WINTHROP HOME HEALTH CARE GIVES PEOPLE THE OPTION OF LIVING AT HOME - RATHER THAN IN A LONG TERM CARE OR SKILLED NURSING FACILITY


Vol. 8 No. 2
October 1998

  • Winthrop Dedicates The New Life Center for Labor/Delivery/Recovery

  • Multiple Sclerosis Treatment Program Opens at Winthrop

  • Elected Officials Congratulate Winthrop-University Hospital on Receiving New York's Largest Individual Hospital Award from the New York State Health Workforce Retraining Initiative

  • Winthrop is Designated a Community Training Center for Life Support

  • Winthrop-University Hospital's Stroke Team....A Team Approach to Saving Lives

  • Winthrop Opens New Breast HealthCare Program Educational Health Forums Are Planned for October

  • Winthrop's Center for Crohn's Disease and Colitis Helps Patients Achieve Relief and Remission

  • Winthrop's Pulmonary Rehabilitation Program and Lung Center Participate in a Prestigious International Trial

  • Winthrop Home Health Care Gives People the Option of Living at Home - Rather than in a Long Term Care or Skilled Nursing Facility

  • Winthrop Dedicates The New Life Center

  • Dr. Douglas Katz Is a Co-Developer of CTVPA: A Modification of Spiral CT Scanning of the Chest for Suspected Blood Clots

  • A Third Cardiac Catheterization Laboratory Opens at Winthrop

  • Pediatric Cardiology at Winthrop

  • Women's Cardiology Program at Winthrop-University Hospital Takes Three-Pronged Approach

  • Winthrop's First Multiple Myeloma Patient Acheives Complete Remission through Stem Cell Autologous Transplantation Therapy

  • Perspectives In Health

    Back to Publications


  • Were you aware of Winthrop's excellent Home Care services, which are available to eligible patients? Do you, your elderly parents or neighbors, or someone close to you, need Home Care's help?

    A or the homebound chronically ill individuals in communities across Nassau County, Winthrop-University Hospital's Home Health Care Service is a vital link to quality of life...and some say lifesaving support services. This is particularly true for many frail, disabled homebound patients who would have a very difficult life without Home Care's conscientious, individualized patient management, intervention, and oversight.

    Home Care had anticipated 107,000 visits during l998, but by the end of August, adjusted its projection to 121,000 visits. That's because the need for Home Care is enormous - and growing daily. Since l994, the caseload has doubled. The territory is Nassau County - divided into three districts - Western, Eastern, and Central - covered by separate teams. Home Care's Registered Nurses and other healthcare providers visit patients in Nassau's communities who otherwise might be alone, struggling to survive. Care is extended to eligible patients in all age groups, including chronically ill infants and children. Each year, Home Care donates approximately $150,000 annually in free care and supplies.

    Moreover, despite recent changes in Medicare reimbursement that have troubled many agencies, Winthrop Home Care continues to grow, serving more people than ever, through prudent management. "We continue to look for new opportunities to develop programs to meet the communities' needs," says Susan Caputo, RN, BSN, Administrator, Winthrop Home Health Care.

    Located at 290 Old Country Road, Mineola, Winthrop Home Care provides professional services for patients with mental illnesses and physical disabilities, including blindness, helping them to achieve the maximum possible independence.


    Susan Caputo, RN, BSN, Winthrop's Administrator of Home Health Care
    If quality is your concern, Winthrop Home Care is a superior source of patient care. That's because in the State of New York, Home Care is as accountable for quality as hospitals and nursing homes. Winthrop's Home Care Department earned a three-year accreditation, "with commendation," from the Joint Commission on the Accreditation of Healthcare Organizations, Inc., 1995-98, following an intensive five-day survey. Home Care is also surveyed at three year intervals by the State Department of Health, and undergoes frequent random surveys by the Federal Medicare Program and The State Department of Health. Every staff member contributes to the spirit of human caring for which Winthrop Home Care is known.

