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Selecting an In-Home Health Agency
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It is imperative that we ask certain questions when we are looking for home health care providers to take care of our loved ones. Full service agencies assume responsibility for many of the concerns raised below. Referral services place more of the responsibility on the caregiving family as the direct employer of the in-home aide. Below is a list of questions to get you thinking about some of the things to look for when hiring home health aides from an agency:

  1. How long has the in-home health agency been in business?

  2. How is the agency licensed or certified?

  3. Are the employees bonded and insured?

  4. What kind of criminal background checks are performed for prospective employees? Are references checked? How many? Are personnel files updated annually?

  5. What kind of experience/certification do their aides have to have before they are hired?

  6. What type of training does the company provide to employees? Does training cover dementia?

  7. Does agency provide employee job descriptions in writing for clients?

  8. Does the aide have reliable transportation?

  9. Does the agency offer a free home health care consultation by a registered nurse prior to start of service?

  10. What kind of quality control checks are made by supervisory personnel and how frequently are they made? Who is available if problems arise? Is 24 hour call-in to a registered nurse available?

  11. Is a list of agency references available for you to check the level of client satisfaction? (Be sure to check these out!)

  12. Can you interview the employee? Is there a fee for this?

  13. If you need specialized medical care, are employees licensed to perform it?

  14. What is the billing procedure? Does the agency provide a billing and payment schedule and refund policy which also includes what is covered by insurance or Medicare/Medicaid or paid out-of-pocket?

Adapted from the Missouri Council of Senior Citizens Senior Action Alert, June, 1990.

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Last updated: March 27, 1998

© 1997 & 1998 Alzheimer's Association, Northern Virginia Chapter. All rights reserved.

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