Dr. Joseph Goldberger, chief medical officer for the Yavapai Regional Medical Center and a rheumatologist with a private practice, said about 15 to 20 percent of the patients he sees at his rheumatology consulting practice are insured by the Arizona Health Care Cost Containment System, the Arizona equivalent of Medicaid. Already, AHCCCS fees to doctors have been frozen, he said.

"The untold story is patients with or without insurance continue to get the care," Goldberger said. "They get the most expensive care of all: ER care. Everybody else ends up paying for that through higher premiums. It has a significant impact."Many of his arthritis patients need "very expensive" medications and "without insurance, they can't afford them at all. The bigger problem is the access to medications."

While that may not be life threatening in all situations, it certainly increases pain levels for arthritis patients.

In some situations, such as with a lupus patient who has kidney disease and can't get access to chemotherapy, it could be life threatening, he said.

While Goldberger understands that the state is having budget problems and that education and health care are candidates for cost cuts, there are consequences, such as the loss of federal matching funds.

Health providers face a total cut of $67.7 million in state and federal money, according to the Arizona Hospital and Healthcare Association. The association protested the plan to transfer AHCCCS's remaining graduate medical education money and nearly all private disproportionate hospital dollars to other uses. Arizona's hospitals have seen $278 million in state funding cuts since 2008, trade group officials said.

Reduction in payments for training doctors - the graduate medical education money - is particularly egregious, said John Rivers, the hospital association president and CEO.

The state and federal government traditionally reimburse hospitals that train doctors who typically go through a residency in a specific area of medicine after they complete their medical training and internships, Rivers said. However, if the state doesn't put up the money for that training, then the federal government won't contribute its share, Rivers said.

"If we're not training doctors, I don't see how that is good for the people of Arizona," Rivers said. "One of the important by-products of training doctors here is this is where they end up practicing. If they get training somewhere else, they stay there. It's a horrible outcome for the people of Arizona."

Already the state has only 219 doctors for every 100,000 people, while the national average is 293 physicians for every 100,000.

It's also shortsighted economically to cut into hospital budgets as hospitals create jobs, he said. And the cuts will shrink the state's economy by $48.8 million in federal Medicaid matching dollars that will now go to other states.

Hospitals in Arizona employ 73,300 people and contribute $11.5 billion to its gross economic product, according to an Arizona State University study.

While the Yavapai Regional Medical Center is not a teaching hospital and is not affected by the graduate medical aspect of the budget cuts, said Brian Hoefle, the chief financial officer, the lack of disproportionate care money from the state would result in a loss of several hundred thousand dollars.

"Gov. Jan Brewer is talking about eliminating some of those programs," said Hoefle. "It would be up to the Legislature to decide on cuts to AHCCCS. Just because the state isn't covering certain populations anymore doesn't mean they won't get sick and end up in our ER. If there's no payment for them, it shifts the costs to the paying customers."

The state will lose $2 from the federal government for every dollar it cuts from AHCCCS, according to Hoefle.

"That's very frustrating," he said.

About 15 percent of patients who use YRMC are AHCCCS clients.

Meanwhile, the hospital has already seen large increases in bad debts and charity care over the past two years, Hoefle said. Charity care - wherein patients provide their financial information and are deemed unable to pay - has doubled from 2008 through 2009. While bad debtors - those who are unable or unwilling to pay but are not working with the hospital - have increased by 18 percent over the last two years.

"If the AHCCCS program is not going to pay hospitals, it's going to fall back on hospitals to pay," Hoefle said. People are "going to come

The average person spends approximately 1/3 of his or her life sleeping. Although we do not yet fully understand either the purpose or the mechanics of sleep, we do know that an insufficient amount can have far-reaching consequences: our work performance, our personal relationships, and our physical and mental health all depend on getting an appropriate amount of rest.

