What we do!

Physical Therapy
Physical Therapy is customized exercises provided by one of our licensed Physical Therapists which help patients regain or improve their strength, mobility, relieve pain, and prevent permanent injury.

Occupational Therapy
Occupational Therapy is the use of rehabilitation treatments and fine muscle training by one of our licensed Occupational Therapists to help patients with mental, physical, or developmental conditions.

Speech Therapy
Our Speech-Language Pathologists are ASHA certified therapists who assess, diagnose, educate and treat speech, language, cognitive-communication, voice, swallowing, fluency and other related disorders.

Skilled Nursing
Skilled Nursing is care provided by one of our licensed professional nursing staff who aid and clinically assist patients with a wide range of illnesses.

Home Health Aide
Home Health Aides are our health or supportive care providers. They are licensed healthcare professionals who help with tasks such as bathing, dressing, oral hygiene, and light housekeeping.

Social Services
Our Social Workers are licensed professionals who evaluate social, emotional, and economic needs of our patients. They further assist in addressing those needs, and resolving issues as they develop.

Recovery Strategies
Stroke Recovery Program
Stroke-Recovery-Program

The Problem

For stroke survivors, the recovery process isn’t over as soon as you leave the hospital. There can be months of relearning, changing and adjusting to your “new normal.”

Although post-stroke recovery cannot reverse the effects of a stroke, it can help to make life easier and more comfortable. It can also help to make stroke patients regain some of their independence and, most importantly, their confidence and outlook on the future.

Beginning the road to recovery after a stroke is very important. The sooner you are able to begin to work on rebuilding the skills that were lost, the sooner you can begin to feel stronger again. Quality Home Health strives to provide thorough personal care to each of our patients. Our caring staff of professionals work close enough to each of our patients that their “wins” are our wins and we truly cherish watching them stand strong with Quality by their side. Just like family!

The Solution

The effects of a stroke can vary from person to person, dependent upon how and where the stroke occurs. We begin by assessing the type of stroke that has occurred. Once we have determined the cause and details we tailor a program that is individualized for the patient. Our programs include:

• Training in future prevention methods
• Addressing emotional and behavioral changes through social services which address cognitive and communication skills
• Setting up safety measures in the home to prevent future falls
• Medication management
• Assessing and advising on proper diet.
• Occupational Therapy and home health aids helping to train for adaptive daily living techniques.
• Speech Therapy to help with swallowing
• Physical Therapy training, sitting up, and conducting exercise program to help with mobility skills
• Addressing bowel and bladder issues where necessary
• Social worker helping to assess needs
• Monitoring blood pressure, weight, blood sugar and edema through skilled nursing.

The Criteria

Any patient who is recovering from a stroke is eligible for this program.

Living with Congestive Heart Failure
Living-With-Congestive-Heart-Failure1

The Problem

Heart failure affects nearly 6 million Americans and is the leading cause of hospitalization among those 65 and older. Any diagnosis of a heart condition can be scary. For those living with Congestive Heart Failure, life becomes increasingly precious by the day. Each family occasion, each sunrise, each hug becomes something to cherish and be thankful for. Symptoms that CHF patients face daily include:

• Angina
• Tightness and pain in the chest
• Rapid or irregular heartbeat
• Shortness of breath
• Weakness
• Dizziness
• Nausea
• Sweating
• General feeling of discomfort

The Solution

With Quality Home Health our skilled nurses work specifically with patients, who have been diagnosed with Congestive Heart Failure, and their caregivers to improve medication compliance and increase knowledge of the disease process. This program in turn helps decrease the likelihood of an individual being readmitted to a hospital. Quality works to prevent exacerbations through monitoring weight and blood pressure management, and edema. We do this through Skilled Nursing. We also monitor oxygen levels and conduct oxygen therapy, help to reduce stress and teach calming techniques.
Physical therapy helps with exercise and energy conservation. We teach the importance of reporting signs and symptoms to one’s physician.

Criteria

Those with the following meet the criteria for this program:

• Diagnosis of Congestive Heart Failure
• Status post CABG (coronary artery bypass surgery)
• Open heart surgery.

Living Well With Asthma
Living-with-Asthma-Little-Girl

The Problem

Wheezing and tightness of the chest, particularly at night, is a common symptom of Asthma for children and adults alike.  1 in 10 children and 1 in 12 adults are diagnosed with Asthma.  It is a non-curable disease that can be life threatening, but it also can be manageable.

