Does HH keep patients indefinitely?

For patients that have a foley we keep them on service and see them once a month unless a problem comes up for which they need to seen earlier.

We always call to make an appointment. You have every right to expect that. I'd call the HH office and ask them to make sure to have the nurse call and make that appointment before coming out.

The agencies I've worked for have always had the nurse or nurse supervisor call before making a home visit. That's the way it's done. Each one of them have, however, had problems with clients not returning phone calls or "forgetting" appointments and being out of the home. One client would get in his van and leave for the day with his nurse driving whenever the nurse supervisor was scheduled to visit.

I guess they forgot they were supposed to be "homebound," hehe.

having a teachable adult only comes into play when medicare/medicaid is the payeor. (if im remembering your age correctly...i'm guessing it's close one way or the other) and what i'm hearing here is that this remains a skilled service even then. (m'care/m'caid not my forte!)

at any rate, no reason that those visits can't be scheduled in advance...i always did so. nothing worse than showing up and no one home.

Under medicare and medicaid, the foley change every month can go on indefinately. It just has to be medically necessary, patient under doctors care, and patient be homebound (meaning it is physically taxing for the patient to leave the home) usually needs assist of some type. I make it a practise to call and schedule an appointment in advance, just showing up is not very professional. Take care.