Hi, as a newly appointed moderator, I want to live this forum up a bit. I just resigned my position as a HH supervisor, to go back to the field.
I have been a nurse 20 years, 17 in critical care, mostly cardiac critical care, and the last 2.5 years in HH, or asthma disease management , which I also had to leave because I hated to be in a cube farm all day.
I still love HH, even though PPS is the pits, even though the OASIS would make good kindling for a massive bonfire, and even with all the rest of the paperwork, it is the most rewarding nursing I have ever done!!
PS, I went back to my former VNA who is now paying $30/hr, yes, you read that right, to work 3 out of 4 weekends. Since weekends work well for me, it's a good deal.
Let's hear from all the HH nurses out there. Out of all those registered members, there's got to be plenty of us on this BB!!
when hcfa made the cuts in medicare home health benefits, and told the american people that hh agencies were ripping them off they forgot to mention that these same type of patients were in the hospitals 10 yrs before for twice as long...any way you figure it, hh is cheaper. now they're back as in-patients and have become a discharge planning nightmare.
Hi hotwheels is back for a little while! I still don't know where to go with all that is going on at my HH (hospital based) so we didn't close up but I know how you feel Outback...the agency that I worked at previously sold out to VNA. But the condtions at our HH agency is terrible but I love what I do and they really have me tied up because I need the benefits so they practically use me as a slave I feel like I'm back on the floor...Our director now has us doing chart review (and we don't get paid for it until all 5 charts have been reviewed) on top of carrying 8 visits a day 5 days a week....and half of the visits are not needed especially the weekend visits...the only thing good about the company is there is no on call during the week...HELP ME
Hello all. I am relatively new to the message boards (last week). I am a home health nurse, doing performance improvement now. I have been in home health since 1994, with the exception of a one year stint in public health clinics. I love home health care even with all the changes that have occured, and look forward to many more years in this area.
I'm an lpn with 3 years in home health. I still like the flexability of it since i'm paid per visit. The money is great. my only complaints would be: 1. non-airconditioned homes
I just accepted a short term contract with a HH Agency in town through the end of August. I am SO excited because I have been wanting to get back into HHC.
They said it is paid per visit or $ 33.00. I am not sure what the pay for a new intact or recert; would those be much higher?
I remember the paperwork, groan... but I think I have a better attitude with it this time (???)...
Any words of encouragement? Warnings? They said 5 pts per day was the norm. I am going to try to NOT work more then 4 days per week through the summer.
Hi, sallytoo! Always good to have LPNs on board providing Home Health care!! I'm a LPN also and can't imagine doing anything else but Home Care. Welcome aboard!
PPS is Prospective Payment System. Under Medicare, it is a sort of a lump sum paid to the agency for each patient. It is calculated individually, directly related to the nurses assessment and the coding and diagnoses, in particular in order of priority. A pt w new diabetes who also needs PT and an aide will garner more reimbursement than a pt who does not need supplemental thr=erapies or an aide. It is really way more comlicated than that, but in a nutshell, that is PPS.I believe that either LTC or some rehabs also use this system.
renerian, BSN, RN
5,693 Posts
outbackannie I am sorry you lost your job to PPS. I worked for 10 home care agencies since 91. 6 of them laid me off.
renerian