Skip to main content

Freedom of Choice for Home Health Care - It's The Law

  • Synopsis: Published: 2010-08-16 - Natick VNA empowers patients and their families to make informed decisions about home care - Natick VNA.

Main Document

Natick VNA empowers patients and their families to make informed decisions about home care.

Home from the hospital already? As stays for hospital patients grow progressively shorter, even for procedures as serious as repairing a brain aneurysm or inserting a pacemaker, patients' need for highly skilled nursing care at home is growing. Indeed, every week, thousands of these patients are referred to home health care services. But many times patients accept the referrals their hospitals make without knowing that they have a choice of care providers. Vulnerable from fatigue and pain, too weak or tired to drive back and forth for doctors' follow-up, and without family to stay with them, they may be more inclined to accept these recommendations without question. Yet, federal law requires that hospital patients needing home health care following discharge be informed that they have a choice.

"Patients and their families have the right to ask questions and talk with their doctors, friends or community service directors, and bring up names of agencies they've heard of, and they do not have to feel obligated to accept a hospital's referral. There are differences in the ways home health care agencies operate and one may meet their needs better than another. In fact, for serious conditions, who they choose may affect the length of their recovery, or their ability to stay out of the hospital for the long term," said Judith Boyko, CEO of the Natick Visiting Nurse Association (, which provides services to patients in more than 20 towns in Boston's MetroWest area.

As a result of the Balanced Budget Act of 1997 and the Medicare Conditions of Participation for Hospitals, patients needing home health care must be given a list of their options prior to being discharged from the hospital. The list must include organizations in patients' geographic area that are Medicare certified and have asked to be included on the list, and hospitals must disclose if they have a financial interest in any them.

Natick VNA offers the following checklist to help patients and their families make the most informed choice of a home health care provider:

Is the organization certified and approved to provide services by Medicare and Medicaid

Has the organization taken the voluntary step to obtain accreditation from a leading accrediting program such as the Community Health Accreditation Program (CHAP) or the Joint Commission? These programs validate the performance of home health care agencies by evaluating financial management, strategic planning, human resources, and other aspects of the business, as well as assuring that agencies maintain the highest standards of patient care.

Is the agency up to date on the latest in home health care technology, such as tele-monitoring of patients' vital signs following a stroke, or cold laser therapy to speed healing following an injury? In some cases, this technology is literally life saving - alerting nurses to drops in patients' blood pressure, heart arrhythmias, and other conditions that warrant immediate attention.

What specialties or specially trained staff does the organization have available? Many agencies offer a broad range of programs - including post-partum and pediatric care, rehabilitation therapy, and help managing cancer, heart disease, Alzheimer's Disease, wounds/ostomies, mental health issues, skin care issues, and much more. Their staffs are equally broad-ranging, including registered nurses, rehabilitation therapists, registered dietitians, medical social workers, speech therapists, and home health aides. Patients likely to have a continuing need for help may prefer an agency with comprehensive services, where they can develop comfortable, long-standing relationships with the people who are caring for them.

Do the staff who will be providing home care to patients reside in their communities? Will they be able to get to them quickly in an emergency? Are caregivers available 24 hours a day

What are the clinical outcomes achieved by the agency? How about patient satisfaction ratings, and are these ratings available to be shared

How long has the organization been in operation? Is it financially sound

Is the agency owned by another health care organization or agency, or is it a free-standing community-based organization

Is the organization for-profit or not-for profit(Not-for-profit home health care agencies can often help people who may not be able to afford needed care).

How efficient are the organization's operations? Does the agency keep automated clinical records for efficient access by caregivers and medical staff

Does the agency treat patients and potential patients well? How do they respond to phone calls

The Natick Visiting Nurse Association encourages all potential home care patients and their families to remember that they do have a choice of provider when it comes to home care; and, it is important to have satisfactory answers to the above questions, when it comes time to make that choice.

About Natick VNA - For over 111 years, the Natick Visiting Nurse Association (VNA) of Natick, Massachusetts has been serving more than 20 communities in MetroWest Boston. As the area's premier free-standing, not-for-profit home health care agency, Natick VNA helps patients of all ages reduce hospitalizations and live with maximum independence in their own homes. Utilizing the latest in home care technology, Natick VNA's highly skilled professional and compassionate caregivers make over 60,000 home visits each year to more than 2,500 people, seeing 350 patients every day. The Natick VNA endeavors to provide care, regardless of a patient's ability to pay. For more information, please visit:

Information from our U.S. Health Care Reform: News & Information section - (Full List).

Submit event details, disability news, and assistive technology products for publishing on Disabled World

Loan Information for low income singles, families, seniors and disabled. Includes home, vehicle and personal loans.

Famous People with Disabilities - Well known people with disabilities and conditions who contributed to society.

List of awareness ribbon colors and their meaning. Also see our calendar of awareness dates.

Blood Pressure Chart - What should your blood pressure be. Also see information on blood group types and compatibility.

  1. Britain's Unproductive Disabled: A Continuing Moral Panic?
  2. Social Networking Helps Keep People Healthy
  3. Majority in Favor of Spinal Muscular Atrophy (SMA) Screening
  4. When the Spinal Cord Takes Charge of Information Related to Movement


Disclaimer: Content on Disabled World is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition. See our Terms of Service for more information.

Reporting Errors: Disabled World is an independent website, your assistance in reporting outdated or inaccurate information is appreciated. If you find an error please let us know.