Homebound/geriatric patients and their families must juggle multiple appointments with multiple specialists, keep other family members updated, arrange for new medications to be picked up and/or delivered , and somehow keep a lookout for declines that they may not be educated about pertaining to conditions that they are having to lookup on Google. At HomeMD Housecall Services, our nurse practitioners will visit you in your home, prescribe medications, and order mobile diagnostic and bloodwork while treating you with the dignity and respect you deserve all from the comfort of your very own livingroom.
Our registered nurse case managers from our chronic care management team will help you to coordinate all of those things so that our patients and their families can be made to feel that they do in fact have a lantern to guide them through what can otherwise be a confusing labyrinth of a dark cave.
Beyond empowering the nurses in our community with the tools that they need to get their jobs done on our mutual patients, we felt that it was important that our ownership remain independent from any particular homecare or hospice company . . . in this way we can partner with all of them!
While most other palliative care companies and housecall companies are owned by skilled home health and hospice companies, we are not and we never will be. In fact, we believe that to own our own skilled care or hospice company would be a conflict of interest to our patient.
It is our mission to remain just as independent as we are today, the “Switzerland” of in-home care; in this way we can receive referrals from home health companies across the entire state while at the same time those companies can remain confident that we will do everything we can (while respecting patient choice 100% of the time) as an organization to get those patients back to the nurses and home health companies whom they have familiarity with . . . we very much believe that continuity of care is good and we want to support that as an organization whenever given the opportunity.
Just what the doctor ordered . . . what can HomeMD fix?
We’ve all been there . . . it’s 5:30pm on a Friday and your patient’s daughter calls you to report that her mother isn’t doing well. She’s confused, weak, and even fell down a couple of times today. The daughter called the physician’s office a few times today, but only received a voicemail at 4:58pm when she was pre-occupied making dinner for her kids. She called the PCPs office back, but was routed to the answering service . . . now Dr. Johnson is into the 3rd hole of his golf game and she knows she won’t receive a call back until Monday. She calls you , her trusty home health RN looking for help . . .
Yes, we’ve all been there . . . this is practically a home health RNs rite of passage. In fact, it probably happens to you on a daily basis. You’ve got a urinalysis and culture results in hand so you know that your patient has a UTI and you know what needs to be done about it . . . all your patient needs is an order for an antibiotic and you are powerless to do anything about it other than sending her to the ER, knowing that otherwise she may be septic by Monday.
Allow HomeMD Housecall Services to lighten your load. For every patient that you refer to HomeMD you’ll know that you run into this scenario just a little bit less often. We always have a provider on call who can empower you with his or her script pad to get the medication you need into our mutual patient. As a double bonus, you’ll get there with a single phone call . . . our providers are advanced practice nurses so they’ve been in your shoes and they know precisely how it feels to be rendered powerless by a broken system. Because along with being providers, they are in fact nurses too, you’ll be talking to a colleague who respects you for your judgement, your dedication to your patient, and for your assessment skills.
You receive a new patient from the hospital, only the patient hasn’t seen their PCP in the last 4 months since his office shut down due to Covid-19? What now? You can’t proceed with your plan of care without a recent physician face to face encounter note and there are none to be had . . . meanwhile, your patient can’t get to the physician’s office because of Covid-19 and even if there wasn’t a pandemic, the daughter can’t take work off to get mom to the provider until sometime next week anyway. Beyond that, even if she could take work off the patient is having a great deal of difficulty ambulating because she’s very weak, hence her status as a homebound patient. So again, what now?
We invite you to refer this patient to HomeMD Housecall Services . . . we can collect consent forms digitally, we can procure hospital paperwork from our software systems, and we can be in your patients livingroom whether onsite or telephonically within days, sometimes even hours if absolutely necessary. Compare that to a 4-6 week turnaround time for “that other company”. We will get that face to face encounter out of the way, get your office the documentation they need to support that it took place, and then we’ll get that 485 plan of care document signed electronically because well, that’s just what we do.
We’ve all been there . . . you have a patient with stage 2 or 3 pressure sores and you need a specialty mattress. You’ve got wound measurements, a great wound assessment, and maybe even some pictures of the wound. You send these to your patient’s PCP, the PCP sends the order for a specialty mattress to the big box DME store, and when you check up on it 2 weeks later you speak to someone who speaks to someone else who speaks to someone else who puts you on hold. Come to find out the physician didn’t apply the specific verbiage into their note as required by medicare so you call the PCPs office to give them the exact wording that they need to use. Another week goes by, still no mattress and you find out that your patient has been admitted to the hospital with sepsis. The patient is discharged back home a couple weeks later only for you to find out that you are now once again in the exact same position, trying to keep yourself out of the DME rabbit hole.
HomeMD Housecall Services has the answer for that. We know exactly what the orders need to say on the DME paperwork because we’ve filled that paperwork out time and time again working with our geriatric patients . . . meanwhile, the patient’s current PCP sees that paperwork perhaps only once or twice per year while dealing with 35 year old patients in his or her office. Beyond that, we put lots of pressure on the DME companies that we allow to provide care for our patients . . . simply put, they either do it right or we find another DME company to work with. We have a dedicated DME coordinator in our office who works with specific DME companies who have been accommodating enough to setup specific workflows tailored for the benefit of our specific patient population. We invite you to work within our system at HomeMD Housecall Services!