The inability to fall asleep or to stay asleep throughout the night is a condition known as insomnia, and it is among the most common of all medical complaints; approximately 1/3 of all people experience a period of insomnia at least once during their lifetime. Individuals with insomnia typically experience at least one of the following symptoms:

- Difficulties falling asleep;
- Inability to stay asleep, or waking up too early;
- Sleepiness during the day;
- Fatigue or lack of energy;
- Irritability;
- Headache;
- Decreased ability to concentrate;
- Increased errors or accidents;
- Depression and/or anxiety;
- Continual worry about sleep.

Health Risks of Insomnia

If you are not getting the sleep that you need, your insomnia may eventually lead to serious consequences for your health. In the short term, your alertness and focus are impaired, which can have a negative effect on your school or work performance. Relationship problems may result from irritability due to lack of sleep, while fatigue may prevent you from participating in your normal activities.

In the long-term, the complications of insomnia can be even more severe. Hypertension, cardiovascular disease, obesity, and mood disorders are all associated with chronic insomnia; these conditions can be life-threatening, and they will certainly reduce the quality of your life.

What Causes Insomnia?

Insomnia is symptomatic of a large number of physiological disorders; if you are having difficulty sleeping, chances are that an underlying health problem is to blame. Illness, infection, mental health disorders, and medications can all keep you from getting the proper amount of rest. Hormone and neurotransmitter imbalances can affect your body's ability to fall asleep, and dietary deficiencies can cause insomnia, as well. Exposure to toxic elements such as heavy metals, molds, and other environmental pollutants have also been shown to impair sleep.

Finding the Cause of Insomnia

By determining what is causing your insomnia, your health care provider will be better able to help you design a plan for managing your sleep problem. To find out what is keeping you up at night, your doctor may ask you a series of questions about your lifestyle, your sleeping environment, and even the sleep habits of your partner. A variety of lab tests can also be useful in pinpointing the cause of your insomnia in the event that a health problem is involved.

Managing Insomnia

The first step to getting back to sleep is to treat the underlying cause. Establishing good sleep habits may include nutritional support, exercise, detoxification, and incorporating a relaxation technique into your daily routine.

Good sleep hygiene is important for getting the rest you need. By following the guidelines listed here, you will find yourself drifting off easily, without the constant worry about getting enough sleep every night.

- Stick to a constant sleep schedule, with a consistent bed time and wake-up time;
- Avoid bright lights (including the television and computer) for at least two hours before bedtime;
- Do not exercise within three hours of bedtime;
- Make sure your bedroom is for sleeping - keep the TV, computer, and any other distractions in another room;
- Make sure your sleeping environment is cool, dark and quiet;
- Avoid caffeine, smoking, and alcohol, especially before bed;
- Don't eat right before you go to bed;
- Try a relaxation exercise such as deep breathing before you turn in.

Over-the-counter and prescription sleep medications are best avoided; they may help you fall asleep, but they can be habit-forming, and they have a variety of negative side effects. By identifying the cause of your insomnia and making some adjustments to your lifestyle, you should be able to overcome your sleep difficulties naturally.

One must be able to ascertain the people looking for or are open to health insurance policies. Health insurance leads are the means of avoiding wasting time, money and effort on trying to sell to people who don’t have any intention to buy. Health insurance leads can be bought from the Internet as there are thousands that can be found with just a few clicks. But beware, internet health insurance leads lack exclusivity as they are being sold over and over which means you will be having a great deal of competition in closing deals with the leads. A better and less risky, but more expensive alternative to Internet health insurance leads are telemarketed health insurance leads. But what if you can afford to make those regular purchases of telemarketed health insurance leads? Are you left with no other choice but to turn to Internet health insurance leads or just go on and try generating leads of your own? Well, there is a great option one may consider, that is having free health insurance leads.