The Solution

For patients suffering from Asthma, Quality Home Health provides a program catered to the management of the disease. Our staff of specialized care givers focus on both the disease and symptoms. By overseeing a comprehensive look at the patients progression through various methods we can help improve the patients health over time and keep them well at home. These methods include:

• Disease management through in-home skilled nursing teaching
• Respiratory therapy assessment
• Helping to secure proper medical equipment
• Teaching proper usage of respiratory equipment
• Severe patients receive monitoring with an on-call nurse daily monitoring Pulse Ox, Weight, and Peak Flow Rates.
           

The Criteria

Any Quality patient who is diagnosed with Asthma or any lung disease qualifies for our Asthma management program.

Wound Care
Wound-Care

The Problem

Bed sores, post-surgical and diabetic wounds, and where tunneling stage 1 to stage 4 has occurred need close attention in order for healing to take place and decrease risk of further infection. This can greatly affect a patient’s overall potential success of a speedy and full recovery.

The Solution

At Quality Home Health we pride ourselves in having one of the premier wound care programs in the country. Our staff has set industry standards for their high level of performance, giving our patients an incredible advantage for a speedy recovery. Our Certified Wound Care nurses assess and care for wounds. They dress, clean, measure and monitor changes in the size and condition of the wound. They also conduct wound vac dressings. Our wound care nurses work to also coordinate care with other skilled nurses and home health aids.

The Criteria

Patients that qualify for our Wound Care program include Stage 2 and above wound classifications or those with post surgical wounds or for which a patient can’t care (i.e. bed sores in elderly).

Proactive Care Programs
Fall Prevention Program - Vestibular Rehabilitation Therapy (VRT)
Fall-Prevention-Program-Bear

The Problem

Statistics support an overwhelming concern that falls pose a significant risk to the elderly. About one-third of those over the age of 65, fall each year. This risk increases proportionately with age and by the age of 80 over half of the population fall annually. It is the leading cause of death due to injury in the elderly.

Balance disorders are a further risk factor for falls in the elderly. Causes that relate to balance disorders include:
• Age-related multi-sensory deficits
• Strokes and vascular insufficiencies
• Cerebellar degeneration
• Chemical and drug toxicoses
• Benign paroxysmal positional vertigo (BPPV)
• Uncompensated Meniere disease
• Vestibular neuritis
• Labyrinthitis
• Head trauma

This problem calls for a great need of attention to be given to those who are at the greatest risk of falling. Our caring staff of professionals work close enough to each of our patients that their “wins” are our wins and we truly cherish watching them stand strong with Quality by their side, Just like family!

The Solution

At Quality Home Health we recognize the need to address this serious problem. In order to provide a longer and better quality of life for our patients we have developed a specialized program to help reduce the risk and potential injury of falls. Specifically our
Physical and Occupational therapists, in conjunction with our skilled nurses and home health aids, will help to improve balance, minimize falls, decrease subjective sensation of dizziness, improve stability during locomotion, increase awareness of surroundings and train on how to fall. Our patients have shown tremendous improvements under this program and
statistically we excel in returning our fall patients to independent living. If there is a safe place to fall then it is with Quality. Our experience and expertise can prove it!

The Criteria

• Over 65
• Have dizziness, light-headedness
• Muscle weakness
• Unsteady gait, difficulty walking
• Take more than three medications
• Use a device to assist in walking
• Suffer from pain with movement
• Have arthritis, CV, Diabetes, Parkinson’s, DM, inner ear problems

Home to Assisted Living Transition Program
Assisted-Living

The Problem

As we age, our independence becomes increasingly important to us. Not only is it hard to admit when mundane tasks become struggles, it is sometimes hard for loved ones to recognize when help is needed. Making the transition from an independent home life to an assisted-living facility can be scary for both the patients and their families. The struggles that once involved daily chores and dressing one’s self are now struggles that involve acceptance of the transition into Assisted Living. Sometimes a helping hand and an advocate for exceptional care can help to make that transition easier and that is where we come in. Just like family Quality Home Health can be by your side through this transition of life.

The Solution

Our Transition-in-Living Program is specifically designed for the individual and their family who is having trouble making the adjustment from home to an assisted living environment. We work in conjunction with our patient, their caregivers, primary care
physicians and assisted living facility to provide the following:

• A supportive and understanding certified Behavioral Health Registered Nurse who will regularly visit and spend time with the client and home health
• Grief and loss counseling
• Medication education
• Relationship and trust building
• Communication
• Family education

The Criteria

Any transitioning client having difficulty with their new living arrangements is eligible for this program.

