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74% of Referral Sources Prefer Home-Based Care Providers That Meet Interoperability Standards

When it comes to interoperability, 74% of referral sources say they would send more referrals to post-acute care providers — including home-based care agencies — that offer greater electronic data access.

Broadly, interoperability is the capability of different information systems to connect across organizations in order to exchange individual or population health data.

Home-based care providers have long held a reputation for being archaic when it comes to their interoperability efforts — relying on outdated processes such as fax machines and phone calls.

Meeting basic maturity standards means the ability to receive patient demographic data and clinical information, such as diagnosis codes and allergies, electronically, otherwise, there would not be enough information to help a care provider treat a patient, understand their complex needs or claim reimbursement for working with them.

In order to reach high-performing mature interoperability, providers need to be able to receive physician orders, patient forms and visit notes, medication information and patient status updates.

As referral sources grow more demanding, providers that don’t prioritize meeting these could lose business. Either agencies begin to take advantage of these opportunities to connect, or other groups that they compete with are going to get there first.

Adwa Home Care have sensed the importance of collecting data quickly and integrate data from different kinds of resouces into management many years ago. Not only it makes the communication with clients and employees much faster and easier, it also makes referral from outside sources more convenient and accurate.

Famakinwa, J. (2021, March 08). 74% of referral Sources PREFER HOME-BASED care providers that MEET interoperability standards. Retrieved March 30, 2021, from https://homehealthcarenews.com/2021/03/74-of-referral-sources-prefer-home-based-care-providers-that-meet-interoperability-standards/
New Certification Program for Caregivers of Persons Living With Dementia

The Alzheimer's Association has launched a new training program with certification exam aimed at educating care professionals in long-term and community-based care settings—including in-home care—on current evidence-based, person-centered practices to care for people living with dementia.

The Alzheimer's Association Person-Centered Dementia Care Training Program with essentiALZ Exam offers a new opportunity for care professionals to receive high-quality care training and certification based on the nationally-recognized Dementia Care Practice Recommendations, a set of evidence-based, person-centered dementia care practices to define quality care across all care settings and throughout the course of the disease.

"The Alzheimer's Association Person-Centered Dementia Care Training Program with essentialALZ Exam is built around evidence-based practices that promote personalized, person-centered, quality dementia care," said Beth Kallmyer, MSW, vice president of care and support at the Alzheimer's Association. "These recommendations in daily care can transform and enhance the care professionals are providing to people living with dementia."

The three-hour online training program is a self-paced curriculum for new and experienced care professionals. The program features five topic areas from the Dementia Care Practice Recommendations, which intersect most directly with daily care, including:

• Alzheimer's disease and dementia
• Person-centered care
• Assessment and care planning
• Activities of daily living
• Dementia-related behaviors and communication

The purchase of the Person-Centered Dementia Care Training Program includes access to essentiALZ, an individual certification exam developed based on the practices put forth in the Dementia Care Practice Recommendations that demonstrate knowledge of quality care dementia practices. With successful completion of the training program, care professionals are eligible to take the exam. Individuals who pass the exam are certified in essentiALZ for two years, demonstrating their commitment and knowledge of providing personalized, person-centered, quality dementia care.

It is estimated that nearly 70% of older adults with Alzheimer's or other dementias reside in the community (outside a hospital or clinical setting). About 26% of these individuals live alone, but the remainder receives care from family members, unpaid caregivers, and community-based and residential care providers. By age 80, 75% of people with Alzheimer's dementia are admitted to a nursing home.

As the number of Americans living with Alzheimer's and other dementias grows, it's more important than ever for care professionals to implement the latest approaches to quality care. High-quality dementia care training can lead to an improvement in communication between caregivers and individuals living with dementia, a reduction in dementia-related behaviors and an increase in job satisfaction and staff retention.

According to the 2021 Alzheimer's Disease Facts and Figures report, more than 6 million Americans are living with Alzheimer's disease today. It is a leading cause of death in the United States. The number of Americans living with Alzheimer's is projected to reach nearly 13 million by 2050, unless more effective treatments are advanced.

Informed by leading dementia researchers and practitioners, the Alzheimer's Association offers a comprehensive suite of flexible options for providers and individuals to implement quality care for people living with Alzheimer's and other dementia.

More information on the Person-Centered Dementia Care Training Program with essentiALZ exam is available here.

