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11/19/2018PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/LIGAND PLAN OF CORRECTIONIDENTIFICATION
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How to fill out at home health care

01
Determine the type of at-home healthcare needed, such as medical or non-medical care.
02
Research and select a reputable home healthcare agency or provider.
03
Schedule an initial assessment with the agency or provider to discuss care needs and create a personalized care plan.
04
Prepare the home for caregiving by ensuring a safe and comfortable environment.
05
Obtain any necessary medical equipment or supplies as recommended by healthcare professionals.
06
Follow the instructions and guidance provided by the healthcare agency or provider for administering medications or treatments.
07
Communicate regularly with the healthcare team to address any concerns or make necessary adjustments to the care plan.
08
Keep accurate records of healthcare visits, medications, and any changes in the individual's condition.
09
Provide emotional support and companionship to the individual receiving at-home healthcare.
10
Stay informed about the individual's healthcare needs and actively participate in their care.

Who needs at home health care?

01
Elderly individuals who require assistance with daily activities and medical care but prefer to stay in their own homes.
02
Individuals with chronic illnesses or disabilities who need ongoing medical treatment and care.
03
Post-surgical patients who require monitoring and assistance during their recovery period.
04
Individuals with terminal illnesses who wish to receive end-of-life care in the comfort of their own homes.
05
Individuals with temporary injuries or illnesses that limit their mobility and require temporary assistance.
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At home health care is a type of medical treatment provided in a patient's home instead of in a hospital or other medical facility.
The patient or their caregiver is required to file for at home health care services.
To fill out at home health care, the patient or caregiver must provide personal information, medical history, and details of the required services.
The purpose of at home health care is to provide medical treatment and support to patients in the comfort of their own home.
Information such as patient's name, medical condition, prescribed medication, and treatment plan must be reported on at home health care.
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