Hospital to Home Transition Programs
Hospital-to-Home-Cornbread

The Problem

After an injury, surgery or illness that puts one into the hospital it can be difficult to manage a return home. Not only is it hard on the patient, but also the family. This transition is a crucial time to ensure that the patient continues on a path toward recovery and doesn’t succumb to a set back or face hospital readmission. Home Health has proven to be an effective tool to alleviate this potential problem.
 

The Solution

Our Hospital-to-Home Transition. Program specifically addresses the needs of patients just settling in at home after a hospital stay.  We cater a program specifically to each patient based on his or her individual diagnosis and treatment plan. We work in conjunction with our patient, their caregivers, and primary care physician to provide the following:

• A supportive and understanding staff of nurses and clinicians that are trained and experienced to provide care to an individual with similar health conditions.
• Medication education
• Skill building and training techniques
• Communication
• Family education
• Implementation of any other Quality Home Health’s programs that might be beneficial to the patient
 

Criteria

A Transitioning Client who is transitioning from the Hospital to home. .

Private Duty Services
Private-Duty-Services

The Problem

Life seems so fast-paced these days. As many say, “Things just aren’t like they used to be.” As your loved ones grow older and begin to need more assistance, it is difficult to find balance between helping in daily functions and maintaining peace in your own family life. While general home health care provides nursing and therapy services regularly, it does not include on-going clinical based sitting services throughout the day.

Quality recognizes that our patients aren’t just a face, they are family. Each patient is someone’s grandmother, mother, sister or brother, and we hold a high standard of care for our team of professional caregivers.

The Solution

Quality Private Duty is the solution to this need. That same care is available for you right in the comfort of your own home. This service provides many with the opportunity to enjoy life at home while receiving the care and attention they need. Through this service we can help patients with:

• Administering and monitoring medicine
• Personal grooming and care
• Daily activities and functions
• Monitoring daily vitals
• Overseeing any medical equipment needs

The Criteria

This service is generally provided by TennCare and offered for Private Payors,. With a Doctor’s orders and insurance approval, services can be provided based on the following considerations:

• Specific hands-on skills the member needs to treat their problem while the staff is in the home
• The frequency the skill must be provided.
 

Technologies

Point of Care System
Point-of-Care-Turtle

The Problem

There are currently 12 million people living with the assistance of home healthcare.  A majority, 80% of those over age 60, are choosing to live independently at home. The rise in sport injuries, home and vehicle accidents has increased the need for in-home
care about 10 times.  About 8 million of the elderly population have some form of disability requiring assistance, and often have some hospital furniture at home to help. This number is projected to be 15 million by 2020. This further indicates that many of our patients have chronic conditions. It is our job to keep them at home and improve their progression to wellness. In order to improve on this, there is a need to provide our own caregivers, as well as other healthcare providers, accurate evidence-based information to best treat the patient. With the patients’ health information readily available, the primary care physician, nurses, and therapists can coordinate and communicate quickly. This need emphasizes our efforts to discover a more proactive approach to address health issues and to help better manage our patient’s condition.

Our Solution

In keeping with our Quality of Care, every member of our clinical staff is equipped with one of our Point-of-Care devices.  This allows us to offer our patients the most advanced form of home care.  With this technology we have:
• Real-time communication and secure data exchange between our field staff, offices and physicians.
• Seamless operations in communicating your health condition to your other healthcare providers.
• The most accurate billing through numerous checks and balances which makes the headaches for you less.
• Gained efficiency and streamlined company processes so that we can focus on your care more than paperwork.
• Increased reporting and data collection enabling us to learn more about the effectiveness of our treatment.

 

Criteria

Every Quality Home Health patient receives care from our clinicians and professionals who are equipped with our Point of Care system.

High Risk Call Program
tech

The Problem

When someone is released from the hospital they generally expect to be well on the way to recovery for that episode. However, hospital readmissions are an increasing problem for our overall health care system. This is an extremely costly problem and can be an indicator of poor care coordination. Many issues have been attributed to the cause of hospital readmissions. These include poor communication, lack of care, or insufficient training when a patient is initially released from the hospital. Sometimes a patient doesn’t have the supportive home environment that contributes to recovery, or the patient may be difficult or stubborn in following clear instructions of how to care for themselves.

The Solution

At Quality Home Health we offer a High Risk Call program that aggressively works to resolve the problem. For patients who meet the criteria, we go beyond the call of duty by contacting these patients daily in addition to their normal scheduled visits to ensure continual progression to wellness. Specifically we discuss how the patient is feeling and weather they have followed the instructions given by their physicians and the Home Health nurse and/or therapist. Depending on the individual, we may further go over vitals, provide instruction on how to cope with a need or determine if the patient may require an extra visit. The effectiveness of our calls are then monitored by our visiting staff who communicate with our care team on how to most effectively ensure the patient’s compliance. This is one more step we can take to offer the most comprehensive and best form of care to both our patient and our referral sources.

