Home health care and nursing expected to grow 55% by 2020

rnrg · Oct 30, 2014

I anticipated this boom a few years ago. I do high acuity peds in NJ and let me just say I have already seen a large amount of infants and children being offered homecare. I feel like each admit is more fragile than the next. I wish I knew more nurses who loved this job as much as I do.

smartnurse1982 · Oct 30, 2014

Who is going to pay for this?

JustBeachyNurse, LPN · Oct 30, 2014

The same insurance that would pay a higher rate for high-tech inpatient care in pediatric LTC. In home care if trach-vent pedi costs less than facility care. If no pedi LTC bed then stuck in acute care until one opens up costing even more $$$.

CloudySue · Oct 30, 2014

This article seems to be referring more to Home Health Nursing. We're all Private Duty nurses here. That said, I'm sure PDN will be on the rise too. My agency can't get enough nurses. However the low reimbursement rate probably has a lot to do with it.

caliotter3 · Oct 30, 2014

Over the last few years the opposite trend seems to be in place in my area, less work for however many available nurses. I don't set much store in articles like that, smacks too much of the "nursing shortage" fallacy to my liking. If there were a nursing shortage, no nurse would go weeks or months without a job, including the new grads.

smartnurse1982 · Oct 31, 2014

I anticipated this boom a few years ago. I do high acuity peds in NJ and let me just say I have already seen a large amount of infants and children being offered homecare. I feel like each admit is more fragile than the next. I wish I knew more nurses who loved this job as much as I do.

To be honest NJ is a great state to be in if you have a child that needs high tech nursing care.

'

I do not know what was wrong with South Carolina but i knew plenty of kids that could not get 16 hours of PDN.

From what i understand,SC does not "fund" Pdn the way NJ does,esp the Medicaid funding for Pdn.

caliotter3 · Oct 31, 2014

To be honest NJ is a great state to be in if you have a child that needs high tech nursing care.
'
I do not know what was wrong with South Carolina but i knew plenty of kids that could not get 16 hours of PDN.
From what i understand,SC does not "fund" Pdn the way NJ does,esp the Medicaid funding for Pdn.

You are astute to pick up on that difference. Rules can be rules, but how the rules are applied can be a different matter for different people. Some of my clients remarked that with one case worker, they found "this level of service" but with another case worker, it was "that level of service". And they questioned the difference, but being the lowly services recipient, they felt they had no power to get to the bottom of things.