To ensure you have a plan of care that is tailored to your unique needs and circumstances, we collaborate closely with you, your loved ones and key health care professionals. The plan of care is designed to increase your ability to care for yourself and may include the following interventions: nursing and/or personal care, medication management, rehabilitation therapy, pain management, psychosocial needs assessment and care, and discharge planning.
As part of this process, we:
- Identify your personal goals and develop specific measurable outcomes to judge progress
- Identify challenges and barriers, needs, physician orders for medications, required treatments, services, time frames and environmental aides.
- Help navigate any other needs or concerns you may have.
The plan is reviewed and updated as needed, based on your changing needs. We will notify you, your caregiver, your representative (if applicable) and other key professionals involved in your plan of care of any revisions to the plan of care due to a change in your health status.
On admission, we will meet with you to capture your current medications. We will compare this list to the medications ordered by your physician. Our staff will continue to compare the list to the medications that are ordered, administered or dispensed to you while under our care. This will be done to identify any changes, omissions, duplications, contraindications, unclear information, potential interactions and ineffectiveness of and non-adherence with drug therapy—all of which can impact your health and recovery.
We accept payment for services from Medicare, Mainecare, workers’ compensation, private insurance, or private pay. Some insurers have restrictions or limits on the number and type of home care visits that they will pay for and may require pre-certification and/or co-payments for services. We will inform you, your family, caregiver or guardian of these charges prior to admission.