/HomeHealthCompare/About/GettingCare/WhatisHomeHealthCare.aspx http://www.whitehouse.gov/sites/default/files/rss_viewer/health_reform_seniors.pdf CREDITS: http://articles.latimes.com/2011/jun/19/health/la-he-long-term-care-20110612 Iconography, sourced from The Noun Projects http://www.mayoclinic.com/health/home-care-services/HO00084 Bed: Christopher Howlett: https://questions.medicare.gov/faq.php?id=5007&faqld=4011 Stethoscope: Connie Shu http://www.cdc.gov/nchs/data/series/sr_13/sr13_167.pdf Scissor: Monika Ciapala: http://www.ltcfeds.com/start/aboutltc_myths.html Nurse: Scott Lewis http://www.nahc.org/facts/10HC_Stats.pdf AARP June 2009 Report PASCO Personal Assistance Services of Colorado www.pascohh.com