    An historical view
    At one time, home care in America was provided through family, religious foundations, and charities. Today, with greater numbers of single parent households, families in which both spouses work outside the home, and geographically far-flung families, the need for home care has dramatically escalated. Fortunately, with the advent of Medicare in l965, America's middle class received its first Federal entitlement for home care - based on age and medical need, rather than on income. At Winthrop, Medicare reimburses approximately 83% of the Certified Home Care Agency's caseload, and Medicaid is the major source of funding for the Long Term Care Program. Today, hospital stays are shorter than in the past, magnifying the need for an even higher clinical level of Home Care services. The provision of Winthrop's Home Care services, following discharge from the Hospital, helps to prevent readmissions to Emergency Departments, acute care facilities, and long term care institutions. Likewise, Long Term Care, provided for the chronically ill, disabled, and elderly, has enabled many patients to live at home, rather than in assisted living facilities.

    A Gamut of Medical Needs: Neonatal, Infant/Pediatrics, Medical/Surgical, and Intensive Care
    Self-care skills, prevention, and nutritional education are taught to patients in all age ranges, who experience a wide spectrum of medical needs. Included are wound care; maintenance of colostomies and Foley catheters for both sexes; education and self-care for people with diabetes; nasogastric tube care and feedings; tracheostomy care; and continuous ambulatory peritoneal dialysis (CAPD). Patients might be recovering from open heart surgery, transurethral resection of the prostate (TURP), or severe orthopaedic injuries. Arrangements can be made for ventilator support, and for high tech medications including chemotherapy, IV, and antibiotic therapies. Each patient's Home Care experience begins with a visit by a Registered Nurse, who completes a 12 page physical assessment, covering the bodily systems, diet, medications, and physical therapy. An individual healthcare plan is devised; the physician is consulted; and billing guidelines are explained. Nursing Aides visit patients as often as seven days per week, supported with scheduled RN visits, if the assessment validates the need.


    Winthrop Home Health Care taps into the sometimes hidden lifestyle of the disabled and ill, who may be isolated from any meaningful social network. These are the people who live in quiet desperation, in their own homes, in urgent need of medical intervention and assistance with the activities of daily living. In some cases, referrals have been made by a worried water meter reader.

    Routes to Winthrop Home Care
    Referrals to Winthrop Home Care come from several sources. Approximately 70% of the cases are patients who were hospitalized at Winthrop, and were referred by a physician or a Case Manager. Patients may self-refer, or are referred by a family member, neighbor, community organization (including Nassau County Social Services), or even another hospital. "There have been cases in which the water meter reader has contacted Home Care about an individual in the community - that is how alone and isolated some people are," notes Kristine Vogt, RN, MSN, Home Care's Director of Patient Services.

    Disease Management Programs Are Expanding in Reach
    Managed care companies and insurance carriers were quick to identify the value of wellness and prevention to help contain costs. Even before the advent of managed care, Home Care Nurses were educating patients about prevention. The Department offers instruction geared to each patient's level of understanding, and extends teaching to the family or immediate caretakers. Even the frail elderly are taught self-care.

    Barbara Schwall, RN, Home Care's Special Projects/New Program Coordinator, explores potential areas of service, as suggested by physicians, community groups, and insurers. Some of the newer programs cover Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, and transurethral resection of the prostate. If you have recommendations or questions, Ms. Schwall can be reached at 516/663-8016.

    Do you know someone who would benefit from a referral to Winthrop Home Health Care? For further information, call 516-663-8000.

    Health Update


    For Seniors And Their Families - 1999 CALENDAR
    Presented free-of-charge by the Division of Geriatrics
    and RISE (Referral, Information and Support-services for the Elderly)
    Program Directors: Brigid Riordan, C-FNP & Sherri Roth, CSW

    Date Topic Speakers
    Monday, April 12 Osteoporosis: Bone Up on Breakthroughs Jane Moore, RN
    Monday, May 10 Nutrition: Digesting the Latest Research Susan Strurgess, MS, RD, CNSD, CDN
    Monday, June 14 Germs: Surviving Their Attacks Barbara Yannelli, RN, MS



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