Non-medical Home Care
Class B Part 7 Regulations
Administrator/Manager Training
Certificate Program with Instructor Access
An in-depth look at Part 7 Non-medical/Personal Care standards,
Offering guidance in all components to understand the regulatory requirements.
Successful Home Care Managers have leadership and management skills. The Manager understands behavioral implications of individual roles. Home Care Managers know if there is lack of understanding of the rules, the rules will not be followed.
Today's Home Care Manager provides staff education, encourages questions and promotes specialty programs for consumers, even to other agencies, when they don't offer the program in their own agency....read on.
A home health diabetes program empowers eligible patients to manage their symptoms and minimize their chances of going back to the hospital. Home Health Staff provide skilled nursing, therapy, home health aides and other services that help home health patients manage diabetes in the comfort of of their home.
When it isn’t effectively managed, diabetes puts people at risk for developing other conditions such as heart failure, high blood pressure, stroke, wounds and kidney disease.
Home Health Agencies that offer a special diabetes program
for patients who are eligible for home health and
diagnosed with diabetes can educate patients
how to manage their illness to help reduce these
risks and maintain a healthy lifestyle.
Why is self care importance for diabetes?
The Importance of Self-Care. Diabetes can contribute to long-term damage or failure of different organs — especially in the eyes, kidneys, heart, nerves and blood vessels, according to the American Diabetes Association. Therefore, self-care is necessary to limit potential organ damage, and it can reduce the likelihood of hospitalizations and ER visits for patients.
concluded that the following seven self-care practices help patients with diabetes avoid hospital visits and serious health complications:
- Healthy eating
- Being physically active
- Monitoring blood sugar levels
- Complying with medications
- Using problem-solving skills
- Developing healthy coping skills
- Practicing risk-reduction behaviors
The above strategies have been positively correlated with blood sugar control, fewer complications and overall improved of quality of life. However, there are several other recommendations that are often overlooked.
Diabetes Quality and Safety
Re-hospitalization far from
the only concern
Type 2 diabetes patients struggle with expenses, stress
Those living with Type 2 diabetes say they deal with fear and stress when it comes to their condition, with expenses and mental hardships becoming almost as burdensome as the disease itself – which is fostering distrust in the healthcare system, according to findings from a new survey conducted by Podimetrics, a clinical and patient support services company.
According to the survey,
50% report experiencing mental health issues
as a result of managing their condition,
and 45% face serious financial strain
resulting from exorbitant costs of care.
Still, mental health and financial challenges are only part of larger issues facing people living with Type 2 diabetes. Amputations are another major concern. The data showed that 49% worried their diabetes may lead to a limb amputation one day.
Drilling down deeper are findings that reinforce the serious disparity problems facing minority populations that have been diagnosed with Type 2 diabetes.
For instance, Black respondents
were more likely (31%) to have experienced a medical emergency because of a diabetes complication,
compared with the full survey sample (25%).
Hispanic respondents reported
mental health issues and
65% feared Type 2 diabetes would
cause their death
READ THE ENTIRE REPORT including how combating diabetes has become an area of increasing focus for healthcare providers like Geisinger, Banner|Aetna, and CareFirst BlueCross BlueShield.
Resources
Help Your Patients and Client Consumers
American Diabetes Association - https://diabetes.org/
Education and Support - https://www.cdc.gov/diabetes/managing/education.html
Association of Diabetes Care and Education Specialists - https://www.diabeteseducator.org
Diabetes Self Management Patient Education Materials - https://www.hopkinsmedicine.org/gim/faculty-resources/core_resources/Patient%20Handouts/
2020 Situational Analysis of Diabetic Home Care Patients - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117632/
Home Health Care and Diabetes Assessment, Care, and Education - https://diabetesjournals.org/spectrum/article/16/4/217/2046/Home-Health-Care-and-Diabetes-Assessment-Care-and
Home Health Plans of Care: Monitoring Glucose Control in the Medicare Home Health Population with Type II Diabetes Mellitus - https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?LCDId=35132
Therapeutic Patient Education (TPE) https://www.who.int/europe/news/item/11-11-2022-knowledgeable-patients---are-we-ready-for-them--world-diabetes-day-2022
National Diabetes Prevention Program - https://www.cdc.gov/diabetes/prevention/index.html
Patient Education 2022 - Type 2 Diabetes Beyond the Basics - https://www.uptodate.com/contents/type-2-diabetes-overview-beyond-the-basics
What is Non-Medical Switching?
According to ADCES, Insurers, focused heavily on containing costs, continue to implement non-medical switching by forcing patients to switch from their current medication to a different type of medication by increasing the patients’ out-of-pocket requirements through higher co-pays and reducing maximum plan coverage amounts for prescription medications.
Insurers may also eliminate coverage for certain medications. Diabetes care and education specialists know that arbitrarily changing medications for people with diabetes can lead to disruptions or delays in care, increased burden and time in managing diabetes, and serious health complications.
This toolkit will provide resources that you can share with your patients to assist them in navigating the complexities of non-medical switching and help them to stay on their prescribed and medications:
Addressing Non-medical Switching - https://www.diabeteseducator.org/advocacy/addressing-non-medical-switching-toolkit