“New Certification Program for Caregivers of Persons Living With Dementia.” HomeCare Magazine, 25 Mar. 2021, www.homecaremag.com/news/new-certification-program-caregivers-persons-living-dementia.

How is the COVID-19 transmitted Part One

The content below is from Special Training - part of Adwa in-service training. We are sharing it with everyone in the hope that everyone will get to know more about COVID-19 and how to prevent from contacting it.'

This training is generalized based on materials related to COVID-19 by CDC, mainly focused on how COVID-19 is transmitted. There are two parts of this training:

Part One:
How is the COVID-19 transmitted
Part Two:
Other Ways COVID-19 is transmitted

 COVID-19 is thought to spread mainly through close contact from person to person, including between people who are physically near each other (within about 6 feet). People who are infected but do not show symptoms can also spread the virus to others. Cases of reinfection with COVID-19 have been reported but are rare. We are still learning about how the virus spreads and the severity of illness it causes.

COVID-19 spreads very easily from person to person

How easily a virus spreads from person to person can vary. The virus that causes COVID-19 appears to spread more efficiently than influenza but not as efficiently as measles, which is among the most contagious viruses known to affect people.

COVID-19 most commonly spreads during close contact

People who are physically near (within 6 feet) a person with COVID-19 or have direct contact with that person are at greatest risk of infection.

When people with COVID-19 cough, sneeze, sing, talk, or breathe they produce respiratory droplets. These droplets can range in size from larger droplets (some of which are visible) to smaller droplets. Small droplets can also form particles when they dry very quickly in the airstream.

Infections occur mainly through exposure to respiratory droplets when a person is in close contact with someone who has COVID-19.

Respiratory droplets cause infection when they are inhaled or deposited on mucous membranes, such as those that line the inside of the nose and mouth.

As the respiratory droplets travel further from the person with COVID-19, the concentration of these droplets decreases. Larger droplets fall out of the air due to gravity. Smaller droplets and particles spread apart in the air.

With passing time, the amount of infectious virus in respiratory droplets also decreases.

During the pandemic, please get to know more related information, protect yourself and family. Adwa Home Care care about your wellbeing.

Fighting COVID-19: An Express Letter
Dear Adwa Participants,

As you may have heard about the COVID-19 Coronavirus outbreak in USA. Your health is our major concern. The US Centers for Disease Control and Prevention (CDC) is encouraging older resident and who with severe chronic conditions to “stay at Home as much as possible”. According to the CDC, early data suggests senior citizens are twice as likely to have serious illness from the novel coronavirus.

We appreciate the hard work of our direct caregivers (who takes care of relative) and internal team as well as our Home Health Aide (HHA) who worked efficiently in order to accomplish their tasks, especially in these days the situation is uncertain. They come and go using public transportation to offer service to our participants. Although, we made emergency protection of the announcement for our staffs, but it’s still not enough. As need a backup plan, we hope you as a participant or your relatives can give us a hand and advice to protect you and your HHA. What if the HHA voluntary quits his/her job temporary because the virus outbreak and what if the Senior Apartment Building is isolated because of the COVID-19? Do you have any plans or family relatives can take care of you temporary?

If you have, please contact our office at 215-592-8848 / 215-309-2462
or send a text message to 267-310-1280 / 267-214-2858
or email to adwahomecare@adwahomecare.com 

Local Health Officials continue to urge residents to practice preventive steps such as:
. Frequent hand-washing with soap and warm water for at least 20 seconds.
. Avoiding close contact (keep distancing at least 6 feet) with people who are sick.
. Avoiding touching one’s eyes, nose or mouth
. Staying home when you sick.
. Covering one’s coughs or sneezes with a tissue and put it into trash.
. Cleaning and disinfecting frequently touched objects and surfaces with household cleaning sprays or wipes.

Again, we thank you for your partnership and support as we work together to minimize the disruption and a lot of challenges associated with this matter. The well beings of our participants, family members, workers, and staffs is our most important consideration.

Very truly yours,

Adwa Home Care, Inc.


Protect Your Health By Reducing Indoor Air Pollution

“Many people don’t realize that their home can be a breeding ground for allergens, such as pollen, dust mite debris, mold spores and other particles that may be airborne,” says Neil Schachter, MD, past president of the American Lung Association of the City of New York and author of Life and Breath. “Other things in the air, such as chemicals from everyday household items like furniture, carpeting, paints and cleaning products, can also contribute to poor indoor air quality. For people who are sensitive to these types of things, irritation of the eyes, nose and throat, headaches, dizziness and fatigue may result. A ‘home health check-up’ combined with some simple changes can help make your home a healthier place to live.”