Free health insurance leads lead generation equates to having a stable flow of prospects that you can benefit of absolutely free. Regularly, telemarketed health insurance leads are sold on an exclusive basis and are conveyed real-time to clients almost immediately after the online purchase has been made. If you are a health insurance agent, you can ask for referrals from the leads you already purchased. The referral scheme will now become your free health insurance leads lead generation system and the referrals your free health insurance leads. Those that will be referred are likely to be open to searching the Internet for health insurance providers, and as a policy provider, it is of outmost importance that you make sure they get that health insurance policy from your company.

Never forget that every health insurance lead you have possession of means more opportunities of making a health insurance sale. You can generate free health insurance leads from the health insurance leads that are already in your list if you possess that ability to mingle with people and forge that bond with them and gain their trust. Most people would prefer health insurance providers referred by ones they know rather than those they just find in posters or the Internet. But, it is essential that you establish contact with your free leads as soon as possible, be it by phone or email. Do not hesitate to converse with them several times in order to achieve that desired result of having s sale.

CallComLeads will be happy to provide you with more details on how to establish your own free health insurance leads lead generation referral system and can also provide you with high quality telemarketed health insurance leads to be your stepping stones into getting free insurance leads.

CallComLeads also offers high quality loss mitigation leads.

Nearly one-third of all health-insurance premiums increased to 30 percent or more. At that rate, the average cost of health insurance per employee will exceed $3,000. Seventy-three percent of senior executives believe health-care costs will continue to increase 20 percent or more each year for the next three years. The message here is clear: If you haven't already gotten serious about cutting your company's health-insurance costs, now is the time. It can be done. The first thing you should do is learn how the system works--or doesn't work. Most small employers spend fewer than four hours a year thinking about their company health plans. Learn what your options are. Your insurance agent can help you shop for cheaper plans. But don't stop there. Compare plan benefits, insurance-company records, and service guarantees.

Consider Blue Cross and Blue Shield plans and HMOs (health-maintenance organizations), even if your agent doesn't handle them. The Blues in some areas, offer clear advantages to small companies. Experts regard HMOs as the best buys in health care. Find out if your company is eligible for new, low-cost health insurance plans now available in five states. In addition, foundation-funded pilot projects in several parts of the country are demonstrating that it is possible to cut health-coverage costs 30 to 40 percent. In short, health insurance isn't as simple as it used to be. And the pace of change is accelerating, offering new hope for a truce in the business battle with exploding health-care costs. The next couple of years present as much potential for change as at any time in the past 20 years. You can be part of that change by putting at least some of the following 5 ideas to work for your company.

1) Increase Cost Sharing By Employees

This recommendation is at the top of every consultant's list. Small companies tend to pay far more of their workers' total health-care bill than large companies do. Yet research shows that insulating employees from the costs of care encourages unnecessary use of health services. Fifty-two percent of the companies responding to the Nation's Business health survey said they pay 100 percent of their employees' health-insurance premiums. But 45 percent said they intended to implement or increase employee contributions to these premiums. An equal number said they plan to increase employee deductibles. Insurance companies first attached $100 deductibles to major-medical plans in the early 1950s. But 40 percent of employers still set deductibles at $100 or less. Raising a $100 deductible to $250 would cut premium costs for single coverage by about 11 percent. A $500 deductible would cut costs by about one-fourth. A $1,000 deductible would save about one-third.

2) Allow Employees To Pay For Health Premiums With Tax-Free Dollars

Set up a so-called flexible spending account, which allows your employees to pay their share of health-insurance premiums and un-reimbursed health-care expenses with pretax dollars. A flexible spending account could save employees 20 cents to 35 cents on the dollar, because state and federal income taxes and Social Security taxes are not imposed.

Moreover, the company saves by reducing the employee's base salary on which it pays Social Security and other taxes. Hire an outside payroll accounting firm to handle the paperwork. You can pay the service fee and still come out with a net savings. The monthly administration fee would run between $2 and $5 per employee.

3) Transfer High-Risk Employees To The State's High-Risk Pool

Insurance premiums soar whenever someone in a small-group plan becomes very ill--with cancer or heart disease, for example. As an employer, you should explore the possibility of moving employees with serious health problems into a state high-risk pool and then negotiating a lower premium for the healthy members of your group.

