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Home Care 101

In-Home Care in Palm Beach Florida

How to Make the Right Elder Care Choices

Knowing there are many choices when it comes to care options, deciding which one is right for you and accepting the need for care can be difficult. It is important to understand the differences in the type of care different licensed types can offer.

A Moment’s Notice Home Care provides licensed “non-medical” and skilled care services. Our goal is to eliminate fear and stress by providing information based on experience and integrity that focuses on what to expect, what a good experience is, and a reputable agency can offer.

Consider these Differences

Florida Licensed Home Health Agencies

There are 2 types: 1) Medical; and 2) Non-Medical

1) Medical requires a physician’s order and generally provides short-term, intermittent nursing or therapy care.

RN or RPT home visits usually ½ hour to an hour at a time, once or twice a week for several weeks
No assistance with activities of daily living is provided by a medical home health agency. If a client needs help with bathing, dressing, incontinence care, medication reminders, etc., then you need a tireless family member, friend or A Moment’s Notice Home Care.

2) Non-Medical Home Health Agency provides short-term, long-term, several hours to 24 hour and live-in care. A Moment’s Notice Home Care can provide the personal care that homemaker/companion companies cannot and medical companies are not paid to provide, e.g., bathing, dressing, incontinence care, assisting with ambulation, medication reminders, grocery shopping, transport to physician appointments, preparing meals.

Homemaker/Companion Care Services

Homemaker/Companion companies are proliferating as there are virtually no minimum standards or requirements for licensing.

A $50 application fee to the Agency for Healthcare Administration and you’re in business.
No liability insurance is required, no nurse supervision is required,
No inspections are conducted to assure the organization meets any background screening requirements.
No minimum requirements or qualifications for managing employees or the administrator.
Homemaker/companion companies are prohibited from indicating they can do home health care and the company and its contractors/employees are not licensed or trained to provide personal care.
Many of today’s 100’s of franchise companies are homemaker/companion agencies.
As of 9/2010, there are 324 homemaker/companion companies in Palm Beach County.

Nurse Registries

Liability insurance is not required.
RN supervisory visits are not required but may be available at additional cost.
Can provide hands-on personal care.
Are inspected by state agency.

Private Hire of Independent Contractor

When a client/patient hires an individual privately from classified ads or from a friend of a friend, the patient is solely responsible for:

screening,
reference checks,
criminal background checks,
negotiating terms of employment and payment.
The patient or family becomes a household employer and is required to register with the IRS.
In the event of performance issues, absenteeism, illness or injury of the private caregiver, the hiring process begins again, and again, and again.

It’s 10:00am, the private aide is to drive you to your 10:30 doctor appointment. The caregiver calls absent at 9:45am and your friends, neighbors and children are unavailable to help today. What do you do?