1. Avoid cleaning products with ammonia and chlorine. Some household chemicals may be irritants to the respiratory tract in people who are sensitive to these chemicals. They can cause watery eyes and sore throats and even can trigger coughing and shortness of breath. Choose milder yet effective cleaning aids like those that use baking soda, vinegar, hydrogen peroxide and citrus oils.

2. Lay area rugs instead of wall-to-wall carpeting. Wall-to-wall carpeting can attract and hold indoor dirt, pollen, pet hair and mold spores and many contain chemicals. Vacuuming can remove some surface dirt, but often the vacuum can actually push pollutants deeper into carpet fibers. Area rugs are best since they can be picked up and cleaned thoroughly to remove potential irritants and allergens.

3. Use high performance air filters. Use a high performance filter, like the Filtrete Elite Allergen Reduction Filter from 3M, to help capture particles such as pollen, smoke, dust mite debris and pet dander from the air that passes through the filter. Be sure to change your filter at the start of every season.

4. Turn up the air conditioning. Air conditioners not only cool the air in your home, they can also help reduce humidity levels. During the warm months of the year, turn up the air conditioner to help keep humidity levels lower, which can help keep mold from growing.

5. Turn off the humidifier. Room air humidifiers are moisture-generating sources that can spread bacteria, mold spores and chemical deposits into the air in your home. Keep relative humidity between 30 and 50 percent to help prevent mold growth.

6. Leave shoes outside. Avoid bringing outdoor pollutants indoors by removing your shoes before entering the home. Wearing shoes indoors can track particles that can become airborne, including animal dander, mold spores, pollen and bacteria, all of which can trigger allergy or asthma reactions

Six Benefits of Choosing In-Home Care

As our loved ones age, they need more attention and care. As you age, you gain more responsibilities that might make providing this care difficult. It’s understandable how difficult it can be to see our elderly friends and family suffer. However, nursing homes do not necessarily have to be the only option. You can also choose in-home care so that you and your loved ones can carry on with your lives.

1. The Comfort of Home

One of the benefits of choosing in-home care is that you get to keep the comforts of your home. It is a terrible feeling to be ill and hospitalized or stuck in a nursing home. With in-home care, experienced assistant will come to your house. That means you get to keep that beloved and well-worn armchair you love. You get to hang out in your own kitchen while reading the daily news.

2. Personalized Care

With the caregiver coming to your home, he or she is able to focus solely on you. Their attention is not divided between others. This means that they can respond to your wishes and needs. If your family member needs the help, you can rest assured that they will get the focused attention they deserve.

3. Reduced Risk of Infection

When many bodies are placed in an enclosed space, the risk of spreading germs is greater. If someone comes to visit you or your loved ones, there is a reduced chance of infection or catching an illness. When one ages, it can be particularly important to avoid colds and flus.

4. Keep Your Independence

As we age, one of the most stressful experiences is the feeling of loss of independence. The inability to take care of yourself can be saddening. However, if a personal assistant comes to your home and help you with the things you cannot handle while you carry on with your daily activities, the feeling would be different. Whether you need help with grocery shopping, cleaning the house, or chores, we can help while you still feel in control.

5. Family Support

In-home care makes it easy for your family participate in your life and care. Your grandchildren can still come visit you in the home they grew up knowing. Nothing drastic has to change. It is easier for your friends and family to come to your house, rather than a nursing home they have never been to before.

6. Peace of Mind

Whether you or your loved one needs help, in-home care is a great way to get peace of mind. You no longer need to worry over if your loved one is being taken care of when you are away.

Being unaware of memory loss predicts Alzheimer's disease, new study shows

While memory loss is an early symptom of Alzheimer's disease, its presence doesn't mean a person will develop dementia. A new study at the Centre for Addiction and Mental Health (CAMH) has found a clinically useful way to predict who won't develop Alzheimer's disease, based on patients' awareness of their memory problems.

People who were unaware of their memory loss, a condition called anosognosia, were more likely to progress to Alzheimer's disease, according to the study, published in the Journal of Clinical Psychiatry. Those who were aware of memory problems were unlikely to develop dementia.

"If patients complain of memory problems, but their partner or caregiver isn't overly concerned, it's likely that the memory loss is due to other factors, possibly depression or anxiety," says author Dr. Philip Gerretsen. "They can be reassured that they are unlikely to develop dementia, and the other causes of memory loss should be addressed."