4) Switches To An Open-Enrollment Blue Cross And Blue Shield Plan

Blue Cross and Blue Shield plans operate as de facto high-risk pools in a number of states by providing "open enrollment" periods during which any group can buy insurance. Among the 74 Blue Cross and Blue Shield organizations nationwide, 21 offer open enrollment. All the Blues once used community rating to set premium levels. But that began to change in the 1960s when commercial insurers started to lure away firms with low risks by offering them cheaper health insurance.

5) Replace Your Traditional Health Plan With An HMO

Unlike traditional health insurance, HMOs cover all medical needs,

Health coaching is a collaborative and personalized program that focuses on improving health and wellness. Health Coaching builds an individual’s capacity to achieve short- and long-term health and fitness goals. Participants in a health coaching program interact one-on-one with their health coach by telephone, instant messenger, email and online journal.

Frequently Asked Questions About Health Coaching

What is health coaching?

Health coaching is a collaborative and personalized program that focuses on improving health and wellness. Health Coaching builds an individual’s capacity to achieve short- and long-term health and fitness goals. Participants in a health coaching program interact one-on-one with their health coach by telephone, instant messenger, email and online journal.

Unlike personal training or counseling, YOU, the client, are the expert when working with a health coach. Whether you're working toward general wellness or a more specific health-related issue, a health coach will focus on enhancing your quality of life. Our health coaches guide, motivate, provide customized resources, and help you to set achievable goals. Health Coaches do not diagnose, prescribe, or give advice. Instead health coaches use their expertise to provide you with tools, not opinions.

The role of a health coach is unique. A health coach will not just ask you if you have done your crunches for the day UNLESS that is what you want your health coach to do. Instead, the health coach is there to help you identify and achieve whatever goals you set for improved vitality by coordinating the many resources available to you through this and other programs.

Do I have to have a serious health issue to benefit from a health coach?

No. We know that no two people are exactly the same and your health status may vary from day to day. Health coaches help you to assess your level of health and well-being and to work on the issues at hand. Your health coach will provide the human touch to motivate you toward setting and achieving your goals through a personalized plan of action. However, if you do have a serious health issue, your health coach can help. If you need to modify your lifestyle due to an issue such as diabetes, high blood pressure, high cholesterol, and/or musculoskeletal injuries, a degreed and highly trained expert health coach can assist.

Who are the health coaches?

Our health coaches are high-level, seasoned professionals, experienced in behavioral change and in serving moderate-risk and sedentary, high-risk and high-stress populations. All Health Coaches hold degrees in Exercise Science, Health Education, Exercise Physiology, Counseling and Health Education, Counseling and Education, and each health coach has a minimum of a bachelor’s degree and at least 3 years of experience. In addition, 80 percent of our health coaches also hold a graduate degree in a related field.

I'm not sure health coaching is right for me. How do I decide?

If you would like someone to provide support, guidance and motivation that can help you achieve personal health and lifestyle goals, you will benefit from your relationship with a health coach.

How much time will health coaching take?

The time you devote to health coaching is entirely at your discretion. Communication between you and your Personal Health Coach will be as often as needed and will be determined on an individual basis. You will be paired with a health coach who will remain with you throughout your entire health coaching process. Communication between you and your health coach may occur every day, just once per week, or even less whether it is by email, journal or a combination of both.

If you would like to spend more time learning about your challenge and your solutions you have come to the right place. Through the health coaching program you will have access to a comprehensive library of lifestyle education and resource materials that will be hand selected by your health coach specifically for you. These resources come from nationally acclaimed resource providers.

What is health coaching?

Health coaching is a collaborative and personalized program that focuses on improving health and wellness. Health Coaching builds an individual’s capacity to achieve short- and long-term health and fitness goals. Participants in a health coaching program interact one-on-one with their health coach by telephone, instant messenger, email and online journal.

