Choosing home care or hospice services can be an emotional and difficult decision. But gathering the right information can help make your decision easier. First of all, be sure to understand the needs of the patient—whether that is you or a loved one. Next, know what to ask when you talk to representatives from the home care or hospice program. The Joint Commission has put together a list of questions to help you get the information you need.
There are many different types of health care services provided in the home:
Home medical equipment companies deliver and maintain equipment and instruct patients and/or family members on how to use it.
Home health professional services include nursing, medical, social work, and speech, physical and occupational therapies.
Personnel care and support services assist with activities such as bathing and light housekeeping.
Pharmaceutical services provide medications and check the patient’s response to medications.
Hospice programs provide support for terminally ill patients and their families.
Ask your doctor or the hospital discharge planner or social worker to recommend a few local home care or hospice programs. Talk with representatives from each one, and use the following questions to help you get the information you need to choose the best organization for you.
General questions
What types of services does the home care or hospice provide? Does it offer services for children?
How long has the home care or hospice been in business?
Does the home care or hospice accept payment from Medicare and Medicaid? Does it have a list of its fees and services? Can the home care or hospice help you find financial help if you need it?
How does the home care or hospice train and manage its staff? Does a supervisor come to the patient’s home to review the care being given? Are the home care workers licensed and bonded?
Is the home care or hospice prepared in case of an emergency like a power failure or a natural disaster? Will it still be able to deliver the services you need?
Questions about quality care
Does the home care or hospice have volunteers who visit the patient at home?
Does an independent group like The Joint Commission review the home care or hospice? Accreditation means that the home care or hospice has met national standards for patient care and safety.
Will the home care or hospice create a care plan just for you or your loved one? You and your home care professional should agree on the services the patient will receive, how often the visits will take place, and how long treatment will last.
Does a nurse or therapist conduct an initial visit and review the type of care the patient needs at home? Are family members, doctors or other health care professionals involved in this review?
If medical equipment like a suction machine, oxygen or wheel chair is needed, will the home care or hospice teach the patient or responsible family members how to use the equipment in the home?
How often is medical equipment checked? Are replacements included?
Does the home care or hospice explain the patient’s rights and responsibilities? Will you receive a copy of a “Patient Bill of Rights?”
How does the home care or hospice make sure that each patient’s treatment remains confidential?
Does the home care or hospice have a 24-hour telephone number you can call when you have questions or complaints?
Does the home care or hospice have a list of references, such as doctors and patients and their family members, that you can contact?
