INOVA VNA HOME CARE

THE MISSION OF INOVA HOME HEALTH 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 2020 WERE 111,113.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" REFERS TO CONDITIONS WHICH, IF NOT PROMPTLY TREATED, WOULD LEAD TO AN ADVERSE CHANGE IN THE HEALTH STATUS OF A PATIENT. FREE CARE IS PROVIDED TO UNINSURED OR UNDERINSURED INDIVIDUALS WITH FAMILY INCOMES AT OR BELOW 400% OF THE CURRENT FEDERAL POVERTY GUIDELINES (FPG).3. IN 2020, THE FAP EXPANDED ELIGIBLE RESIDENCY BY REDUCING THE TIME OF RESIDENCY FROM 9 MONTHS TO 90 DAYS.INOVA HEALTH SYSTEM UTILIZES A MULTIFACETED APPROACH TO EDUCATE AND INFORM PATIENTS AND THE PUBLIC ABOUT INOVA'S FINANCIAL ASSISTANCE POLICY (FAP) OR SOMETIMES REFERRED TO AS THE CHARITY CARE POLICY. INFORMATION REGARDING THIS POLICY IS KEPT UP TO DATE ON THE INOVA WEBSITE AND THROUGH SIGNAGE. 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. WHILE VIRGINIA MEDICAID COVERAGE WAS EXPANDED IN 2019 TO INCREASE THE NUMBER OF ELIGIBLE INDIVIDUALS, THE REIMBURSEMENT THAT IHCS FACILITIES RECEIVE FROM THE MEDICAID PROGRAM ROUTINELY FALLS BELOW THE ACTUAL COST OF SERVICES PROVIDED.PARTICIPATION IN GOVERNMENTAL PROGRAMS FOR THOSE WITHOUT THE ABILITY TO PAY VARIOUS 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 THE SERVICES. IN ADDITION TO FEDERAL AND STATE PROGRAMS, THE INOVA SUBSIDIARIES, INCLUDING IHCS, WORK WITH VARIOUS COUNTY GOVERNMENTS AND AGENCIES IN PROVIDING CERTAIN FREE SERVICES TO THOSE RESIDENTS THE COUNTY IDENTIFIES AS MOST IN NEED.