As we continue our journey through the pandemic and the inevitable changes in “scenery” COVID-19 has brought, there are a lot of questions regarding in home SNF care. One of the proponents of in-home SNF care points out that post-acute care is facing challenges with staffing, however, in the real-world, home health agencies are facing similar challenges with much less depth in their resource pool. If a home health provider fails to “show up” or if the agency is unable to secure a caregiver for a client, it might be hours or even days before the care needed is provided.

Aging parents can be a challenge whether living in post-acute care settings or in their community-based homes. From personal experience, the home health services provided to my aging parents over the past 10 years has been mediocre at best. I remember one CNA who was phenomenal, showed up on time, provided ADL care at a higher level than I can, and loved her job. Other than that, my impression was that my parents were just another stop in the day for the licensed nurse and/or therapist.

Don’t get me wrong, I believe there is a need for in-home nursing and therapy services for specific populations, end-of-life care, palliative care, etc., however, for community-based seniors, recently discharged from acute care or a SNF, it might not be the right answer. Remember, as of today, to receive Medicare coverage for “in-home services,” the patient cannot leave their home except for religious services and doctor appointments. Unless the provisions of the reimbursement process change, making an active senior “home-bound” might be counterproductive. Things to consider as the world continues to turn, and we are running to keep up!

Stay well, stay informed, and stay tuned!