CRMC-West
214 E. 23 St. Cheyenne, WY 82001
CRMC-East
2600 E. 18 St. Cheyenne, WY 82001
Health
& Fitness 1620 E. Pershing, Cheyenne, WY 82001
(307) 634-CARE
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Home Health Care
The familiar environment of your own home is often the best place to receive care. With the support of our CRMC Home Care Services team, clients of all ages can receive quality care at home rather than at a hospital or long-term care facility.
Home Care office hours:
Monday-Friday,
8 a.m.-5 p.m.,
307-633-7000
After hours: (307) 634-2273; ask for “Home Care Nurse On-Call”
Medicare/Medicaid Certified; Joint Commission Accredited
Home Care Services
Home Care Services also offers Infusion Therapy services. The registered pharmacist can provide intravenous antibiotics, hydration therapy, enthrall feeding, TPN and pain-control infusions.
In addition to providing infusion therapy, our pharmacist reviews every Home Care patient’s medications for potential drug-related problems.
Our Adult Home Care (633-7019) and Private Duty (633-7020) programs help clients remain at home for as long as possible, rather than be institutionalized.
These programs assist with providing supportive services, such as housekeeping, personal care, respite, meal preparation, grocery shopping, bill paying and other assistance.
We work with you, your physician, family and friends to design the right care plan and deliver it in the comfort of your own home.
Our professionals are graduates of accredited schools, licensed in this state, and are specialized in their respective fields.
Each member of our team is carefully selected through interviews, reference and background checks.
Home Health provides services to all age groups, in the privacy and comfort of one's home, which meet the physical, mental, emotional and social needs of individuals and families experiencing illness or disability.
You can be considered for Home Health services if:
- Your needs can be met at a home which is accessible during the time service is delivered;
- You are under the care of a physician;
- You require skilled services;
- If your payer source is Medicare/ Medicaid, or some private insurances, and you meet the definition of homebound. This means you are not able to leave your home due to your medical condition without the help of another person or a device and with great difficulty.
Services provided include:
- Skilled Nursing
- Home Health Aides
- Personal Emergency Response Systems
- Respite
- Physical Therapy
- Occupational Therapy
- Speech Therapy
- Medical Social Worker
- Homemaker Services
Call for services and charges.
Cheyenne Regional Medical Center Home Care Services can also provide assistance with:
- Coordination of all home care needs including arrangements for Home Infusion.
- Installation of personal emergency response systems and medication dispensing systems.
- Senior companion volunteer services for qualified individuals to encourage independent living.
The Hospice Bridge Program allows for a smooth transition from Home Care to Hospice for clients who need transitional home care services and who are still receiving active treatment for a terminal illness.
Services will be provided by hospice-trained employees to clients who could reasonably be expected to benefit from the total range of hospice services at a later date.
Why Home Care?
Because patients are discharged from the hospital sooner than in years past, and a need for follow-up services in the home has become more and more vital for patient's complete recovery.
In conjunction with the patient and the physician, the Home Care Services staff develops a plan of care to assist the patient in becoming independent.
The CRMC Home Care staff covers all of Laramie County-east to Pine Bluffs and Burns, north to Chugwater, west to Happy Jack and south to the Wyoming/Colorado state line.
"Education is a big part of our responsibility," the Home Care Services director said. "We teach patients and caregivers about proper care, exercises, nutrition, treatments and medications. Our masters-prepared social worker offers a variety of services including assistance in dealing with family dynamics, crisis intervention in an unsafe home, referrals for community resources, etc. CNAs play a big role in home care in assisting patients with activities of daily living, such as bathing, dressing, housekeeping and preparing meals."
CRMC Home Care's rehabilitation staff offers a full range of services-physical therapy, occupational therapy and speech therapy. They are a great help for patients who have suffered from a stroke, hip fracture or anyone in a weakened condition and unable to get out of their home to outpatient clinics for rehab.