In other cases, the partner or caregiver is more likely to be distressed while patients don't feel they have any memory problems. In Alzheimer's disease, lack of awareness is linked to more burden on caregivers. Both unawareness of illness (anosognosia) and memory loss (known as mild cognitive impairment) can be objectively assessed using questionnaires.

The study, believed to be the largest of its kind on illness awareness, had data on 1,062 people aged 55 to 90 from the Alzheimer's Disease Neuroimaging Initiative (ADNI). This included 191 people with Alzheimer's disease, 499 with mild cognitive impairment and 372 as part of the healthy comparison group.

The researchers also wanted to identify which parts of the brain were affected in impaired illness awareness. They examined the brain's uptake of glucose, a type of sugar. Brain cells need glucose to function, but glucose uptake is impaired in Alzheimer's disease.

Using PET brain scans, they showed that those with impaired illness awareness also had reduced glucose uptake in specific brain regions, even when accounting for other factors linked to reduced glucose uptake, such as age and degree of memory loss.

As the next stage of this research, Dr. Gerretsen will be tracking older adults with mild cognitive impairment who are receiving an intervention to prevent Alzheimer's dementia. This ongoing study, the PACt-MD study, combines brain training exercises and brain stimulation, using a mild electrical current to stimulate brain cells and improve learning and memory. While the main study is focused on dementia prevention, Dr. Gerretsen will be looking at whether the intervention improves illness awareness in conjunction with preventing progression to dementia.

5 Tips for Getting the Most Out of Your Healthcare

There are many differences between China’s healthcare system vs. U.S healthcare system. Besides finding a health insurance that works best for you as well as a trustworthy primary care doctor, you will have to make doctor’s appointment, and deal with complicate insurance bill. In order to help you get the most out of your healthcare, Leslie D. Michelson, the CEO of Private Health Management, offers tips in his new book “The Patient’s Playbook”, for how get the most out of medical care and how to make the system better work for you from the ground up

1. Develop a strong bond with your primary care physician. Do you trust and respect your primary care doctor and feel comfortable telling her secrets that affect your health? When you develop a good relationship with your primary care doctor, you’re forging a bond with someone who will be invested in your wellbeing for the long haul—and who will be dogged about getting you in for the preventative exams that are right for you. If you don’t have a primary care physician, you are driving without a seatbelt.

2. Take emergency inventory. Make lists for yourself and your family members with the following: 1. Diagnoses and any major surgeries; 2. Allergies; 3. All drugs and supplements you’re taking; 4. A roster of your physicians; 5. An emergency contact person. Keep this information in your wallet or purse—which is the first place an emergency response team will look in the case of an unconscious patient.

3. Measure twice, cut once. Diagnostic error contributes to the death or disability of 80,000 to 160,000 Americans each year, according to a 2013 Johns Hopkins study. Before agreeing to surgery and other treatments, have your pathology, labs or scans re-read by independent pathologists or radiologists to be sure you have a correct diagnosis. Then consult with an expert in your condition—for example, not a general neurologist, but a multiple sclerosis specialist—to at least hear a different take on your disease and treatment options.

4. Recruit a healthcare quarterback. If you woke up tomorrow to learn you had a potentially fatal disease, who’s the person you most trust to be at your side during doctor visits, taking notes and asking questions you might not be thinking of? People always say, “How can I ask anyone to do that? I’m uncomfortable with the idea of dragging my cousin to my appointments.” But you probably have asked a friend or family member to serve as the guardian of your children should that become necessary.

5. For significant problems, go to significant medical institutions. Community hospitals are terrific institutions that can do great things, but for complex issues and procedures—pancreatic, esophageal, neurosurgery, lung surgery, big cancer operations, endocrine surgery or cardiac operations, for example—you want to be cared for at a major institution that does high volumes of similar cases. And here’s a little-known quirk of our system: In medicine, it frequently doesn’t cost any extra to get better quality care. Most Americans live within 100 miles of a major metropolitan city. Almost every large city has an academic medical center or distinguished hospital that is in-network, with specialists and surgeons who take Medicare and most kinds of insurance. Unlike clothing, airlines or hotels, a higher cost doesn’t necessarily mean a higher quality in medicine. Many people may find it difficult to travel for care. But if you’re facing a serious disease or need technically demanding procedures, consider going to the closest large hospital, which is more likely to have the experience and expertise necessary to get you the best outcome.