Florida report shows home care quality problems
A survey in a Florida newspaper has brought to light potential problems with the quality of home care provided in the state.
The Fort Lauderdale Sun-Sentinel asked readers to share their experiences with post-hospitalization home care. Some of the responses showed suboptimal care being given to Medicare patients, especially those who belonged to Medicare HMOs.
Respondents complained of too few visits by home care workers for patients who needed extended care. Others intimated that they did not think properly qualified staff were sent out to care for them.
To add to the negative effect of the newspaper survey, the last four years’ federal inspection data for the state of Florida shows 58% of the state’s home health agencies having at least one violation of regulations concerning the plan of care and medical supervision. Forty-five percent had at least one violation of administrative and personnel policy issues. Thirty-eight percent were cited for training, evaluation, and performance of the home health aide. And thirty-one percent were cited at least once for problems with skilled nursing services.
However, the news was not all bad, according to the survey. Several respondents did seem quite pleased with their care and boasted about stellar relationships established with the home care providers.
The Sun-Sentinel advised potential home care recipients to shop smartly by asking the following questions of home health agencies:
1. Is the agency approved by Medicare? If not, the bill will not be covered by Medicare.
2. Will I be charged with supplies or services?
3. Does the agency have people familiar with my specific needs?
4. What role will my family and I have in developing my plan of care?
5. Does the agency have arrangements for emergencies? Are the agency’s caregivers available 24 hours a day, seven days a week?
6. Whom can I call if I have questions about care?
7. How often will the agency be in contact with my doctor?
8. Is there a phone number to call if I have any complaints?
Such a phone number is required by law.
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