Health and Wellness Coaching is a service offered by trained professionals who work with you individually to assist you reach your Wellness goals. Health and Wellness Coaching motivates, guides, and supports a person in order to reach sustainable behavioral changes by offering creative solutions to their problems.

Health and Wellness Coaching provides individually designed programs to meet your unique needs by focusing on physical, mental, and emotional health. They assist you become proactive in your life by removing unhealthy behaviors and making Wellness a priority.

Benefits of Health and Wellness Coaching for Your Staff Members

Staff Members can benefit from Health and Wellness Coaching in a variety of ways. Health and Wellness Coaching can assist individuals decrease major health risks in their lives by changing high risk behaviors. Some of the many reasons why employees work with Wellness Coaches are to get in shape, lose a little (or lot) of weight, reduce stress, stop using tobacco, and design balance in their lives. Wellness Coaches aid individuals with current health problems as well as preventing future health issues.

Because each program that a Wellness Coach designs is unique to suit the needs of the individual, they can be sure that it'll be a program that is right for them. Most busy employees mistakenly believe that they do not have the time for Health and Wellness Coaching. Fortunately Health and Wellness Coaching professionals are able to offer their services in a variety of convenient ways. While electronic Health and Wellness Coaching through the use of e-mails and instant messaging has become a popular method due to its convenience, telephone and face-to-face interactions may also be used. Staff Members have the ability to reach their goals and improve their lives through the assistance of Health and Wellness Coaching.

Benefits of Health and Wellness Coaching for the Company

The overall benefits of Health and Wellness Coaching for a business are remarkable. Staff Member high risk behaviors such as tobacco use and obesity cost companies millions of dollars every year. These high risk behaviors often cause preventable illness and keep employees from coming to work. Health and Wellness Coaching guides, supports, hold individuals accountable, and ensures that they receive continued motivation to assist them reach their Wellness goals and eliminate unhealthy behaviors in their lives.

By implementing Wellness Plans and using Health and Wellness Coaching in their companies, employers reduce the risk of preventable illness in their companies. This improves the overall health of employees, reduces healthcare and insurance costs, decreases absenteeism, and ultimately enhances performance and productivity. When employees experience the benefits of higher levels Wellness in their lives it causes an improvement in job attitude, energy, and morale. Companies that utilize Health and Wellness Coaching for their employees experience the benefits of higher productivity.
Wellness Coach

Wellness incorporates many facets of our daily lives. From the amount of sleep to the water we drink, to the food that we eat and the activity that we maintain, our health is dependent upon many factors of our lifestyle. Working to improve our Wellness can be challenging to reach on our own. That is why we can utilize the assistance of a Wellness Coach.

What's a Wellness Coach?

A Wellness Coach is a highly educated professional who is trained in behavioral change. Wellness Coaches generally have degrees in Exercise Science, Health Education, Exercise Physiology, Counseling and Education. A Wellness Coach assists individuals in recognizing current health concerns as well as preventing future health related issues. These professionals work with individuals in a variety of ways including; face-to-face, phone, via instant messaging and / or email. The latter of those is also referred to as electronic Health and Wellness Coaching and is the most efficient and cost effective method of working with a Wellness Coach. No matter what method is used for communication a Wellness Coach provides a personalized program specifically designed to address the needs and concerns of each personal client.

In what ways can a Wellness Coach assist me? 

Most individuals maintain several healthy habits in their lives. One person may be a fitness enthusiast; another may abstain from alcohol and tobacco; while another may maintain a healthy

In the midst of confusion, health insurance shoppers need guidance on the recent changes and the medical plans available. The internet is a great source for knowledge and education regarding these issues. One specific site stands out amongst the rest on providing guidance and helping with purchases for individual health insurance.

Shopping online for health insurance quotes is much easier by using the free tools presented at the Easy To Insure ME website.

