Inova Vna Home Health

Programs: The mission of the inova vna home care (ihc) is to provide quality in-home care and improve the health of the diverse community it serves. Services include skilled nursing care (assessment and teaching, medication counseling, telehealth and procedures), rehabilitation therapy (physical and occupational therapy, speech and language pathology), clinical nursing specialty care (infusion therapy, behavioral health, wound/ostomy care, cancer, cardiac, pulmonary and diabetic care), social work services provided by medical social workers and personal care provided by home health aides. Care is delivered 24 hours a day, seven days a week across northern virginia using a team-centered approach to ensure delivery of comprehensive, coordinated health care services. Total home health visits for 2016 were 108,113. Charity care all inova facilities, including the ihcs facilities with the exception of the assisted living facilities, provide charity care in accordance with inova policies which ensures access to medically necessary care for all individuals. Charity care is defined as free or discounted healthcare services provided to persons who cannot afford to pay. These policies include the following key provisions:1. Emergency care shall be provided to all persons regardless of their ability to pay. 2. Non-emergency medically necessary care, except for certain specialty or referral programs, shall be provided by all hospitals and access facilities to medically indigent patients. "medically necessary care" refers to inpatient and outpatient services defined as medically necessary by the federal medicare program. "medically indigent" is defined as those patients whose income falls at or below 400% of the federal poverty level (fpl). Inova health system utilizes a multifaceted approach to educate and inform patients and the public about inova's charity care policy. Upon admission to any inova hospital or any visit to outpatient facilities or clinics including emergency departments, inova has information posted regarding patient rights and responsibilities. In addition, inova provides information about the charity care program and referrals to meet with inova financial counselors who assist patients in completing inova's charity care application. This financial information is reviewed by the inova patient accounts department with the patient contacted if additional information is required in order to make a determination. The patient is subsequently provided a letter, notifying them as to whether or not they qualify for charity care. Medicaid established under title xix of the social security act, this program provides assistance for the medically indigent, including those who cannot pay for care despite being able to afford other living expenses. Also included under this program are the blind, disabled, pregnant women, very low income parents, children, and the elderly. The $62,250 reimbursement that ihc received from the medicaid program in 2016 routinely falls below the actual cost of services provided. Participation in governmental programs for those without the ability to payvarious government programs provide for the indigent, including medicaid recipients. These programs provide a percentage of reimbursement for qualifying patients; however, payment is typically below the cost of those services. In addition to federal and state programs, the inova subsidiaries, including ihc, work with various county governments and agencies in providing certain free services to those residents the county identifies as most in need.