Monday, December 29, 2008

More references on home health, hospice; introduction to "OASIS"


Today, I’ve looked through some more of the informal Internet literature on both hospices and home health.

Some visitors may want to take a look at the “Hospice Blog” for stories about the complicated ethical and financial issues within the hospice industry (there’s not too much names-naming). One particularly interesting story appeared back in March 2006, to the effect that players in the hospice industry distance themselves from “home care”, which the article says is a totally different “mind-set”. The story makes an interesting comparison between “The National Hospice and Palliative Care Organization” and “The National Association for Home Care and Hospice”, blog entry is here and the visitor can judge for the self.

Visitors may want to explore the arcane legal cases on the “Home Care Law Blog” run by Gilliland and Markette, LLP in Indianapolis.

There is a site “Home Health Care Tips” that has a sobering article on the impact of eldercare on other family members. For example, “Many family members take loans, skip vacations and often ignore their own health. Government must start providing tax deductions and tax credits to family caregivers.” That’s true, but we’ve been delving into the little understood problem of filial responsibility on this blog for two years. This question cuts all the way to the bone on our society’s assumptions about interpersonal responsibility and how it gets generated. The article gives a link to another article on the same site, “how to find the right home health care agency.”

An RN (BSN PHN) named Kathy Quan has a primer site on home health care here.

Users will want to become familiar with a concept called “the Outcome and Information Information Set” (OASIS) that is used to assess adult home care patients and evaluate the success of care (“outcome-based quality improvement”, OBQI). A good place to start is a Health and Human Services, here.

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