The National online health insurance brokerage recently improved the free tools available to make it easier for shoppers to compare and purchase health insurance online. In addition to the improvement, Easy To Insure ME offers a toll free hotline for assistance with purchases and questions about health care reform changes.

The site stands out because of the personal assistance offered in an online environment. To compare every plan instantly and decide amongst three hundred different choices a consumer would usually need the expert knowledge and help of a local broker to narrow down the options available. Easy To Insure ME automatically sends out a recommendation through email of four plans with the best benefits and lowest rates. This instantly narrows down three hundred plans down to only four and saves shoppers a car ride to a local broker and a lot of time.

In addition to emailing client specific recommendations, a friendly health expert will call to review the health insurance quotes and explain the benefits in an understandable fashion.

Visit http://www.EasyToInsureME.com/ today to meet a friendly advisor regarding recommended health insurance quotes.

Although you have many options in choosing your health insurance, finding the right plan can be difficult. In general, individual health insurance is a form of contract between you and an insurer (insurance company )to repay all or almost all of your medical bills, which may includes hospitalization, medications, dental care, seeing a specialist, and certain therapies (radiotherapy, chemotherapy, etc.).  Whatever your needs, you will most likely have to choose one of these plans, Fee-for-service, HMOs (Health Maintenance Organizations), or (PPOs) participating provider organization.

Fee-for-service - also known as indemnity plans, is a type of insurance plan where you, patient, have to pay all medical expenses out of your own pockets, and then request a reimbursement from your insurance company. These types of plans have their advantages and disadvantages.

Advantages : they offer more flexibility in choosing your own doctor. You can decide the time to see your health care provider, and what type of treatment you want; as long as you remain in the limit that your insurer will repay

Disadvantages : in indemnity plans, most doctors require upfront payment, so you have to submit claim forms to the insurance company to receive a reimbursement. That requires paper work, and sometimes many phone calls. Fee-for-service plans offer limited benefits; they do not cover annual physical exam and educational programs.

HMOs (Health Maintenance Organizations) - Health maintenance organizations (HMOs) are managed care plans that offer health care coverage to their members through hospitals, doctors, and other health care providers that are in their network. That is, having their service, you are limited to members of their network.

Advantages : unlike Fee-for-service plans, you do not have to pay up front; although some of them require a copayment. You do not need to submit forms after forms to receive reimbursement. In addition, HMOs usually charge a lower cost.

Disadvantages : you can use only health care providers who are associated with the organization. Most HMOs (Health Maintenance Organizations) tend to disapprove certain treatments. Although some HMOs accept their members to see physician or specialists who are not in their network, they often charge you additional costs.

(PPOs) participating provider organization - also known as Preferred Provider Organizations,  is a form of managed care organization of physicians , hospitals, clinics and other health care providers that sign a contract with an insurer to provide health services to its member at reduced rates .  Usually, PPOs cost more than traditional HMOs, but offer more options to their members.

Advantages : Preferred Provider Organizations provide more flexibility to their members; they have a bigger network of doctors and hospitals. You can take service from health care providers that are not part of their networks (certain charges often apply). You pay Lower copayments for care from primary care physicians. In addition, you do not need a referral to see a specialist.

Disadvantages : PPOs cost more than traditional HMOs. You will more likely to make co-payments (usually from $10 to $30) when you visit a health specialist.

Do some health insurance companies offer better service to their members than others?

Yes. Some insurers offer better service to their members. To learn more about health insurance companies that provide satisfying individual health insurance plan in the US, visit our top rated list visit careand.com, or click on the link in About Author/Resource box.

The Consolidated Omnibus Budget Reconciliation Act of 1985, or COBRA, allows unemployed workers to keep their health insurance from their previous employer for up to 18 months.

Up until the 15-month subsidy was approved last year as part of the federal economic stimulus bill, laid-off workers were required to pick up the full premium. With the subsidy, the unemployed paid 35 percent of the cost.

