Cleveland Clinic Center for Connected Care offers a full array of home health care, home infusion pharmacy, and hospice services. Helping patients help themselves in the comfort of their own homes is what the Center for Connected Care is all about!
Highly skilled specialists--including registered nurses; medical social workers; home health aides; dietitians; physical, occupational, and speech therapists--are available to provide your care. A few examples of the types of tasks that home health care specialists can assist with include: providing instruction about your diagnosis, helping you learn about your medications as well as teaching you or your caregiver how to perform wound care and IV therapy, and monitor your blood pressure. The full list of home health services available include:
- assessments and evaluations - of your disease state, therapies, home safety issues, etc
- skilled nursing - registered nurses provide assessments, hands on care, and patient teaching
- rehabilitation services - physical therapy, occupational therapy, speech therapy
- medical social services - information provided on advanced directives, support groups, community resources, and financial concerns
- home health aides--provide bathing and personal care services, light housekeeping, and assistance with activities of daily living
- specialized services - includes cardiac management, diabetes education, infusion therapy, wound and ostomy care, and medical nutritional therapy
- maternal/infant care - perinatal services for pregnancy-related conditions that can be managed at home as well as postpartum home visits for mothers and newborns
- pediatrics (newborns through 18 years) - registered nurses provide such services as assessments, infusions, wound care, and medication instruction. Therapy services are also available.
- behavioral health - services provided by registered nurses who specialize in psychiatric nursing.
Home Infusion Therapy
Infusion therapy involves the administration of certain types of drugs in very specific ways. Drugs that are "infused" are those that are administered directly into the bloodstream (through an IV), under the skin (termed "subcutaneously"), or near the spinal cord (called an epidural). The types of therapies that are administered this way include antibiotics, chemotherapy, immune globulin, pain management drugs, and nutrition therapies. If you have infections, multiple sclerosis, cancer and cancer-related pain, gastrointestinal problems that result in nutrition-related problems, congestive heart failure, or immune disorders, you may be treated with infusion therapy. Administering these therapies to you in the comfort and privacy of your own home is a safe and effective alternative to inpatient care.
The home infusion pharmacy team includes pharmacists, nurses, service specialists, and pharmacy technicians. The Clinic's home infusion pharmacy--the largest infusion/pharmacy in the Northeast Ohio region--is a licensed pharmacy that provides the medications, nutritional support, infusion pumps, other supplies, and comprehensive infusion therapy management.
Hospice is not a place; it is a philosophy of care when curative measures are no longer beneficial. The goal of hospice is to help patients and their families prepare physically, spiritually, and emotionally for the end of life. Hospice allows patients to maintain control over their lives, prepare for death in their own way, and live their final months in a familiar environment, fostering a sense of personal dignity.
Hospice care is valuable when:
- a person is diagnosed with a terminal illness and has a life expectancy measured in months rather than years
- curative treatments are no longer beneficial
- the goal of treatment is comfort and symptom management
Dedicated support professionals, using a team approach, provide hospice care to the patient and family. Each member of the team provides expertise in developing a plan of care to meet your specific needs. The team includes:
- Physicians and registered nurses with expertise in pain and symptom management
- Medical social workers who provide emotional support and counseling
- Chaplains who offer spiritual support and guidance
- Home health aides who provide bathing and personal care services
- Volunteers who offer helping hands
- Music and art therapists
Services provided by hospice include:
- 24-hour-a-day, seven-day-a-week access to a hospice registered nurse for support and coordination of care
- medications for controlling symptoms
- medical supplies/durable medical equipment
- respite care (to provide rest for the caregiver)
- inpatient care for times when symptoms cannot be managed at home
- bereavement services (as part of the healing process to help the loved ones of the deceased patient)
Hospice care is usually provided in a patient's home, but can also be provided in alternative settings. One of those settings is Hospice of the Cleveland Clinic at the Renaissance, a Medicare-certified hospice residential unit offering a home-like setting for those who are unable to remain at home. Hospice care can also be provided in nursing facilities and assisted living facilities.
Frequently Asked Questions
Who qualifies for home health services?
In order to receive home care services, you must be under the care of a doctor who must write an order for home health services (ie, your care must require the need of a nurse or therapist). Also, your care needs must be short term, not long term or continuous. Finally, your ability to leave your home must be limited and require considerable effort.
Do I have to be a Cleveland Clinic patient, discharged from the Cleveland Clinic or its health system hospitals, or any hospital to be eligible for Cleveland Clinic Center for Connected Care services?
Not at all. You do not have to be in the hospital or about to be discharged to request home health care services. Patients at home or those being cared for in an outpatient setting, such as the emergency room or ambulatory clinics, may also request home health care services. If you are hospitalized, your home health care clinicians--in collaboration with your physician, case manager or hospital discharge planner--will provide you with the appropriate information for planning your home health care services. If you are not hospitalized and are under the care of a doctor, contact us and a home health representative will discuss your needs, explain available services, and review insurance coverage options.
How soon can services be started?
Services generally start within 24 hours of initial contact, as long as a doctor’s order is available.
Will my doctor be kept informed of my progress?
Yes. Your home health care team includes staff who will be visiting and providing direct care to you as well as a host of support staff at the home health office--all of whom work collaboratively with your doctor to plan, monitor, and evaluate the outcomes of your care. In this way, your progress can be assessed regularly and your treatment plans can be modified as needed, assuring you the delivery of appropriate care.
How are billing issues addressed?
Most major insurance plans, Medicare, and/or Medicaid provide coverage of home care, home infusion therapy, and hospice services. For your convenience, our staff will contact your insurance carrier to determine your exact coverage. You will be informed of the extent of this coverage and any potential financial liability before services begin.
What greater Cleveland areas are covered by these services?
Cleveland Clinic Center for Connected Care serves the following counties: Ashtabula, Columbiana, Cuyahoga, Erie, Geauga, Huron, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit and Trumbull. Clients can reach Home Health staff 24 hours a day, seven days a week.
Who do I contact for more information or to initiate service?
For information about home health care and home infusion therapy, call 216.444.HOME (4663) or 800.263.0403. For information about hospice services, call 216.444.9819 or 800.263.0403.
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This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. This document was last reviewed on: 1/1/2005...#12007