Home Health Agency Evaluation Checklist
Home healthcare services cover a wide range of health and supportive services delivered in a person’s home. This evaluation checklist is designed to help you ask the necessary questions in order to choose the best provider for your needs. Agency Name: _____________________________________________________ Contact Name: _____________________________________________________ Address: _________________________________________________________ Telephone: _____________________ Email:______________________________
Understanding Services
YES
NO
YES
NO
Will you receive a written care plan before services begin? Will the agency work directly with you or your loved one, family members and healthcare providers? How do they communicate with your doctor? Does the agency refer their clients to dietitians, counselors, therapists or other specialists if needed? Are there any limits on the types of tasks performed? What are they? What are the times of service? Do they come at the same time every visit? Does the agency offer 24-hour care? What procedures are in place for emergencies? How will the agency or home health aide deliver services in the event of bad weather or a power outage? Does the agency provide a list of the rights and responsibilities (i.e., patient’s bill of rights) of all parties involved? Must you identify a primary family caregiver? If so, what are their responsibilities?
Quality of Care How does the agency hire and train caregivers? Are the caregivers licensed and insured? Does the agency provide continuing education?
How closely does the agency’s supervisor evaluate the quality of the care provided? Does the agency have a quality improvement program?
38
LIFE’s Vintage Guide • Home Health Agency Evaluation Checklist
www.LIFEseniorservices.org