That subsidy is now at risk while the U.S. Senate considers whether to extend it. It was eliminated from one jobs bill but is included in a second jobs bill. The Senate, however, has not decided which bill it plans to hear, said Cheryl Fish-Parcham, director of health-care policy for Families USA.

If the subsidy is allowed to expire, no one laid off after Feb. 28 will be eligible for the reduced premiums.

That could mean many won’t be able to afford the premiums and would join the growing rolls of the uninsured, according to Families USA, a national organization for health care consumers.

Throwing a lifeline

The federal subsidy “gives people a small margin of hope,” said Terra Eyl, a career transition specialist with the Larimer County Workforce Center in Fort Collins.

Without the subsidy, COBRA premiums can cost upwards of $1,000 a month making it unaffordable for most families trying to live on unemployment benefits.
Even with the subsidy, COBRA payments can be unaffordable for people, particularly those with lower incomes, Eyl said. “But a small margin of hope is better than no margin, in my opinion.”

Families USA estimates an additional 57,500 Coloradans became uninsured last year when they lost their jobs. And, although economic recovery appears to be under way, economists agree job growth is still a long way off, meaning the unemployment rate is likely to rise this year.

One quarter of Larimer County residents between 18 and 65 were uninsured at some point from 2005 through the end of 2007, according to Health District of Northern Larimer County, the latest statistics available.

Q: Why home health care?
A: Home health care is a cost-effective option for receiving health care services. Returning to one’s home and family can quicken recovery and improve the quality of life for both patient and family or caregiver.

Q: Who pays for home health care?
A: Most health insurance companies, HMOs, PPOs and Workers Compensation cover home health care. In addition, Medicare and Medicaid pay for home care services. Some insurance providers do not cover all home health services. Our staff will verify health coverage for the patient.

Q: What criteria are required for Medicare to approve services?
A: The following criteria are used to meet Medicare requirements:
• The patient is a Medicare recipient.
• The patient must be homebound. This is defined by Medicare as “normal inability to leave the home and that leaving the home requires considerable and taxing effort.”
• The skilled care must be medically necessary as determined by the physician.

Q: What if I have a problem at night or on the weekend?
A: We have registered nurses on call 24 hours a day, 7 days a week.

Q: Do I need a physician’s order for home health care?
A: Yes, all health care provided in the home occurs under direct order and supervision of the patient’s physician.

Q: What types of services can be provided at home?
A: Many medical conditions that previously required hospitalization can safely be treated in the home. Home care services may include but are not limited to:

Skilled Nursing:
• Observation and assessment of condition
• Patient and family education of disease process
• Management and evaluation of patient care plan
• Medication education and management
• Dressing changes
• Home safety education
• Wound care
• Catheter care
• Injections
• IV therapy
• Ostomy care
• Pain management
• Diabetic care
• Nutritional support

Assistance with Daily Living:
• Bathing/dressing
• Transfer/ambulation
• Light meal preparation
• Light housekeeping
• Grocery shopping
• Medication reminder
• Laundry
• Companionship/Conversation
• Reading/writing
• Pet sitting/walking
• Escort to appointments
• Live-ins
• Respite
• Exercise therapy assistance

Q: How does Paloma Home Health Care, Inc. ensure quality care in the home?
A: Providing continuous quality care to patients is paramount to all we do. All patients are given a patient satisfaction survey that is incorporated into our ongoing evaluation process to continually increase our patient satisfaction. New programs and processes are developed through our quality improvement team to promote favorable outcomes.

Q: How do I find out more about home health care?
A: Please call our office to learn more about how you can benefit more about the service, at 972 346 2013

Q: What services can Paloma Home Health Care, Inc. offer?
A: Our services include but are not limited to:
• Supportive Care Education of Disease Process
• Individual and Family Counseling
• Management and Evaluation of Patient Care
• Observation and Assessment
• Home Safety and Emergency Education
• Medication Education
• Assistance with ADLs
• Nutrition Education
• Restorative Therapy (Physical, Occupational and Speech)