The Criteria

The patient should meet at least one of the following criteria in order to qualify for our High Risk Call program:

  • Has been immediately released from the hospital
  • Congestive Heart Failure
  • COPD
  • Post-Operation Open heart Surgery
  • Type 1 high-risk diabetics
  • Individual assessment of high-risk patient
Disease Management Control
Living Well With COPD
COPD-Party-Blower

The Problem

There are over 672,000 hospital discharges for COPD each year. About 24 million people in the US have COPD, but an overwhelming half of those people remain undiagnosed.

COPD can be a life-changing and uncomfortable disease, one that can include chronic bronchitis, emphysema or both. Although there are stages of COPD, the common daily symptoms include chronic coughs with mucous, shortness of breath, lowered lung function, and fatigue. While it is very common for loved ones to begin helping with daily functions and chores, not every COPD patient has this advantage.

If you or a loved one is in need of COPD care, but there are many miles between the patient and the care of a family member, take rest in knowing Quality can stand in your shoes and help lessen the impact of those miles.

The Solution

For patients suffering from COPD Quality Home Health provides a program catered to their needs. In order to help patients’ and their caregivers cope with COPD and live life to the fullest we provide:

• Disease management through in-home skilled nursing teaching
• Respiratory therapy assessment and treatment
• Help to secure proper medical equipment
• Teaching proper usage of respiratory equipment

The Criteria

Any Quality patient who is diagnosed with COPD or any lung disease qualifies for our COPD Management Program.

Vision Impaired Assistance
Vision-Impared-Services-E

The Problem

Many of us have enough trouble turning the light on in the dark to get to the bathroom. Imagine never being able to find that light and always facing the risk of a fall, stumble, or even worse misreading medication. It is so easy to take our senses for granted and forget how precious our eyesight is to us. When faced with vision impairment, tasks can become frustrating, and you can begin to really feel lost. With the help of Quality Home Health, the future can be seen a bit more clearly. You know each day exactly where your help is coming from and you can rest assured we only accept the highest quality of care from our staff of professional care givers.

The Solution

For individuals who have age-related eye diseases or brain injury related eye disease Quality’s Vision Impaired Program will help with training, evaluation, assessing safety issues in the home and assisting with adaptive equipment and devices. Specifically this service provides:

• Occupational and Physical Therapy
• Evaluation of status with the disease process
• Facilitation of medical equipment needs
• Evaluation of home environment and effort to make improvements
• Social Worker evaluation for supportive services and community resources
• Suggestions of equipment and personal needs

The Criteria

Those diagnosed with the following are eligible:

• Glaucoma
• Macular Degeneration
• Retinal Disease
• Degenerative Brain Disease
• Brain Injury

Diabetes Management
Diabetes-Puzzle1

The Problem

Living with Diabetes or pre-diabetic

The Solution

Skilled Nursing does in-home teaching catered to diabetic care. Such as insulin draws and injections, testing blood sugar levels, diet consultations.

The Criteria

Pre-Diabetic and Diabetic Diagnosed

Congestive Heart Failure
Living-With-Congestive-Heart-Failure1

The Problem

Heart failure affects nearly 6 million Americans and is the leading cause of hospitalization among those 65 and older. Any diagnoses of a heart condition can be scary. For those living with Congestive Heart Failure, life becomes increasingly precious by the day. Each family occasion, each sunrise, each hug becomes something to cherish and be thankful for. Symptoms that CHF patients face daily include
• Angina
• Tightness and pain in the chest
• Rapid or irregular heartbeat
• Shortness of breath
• Weakness
• Dizziness
• Nausea
• Sweating
• General feeling of discomfort

The Solution

With Quality Home Health our skilled nurses work specifically with patients who have been diagnosed with Congestive Heart Failure and their caregivers to improve medication compliance and increase knowledge of the disease process. This program in turn helps decrease the likelihood of an individual being readmitted to a hospital. Quality works to prevent exacerbations through monitoring weight and blood pressure management, and Edema. We do this through Skilled Nursing. We also monitor Oxygen levels and conduct O2 therapy, help to reduce stress and teach calming techniques. Physical therapy helps with exercise and energy conservation. We teach the importance of reporting signs and symptoms to one’s Physician.

Criteria

• Diagnosis of Congestive Heart Failure
• Also status post CABG (coronary artery bypass surgery)
• Open heart surgery.