Home Care Services also offers an emergency-response system and Private Duty Nursing, in which a nurse, case manager or CNA comes to the home and assists patients and families with whatever is needed, whether a medical need or housekeeping. In case Management, patients are helped through state-funded programs for a variety of services.
Examples
of Home Care Services helping patients, families and caregivers:
A stroke patient is discharged from the hospital to their home and needs many services. Physical therapists will help with strengthening exercises especially for the muscles on the affected side and also to improve balance and walking.
Occupational therapists will teach adaptations for activities of daily living, such as how to prepare a meal, make a bed and get dressed.
Speech therapist will coach the patient in forming words and swallowing as well as thinking/rationalizing skills, which are sometimes affected after a stroke.
The social worker would also be involved to assist the patient and family with coping skills and community resources.
Nurses will be on hand to educate the patient and family on the medication regimen. While the occupational therapist will teach the patient daily living skills, CNAs will be on hand for doing them in the interim—bathing, dressing, etc.
In another example, a patient is stricken with osteomyelitis, a bone infection that is very difficult to resolve. Treatment consists of intravenous antibiotics, sometimes running 24 hours a day. Often the patient is on several types of antibiotics at the same time, and treatment can last six to eight weeks.
Highly skilled nurses closely monitor not only the treatment during this time, but also watch for any complications that may occur in these patients who are often very ill and at risk for complications.
Nurses draw samples of the patient’s blood to check the therapeutic antibiotic levels and communicate results to the physician. Also, teaching patients and caregivers to manage IV antibiotic therapy while the nurse closely monitors the patient is an additional nursing responsibility.
Home Care Services provides not only the physical, but also emotional and social support for homebound patients.
The Center for Medicare and Medicaid Services (CMS) recently debuted a new program that displays, via the Internet, the results of quality outcomes for home health agencies.
“Home Health Compare” makes it possible for the public to evaluate how CRMC’s Home Care services rate against other home health services nationwide, based on 11 elements of care.
The general public can now view the results on the Medicare website at www.medicare.gov.
“I was very pleased to see the results on-line and, as anticipated, CRMC Home Care exceeded or met the state and national averages in 9 out of 11 measures,” said Kathy Niles, CRMC Home Care director. “Home Care has already begun improvement processes for the two areas that didn’t meet state and national averages, and we are looking forward to the next public reporting.”
The two measures that did not meet or exceed state and national averages only missed by one and two percent respectively.
The 11 elements of care on which home health agencies are rated include: four measures related to improvement in getting around, four measures related to meeting the patient’s activities of daily living, two measures related to patient medical emergencies and one measure related to improvement in mental health.
Since 2000, home health employees have used an Outcome, Assessment and Information Set (OASIS) form to obtain comprehensive information upon a patient’s admission, transfer and discharge. The OASIS data is sent to the state and federal depository.
After a comparison between the admitting assessment and the discharge assessment is computed, home health agencies receive the results showing how their outcomes compared to national averages.
When an adverse event is recognized, CRMC’s Continuous Quality Improvement committee, headed by Jeanne Payton, takes steps to investigate and evaluate the problem. The committee then develops and implements an action plan and monitors for results.
CRMC’s Home Care consists of four physical therapists and one assistant, one occupational therapist, one speech therapist, eight nurses, 14 certified nursing aides, three social workers, five business office staff and five leadership team members who care for around 300 patients at any given time.
Patients must have a doctor’s order, a skill and be homebound to receive traditional services. Patients may also fit the criteria for the private duty program. In addition, Home Care offers an emergency response system and medication reminders.
“CRMC’s Home Care is very diverse,” Niles said. “Services range from children on ventilators to adults on chemotherapy and progressing patients from a bed-bound state to helping them walk.”
Quality Patient Care and
Outstanding Patient Satisfaction
E-mail: webmaster | Last Updated: September 21, 2004 | Copyright © 2004 CRMC
