Integration of Home Health, assisted Living and Hospice in the Health

Integration of Home Health, assisted Living and Hospice in the Health


Integrationof Home Health, assisted Living and Hospice in the Health Care System

Definingthe terms

Homehealth comprises a variety of health care services that can beoffered at the comfort of a patient’s home (Ellenbecker,et al. 2008).Health care services rendered at home include palliative care,post-acute care, and medication follow-up among others. Home healthis always convenient in terms of cost, moral and emotion support fromfamily members and highly effective. For people facing seriousillnesses and with minimal chances to survive, it might bechallenging for family members to take care of their loved ones. Insuch a case, the patients are put under hospice care. Therefore,apart from receiving support from family members, they also get carefrom health caregivers. Hospice patients can receive medical servicesfrom any setting they prefer be it their homes, senior apartments oreven assisted facility (Beresford,2003). Assisted living just as the name suggests is a special caredesigned for the ageing and elderly who require assistance withalmost all their daily tasks. People under this category of care needhelp in chores such as bathing, dressing, eating, using the toilet toname but a few.

Integrationof the home health assisted living and hospice in healthcare systems

Accordingto Dixon,Fortner and Travis (2002), health care systems are facing seriouschallenges such as high cost, inadequate facilities and humanresources. All these challenges have created the need for integratinghome, health, assisted living and hospice in health care servicedelivery systems. Through collaboration and efficient sharing ofinformation across the health caregivers, health care systems havedelivered quality services to patients at the comfort of their homes(Ellenbecker,et al. 2008). The out-of-hospital institutions were developed mainlyto reduce congestion in hospitals particularly in reducing the numberof admissions. With the need to provide efficient, and quality care,health care organizations were forced to integrate theout-of-hospital settings. According to Naiermanand Nelson, one area that health care systems have benefited fromHospice care is pain management. Health care systems recommendpatients for hospice care to ensure they receive quality careespecially in pain management to patients in end-of-life stages ofvarious illnesses. Assisted living institutions have been integratedinto the health care systems to care for elderly people, offeremotional and moral support in an out-of-hospital setting. Theadoption of assisted living facilities has enabled many old peopleage gracefully and with minimal health care expenses(Dixon, Fortner and Travis, 2002).

Trendsin the provision of out-of-hospital services

Currently,over 20,000 American people reside in assisted facilities. There arethousands others receiving health care from their homes (Beresford,2003). Hospice institutions are on the rise as most of the elderlypopulation is getting serious illnesses and requiring intensive careand a 24-hour support. As the ageing population rises, assistedliving institutions will be forced to expand. As a result, there willbe more opportunities for hospice facilities to cater for the ailingageing people (Dixon, Fortner and Travis, 2002). Hospice, home healthcare and assisted living facilities have proven to be cost-effectiveand highly convenient. In the future, the high demand for suchinstructions will force Medicare to review some of its rules onhospice eligibility to get rid of unnecessary barriers to qualityhealth care. Soon, it is hoped that health care institutions willadopt more reasonable approaches that will allow patients to enrollin hospice care while still receiving curative care. Providinghospice care during early stages of an illness combined with curativecare enhances the quality of life and reduces health care expenses(Beresford, 2003).


BeresfordL. (2003). HospiceTrends: Assisted living offers opportunities for growth. Available at: offers-opportunities-for-growth[Accessed on 1st October, 2015]

DixonS., Fortner J. &amp Travis S.S. (2002). Barriers, challenges, andopportunities related to the provision of hospice care inassisted-living communities.&nbspAmericanJournal of Hospice and Palliative Care19:187-92

Ellenbecker,C. H., Samia, L., Cushman, M. J., &amp Alster, K. (2008). Patientsafety and quality in home health care. Patient Safety and Quality:AnEvidence-Based Handbook for Nurses.Rockville (MD).

NaiermanN. &amp Nelson M. (n.d). Hospice:An Unheralded Model for Quality Health Care. Available at: health-care/[Accessed on 1stOctober 2015]