SGCMH Home Health 

Plan of Care

We come to your home on your doctor’s orders, listen to what you have to say, assess your unique needs and plan of care with your physician to restore your quality of life. In many ways, we are your physician’s eyes and ears. 

As integral as our team is to your recovery, though, the most important member of the team just might be you. Your commitment, your cooperation, your courage is going to make the difference. SGCMH Home Health can help you get there.

After a comprehensive assessment your level of care is developed. Home Health services are provided on a skilled intermittent basis. At each visit your team members will closely follow your care plan and note your progress to report to your provider.

Additional team members are available to provide physical, occupational and speech therapy, and a home health aide is available to help with bathing. The Home Health team also includes a medical social worker to assist patients with any counseling needs.

Skilled Intermittent RN Services

  • Blood Pressure Monitoring
  • Catheter, Ostomy Care
  • Laboratory Sample Collection
  • IV Therapy
  • Injections
  • Oncology treatments
  • Postoperative follow-up
  • Medication evaluation
  • Post-partum, pediatric and newborn care
  • Cardiac follow-up
  • 24 hour on-call RN
  • Diabetic management and education
  • Wound Care services

Personal Care Services

Home Health Aides

Under the nurse's supervision, aides can assist with personal care such as:
  • bathing and hair care
  • linen changes
  • dressing changes
  • taking vital signs
  • assisting with transfer and ambulation

Medical Social Services

Social Services helps patients and their families with counseling, care coordination and crisis prevention and management.

Physical Therapy

Patients receive care to improve strength and mobility and to obtain maximum potential in rehabilitation.

Speech Therapy

Speech Therapy is given to meet the specific needs of patients to restore speech, chewing and swallowing disorders.

Occupational Therapy

Occupational Therapy training, aids, and assistive devices are provided to develop or regain physical and mental function lost due to accident, injury, or medical condition.

Lifeline

Lifeline is a communication unit that allows the user to call for help at the push of the personal button. It was launched in 1985 to help the many residents in our community who want the peace-of-mind that they have the ability to signal for emergency assistance from their home. Lifeline units permit the user to contact the

response station by merely pressing the Personal Help Button.

There is a one-time installation fee for the LifeLine unit. Lifeline gives you the choice of (2) two payment plans: Plan 1: a month-to-month fee; Plan 2: a yearly rental fee. Programs to assist low-income individuals are available.

Chronic Care Management Services

What is Medicare Chronic Care Management (CCM)?

Chronic care management (CCM) services are the non-face-to-face services provided to Medicare beneficiaries who have multiple (two or more) chronic conditions expected to last at least 12 months, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline.

CCM Patient Eligibility

  • Physician or provider referral.
  • Medicare Part B Insurance. The patient may pay a fee for CCM, the Part B deductible and coinsurance apply. If the patient has supplemental insurance, or have both Medicare and Medicaid, it may help cover the fee.
  • 2 or more chronic conditions lasting at least 12 months, or until the death of the patient, and that place the patient at significant risk of death, acute exacerbation or decompensation, or functional decline.
  • Patient signed consent.

Ideal CCM Patient

  • High risk of hospitalization or regularly seen in the emergency room
  • Regularly call into the clinic to manage symptoms or with medical questions
  • High number of specialists involved in their care or have limited social/family support
Benefits of Providing CCM Services

  • Team of health care professionals
  • Personalized care plan
  • Focused support between medical visits
  • Better care transitions
  • Increased self-management








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