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subject: Live-in And Hourly Home Care [print this page]


Individuals in the home health care industry are well aware of the varying needs of their patients. Some patients need constant assistance in maintaining their day to day life, while others do not need constant care. As the variety of care needed varies, the amount of time required for patients varies significantly as well.

When determining the level of care that a patient needs, the hospital that is referring the patient consults with the patient (if possible) or their family members, and makes a decision regarding the level of care needed. They then refer the patient to a home health agency. Michigan Home Care then performs their own assessment with a nurse and determines how appropriate this assessment is, and communicates any recommended changes with Medicaid or the family (in the case of private pay patients).

Patients who require constant care often have a Michigan Live in Home Care aide that monitors them at all moments of the day. These live-in aides will sleep at the home of the patient and provide services throughout the day. While they are present at the individual"s home during the period where service is being provided, caregivers are typically only paid for a portion of each day. While the pay requirements vary based upon state laws, generally speaking home health aides are paid for a 16 hour shift, and are assumed to sleep and take breaks for the remaining eight hours. Michigan Parkinson"s Care aides are generally also paid an additional differential for providing live-in services to patients.

Patients who need less care are often treated on an hourly basis by caregivers. During the assessment period, a recommended hourly requirement is calculated. An example may be 4 hours a day, five days a week. During this period of time, the home health aide will assist the patient with cooking and shopping duties, along with any other matters. Individuals who provide hourly home health aide services are typically paid on an hourly basis for their services, although differentials are given as incentives for working overnight or on weekends or holidays.

by: Johnny Lowery




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