Home Health Care History
The early nineteenth century witnessed the initial stages of the house health care industry that offered qualified nurses to require care of the poor and sick in their homes. In 1909 when Metropolitan Life Insurance Company started to jot down policies that comprised of home health care, this business became terribly popular. This company is credited for paying the primary compensation for home health care industry. This gave rise to the birth of organized home health care.
The Nice Depression in 1929 caused many businesses together with home care business a heap of hindrances and struggle. This went on till the follow-up visits made by nurses after hospital discharge became reimbursable by the Medicare Act of 1966. The home care business became most possible and sensible when Medicare in an attempt to cut back hospitalization costs founded DRG's program (Diagnostic Related Cluster). This laid down that some disease or hospital apply required a certain stay period. So the discharged patients were additional sick compared to their DRG counterparts.
The story will not finish with DRGs. This of course was the commencement of patient care vs. medical ethics debate. This subject shall be soon addressed in the current health care reform segment. The value of health care is the issue. Questions like how much does somebody's life price and the way long one ought to get hold of keeping alive a person after he ceases to be a contributor to the society want to be addressed.
Home health care industry needs to answer these questions. The main intention of the DRG programs was to cut down the hospital keep so as to lower hospitalization costs. Thus this becomes a challenge to the agencies. But gradually home care started becoming expensive. The Balanced Budge Act of 1997 hand one major facet effect. It limited the profit days to the patients below home health care thereby lowering the compensations to the varied home health care agencies. This resulted in several of those agencies going out of business.
The worth to require care of a patient will continually keep an issue. There was a growth of nosocomial diseases in hospitals that lead to significant health care costs. Patients started getting discharged in a a lot of sicker condition than before. This place additional burden on the family of the patient to create out there good care once the loved one is home. Also majority of the folks were working. Home health care agencies that provide services were unable to discharge patients when they exceed their Medicare days if they are during a bad condition or its not safe to depart from them while not any nursing services.
In case the house care agency declines admission of a patient who looks sicker than the amount of reimbursement days allowed by the government, the patients' family does not have too many choices. In case of the patient being discharged without any adequate follow-up care, the patients' family can obtain services of a certified agency that could strain on emergency room visits and re-hospitalization resulting in additional compensation issues. Such questions are tough to answer additional therefore in cases where price is to be taken care of. However, as time passes, such queries can continue to haunt till there are satisfactory answers to them.
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