Choosing a Provider
Finding appropriate home health and hospice care providers requires some research.
You will need to talk with your health care provider to evaluate your home health
or hospice care needs. When looking for a provider, consider the following:
Evaluating the quality of a provider
When evaluating the quality of a provider, you may encounter the following terms:
Licensure. Some states require providers to have licenses to operate. Basic legal and operating
requirements as directed by the state must be met to obtain a license.
Bonding. A bond is a type of insurance policy for a provider. To become "bonded," a provider
must pay a set amount. The bond protects the provider from bankruptcy in the event
of a lawsuit by a consumer.
Certification. State certification by state health departments makes a home health or hospice care
provider eligible for Medicare (and sometimes Medicaid) payments. To become certified,
a provider must meet basic federal and state standards in patient care and financial
Certified health care professionals are certified by their respective national organizations.
The certification usually requires passing a national test and/or work experience.
Accreditation. Nationally recognized accrediting organizations evaluate and accredit quality health
care services. A provider must voluntarily seek out this accreditation. Some organizations
who accredit home health care include:
Accreditation Commission for Home Care, Inc.
Community Health Accreditation Program
Joint Commission on Accreditation of Healthcare Organizations
National Committee for Quality Assurance
National Home Caring Council
Questions to ask when choosing a provider
When choosing a provider, consider asking the following questions:
How many years has the provider been serving the community?
Does the provider have literature describing its services, cost, and funding?
Is an evaluation of the patient's home health care needs required? Is there a written
plan of care for the patient?
When are caregivers available?
Is there a nursing supervisor on-call 24 hours a day?
Can the provider ensure patient confidentiality?
How is quality of care and services monitored?
What types of payments are accepted?
The National Association for home care and hospice will provide you with the most
comprehensive database of agencies available in the United States.