Resources for Referring Providers

Homecare Referrals

How to make a referral:

Our Intake Department is available to take referrals and answer questions Monday - Friday, 8 a.m. – 5 p.m. and Saturday – Sunday, 8 a.m. – 4 p.m. There is also an on-call nurse available to accept referrals 24 hours a day, seven days a week.

Call 860-358-5960 to refer a patient

Fax referral forms to 860-358-5613

Forms and resources: 

 

What qualifies a patient for homecare?

To qualify for home care the patient must have a need for skilled services and be homebound

 

Qualifying skilled needs:

 

  • Change or decline in status
  • Changes in medication and medication management
  • Skilled assessment and observation of cardiovascular status
  • Teaching and training on disease process and symptom management
    • Diet
    • Infection control 
    • Safety
    • Oxygen use, safety, storage, re-ordering, and need for a fire plan 
    • Pulse oximetry PRN for S/S respiratory distress and notify physician if <...% on room air

  • Change or decline in status
  • Unstable blood sugars
  • Changes in medication and medication management 
  • Teaching and training of disease process and symptom management
    • Diet
    • Infection control
    • Safety - signs and symptoms of hyper/hypoglycemia
    • Blood sugar monitoring
    • Signs and symptoms to report to physician or RN

  • Change/decline in status
  • Skilled assessment and observation of genitourinary status and chronic catheter management 
  • Teaching & training of disease process and symptom management 
    • Diet and fluids
    • Safety
    • Infection control - signs and symptoms of UTI
    • Peri/groin care
    • Medication management 
  • Reinsert foley every month + PRN 

  • Lab monitoring with medication adjustment
  • Skilled nursing for skilled assessment and training for:
    • infusion therapy
    • line care and maintenance
    • symptom management
    • safety and infection control
    • instruction on the signs and symptoms to report to a physician or RN

  • Skilled nursing for assessment and observation of GI status
  • Skilled nursing for teaching and training on disease process and symptom management: 
    • Diet
    • Infection control
    • Safety
    • Signs and symptoms to report to physican or RN
  • Medication management as appropriate
  • Instruction on ostomy care every 3-7 days and PRN

  • Change/decline in status
  • Changes in medication and medication managment
  • Skilled assessment and observation of respiratory status 
  • Teaching and training of disease process and symptom management: 
    • Diet 
    • Infection control 
    • Safety
    • Pulse oximetry PRN for signs and symptoms of respiratory distress and notify physician if <___% on room air
    • Oxygen use, safety, storage, re-ordering, and need for fire plan 

  • PT/OT skilled evaluation for rehabilitation services: 
    • Gait training, transfer training, and stair training
    • Instruction on use of assistive devices for ambulation on all surfaces
    • Instruction on the use of assistive devices for ADL's
    • Instruct and upgrade home exercise program
    • Recommend home adaptation to facilitate safety
    • Therapeutic exercises to increase strength and endurance
    • Passive and active ROM exercises for strengthening
    • Safety, pain, and medication management 
  • Speech Therapy skilled evaluation for speech, comprehension, and safe swallow
    • Diet
    • Medication management
    • Safety
    • Infection control 
    • Assess for pain and teach pain management strategies
    • Perform/instruct on wound care until healed or becomes chronic in status 
  • Post-surgical wound assessment and care

 

Homebound Status Qualifiers: 

  • Unable to leave home without maximum assistance and/or effort
  • Unable to ambulate
  • Unsteady gait with assistive device
  • Unable to negotiate stairs
  • Requires the assistance of 1-2 people to ambulate
  • Requires and assistive device to ambulate
  • Poor ambulation - prone to falls
  • Post-op weakness
  • Severe dyspnea on exertion 
  • Difficult and taxing effort to leave home
  • Medical restrictions - open draining wound, leg elevated at all times 
  • Severe dizziness 
  • Confusion/disorientation
  • Compromised mental status 

  • Absence from home to recieve healthcare treatment
  • Absence for purpose of attending a religious service 
  • Occasional absences for non-medical reasons
    • EX: a unique event - family reunion, funeral, graduation, wedding

  • Leaving home against medical advice
  • Leaving home for business purposes, work, or attendance at school
  • Leaving home frequently for non-medical reasons even if it requires difficult or taxing effort
  • Leaving home several times a week (routinely) to go out for a meal