I will be giving this presentation to the Richardson Center in Commerce Twp, on May 6th.. I am available to present this information or other presentations to senior communities.

1. An Introduction to In-Home Care
Options
Robert Dickinson
Owner, Trillium HomeCare

2. Trillium HomeCare
• Our Mission and Core Values
• Home Care Services
• Home Health Care Services
• Hospice Services
• Family Caregiver and Respite
• Ask Questions
• Payment Options

3. Trillium HomeCare
A Passion for Making a Difference in the Lives of the
Jewels of Our Community
Core Values
Integrity is the Foundation
Treat Each Other with Respect
Teamwork Empowers us to Excel
Setting Higher Standards of Excellence

4. Home Care
• Includes non-medical, personal care &
companion care
• Services are tailor-made to clients, based on
needs and wants
• Care is often supervised by a nurse
• Care can be provided privately, by a registry,
family or an agency
• Minor medical services may be available

5. Home Care Services
• Meal Preparation
• Home Safety Supervision
• Housekeeping & Laundry
• Accompany to
Appointments
• Medication Reminders
• Shopping, Errands &
Transportation
• Bathing, Dressing & Oral
Hygiene
• Assistance in the
bathroom
• Vital signs
• Monitoring oxygen
• Colostomy care
• Recording overall
physical and mental
health
• Medication Set Ups

6. Home Care
PROS
• Security and comfort
• Dignity and
independence
• Flexibility of scheduling
• Customized care (1:1)
• Can be cost-effective
• May use hospice and/or
home health agency as
care needs increase
CONS
• Agency services & quality
can vary widely
• Medicare or commercial
carrier will not reimburse
• Can become costly

7. Home Health Care
• Medical services (skilled and therapeutic) delivered to
client in their place of residence
• Usually prescribed by MD
• Care providers are nurses, physical, occupational and
speech therapists, social workers and home health aides
• Often used only temporarily, during a period of rehab
• Can hire privately, but an agency is generally the safest
& most comprehensive source of assistance

8. Home Health Services
• Rehabilitation- physical,
occupational & speech-
language
• Medical social services &
counseling
• Infusion therapy
• Specialized high-tech
services
• Respiratory therapy
• Laboratory & diagnostic
services
• Case management
• Nutritional support
therapies & counseling
• Behavioral and mental
health counseling &
support services

9. Home Health Services
PROS
• Stay in the comfort of
home while rehab
• Medicare or other
insurance pays for many
of these services (but
only for a short time)
• Can maintain a higher
quality of life- physically
and emotionally- when
rehabilitate at home
• Limited risk of
communicable diseases
CONS
• When skilled or
therapeutic services are
no longer needed,
Medicare will not continue
to pay for care by HHA’s
• May lose “personal touch”
if using home telehealth
care

10. Family Caregiving and Respite
• Family members (or friends & neighbors)
provide care to clients in their place of residence
• Because of the demands on time, care is often
augmented or substituted by volunteers or a
home care agency (respite care)

11. Family Caregiver and Respite
PROS
• Respite care provides
more flexibility & stress
relief for family caregivers
• Can be cost effective for
client
• Client has close contact
with family members
CONS
• Caregivers may or may
not have appropriate
skills
• Caregiver burnout is
common
• Caregivers’ own health
can suffer
• Client may need to move
into adult children’s home

12. What Hospice Care Is
• Comfort oriented care
• Wide array of services
– Physicians
– Social Worker
– Spiritual Care
– Nurses
– Volunteers
• Extensive family support
• High touch

13. What Hospice Care Isn’t
• Not “all or nothing.”
The patient identifies the services they want Hospice to
provide.
• Not a place or person.
Hospice is a philosophy that can be applied anywhere:
– Private Home
– Adult Foster Care
– Nursing Homes

14. Ask Questions
• Insurance and bonding
• Licensing or certification
• Employee verification- background & reference
checks, motor vehicle records & check nurse
aide registry
• What payer sources do they accept?
• Minimum number of hours
• How quickly can they find a caregiver

15. Ask Questions
• What will this cost?
• If a home care/home health agency:
– Does the agency take care of quarterly taxes and
worker’s compensation insurance or is client
responsible?
– Are quality assurance programs in place (ongoing
education, supervision, care calls & weekly updates)?
– Are caregivers trained and experienced?

16. Payment Options
• Private Pay (accounts for 90% of payments for
ALFs and home care)
• Long Term Care Insurance is your best bet
• Medicare & Medicaid (hospice and skilled care
only)
• Veterans Aid and Attendance Pension

17. 28237 Orchard Lake Rd, Suite 103
Farmington Hills, MI 48334
248-539-0714
www.trilliumhomecare.com