Peterson Home Health Care |


“Peterson Providers at Home” is a program offered by Peterson Health and Home Care that aims to connect patients and their families with the home medical services they need and to have friendly and knowledgeable professionals help decision making.

These professionals are led by Amy Ives (IA, BSN and CHPN) as Home Services Director and member of the administration of Peterson Health and Home Care.

Dr. James Young, MD, is Medical Director of Home Services, as well as Community Care Clinic and Hospital Care Coordination. Young is board certified in internal medicine and palliative care.

And Deepti Nagpal, MBA, MSN, ARPN, and AGCNS-BC, is Clinical Director of Home Services, Community Care Clinic, and Hospital Care Coordination.

These three directors work together on this coordinated program from the Hospice and Home Care offices at 250 Cully Dr., which is part of Peterson Health.

Ives said their work to provide palliative care helps patients with life-threatening illnesses such as cancer and helps with symptom management.

Primary care helps patients who need care while living at home or in an assisted living or nursing home.

“We have combined these services for patients who cannot leave their homes for doctor’s care,” Young said, “or they might be living in a nursing home, which is difficult to go to. And if the patient is in “memory care,” he is confused about going to a doctor.

“It’s part of how we give back to the community,” he said.

He and Ives said this service is growing and they have recently hired more nurse practitioners due to the need.

“With Peterson Health behind this, we can talk to families and build ‘high quality patient-centered care’,” Ives said.

Nagpal and the others said there was no change in Peterson’s home care procedures to implement such home care, but their ongoing processes were more streamlined.

“People understand that we are coming to where they are, to help them,” Nagpal said.

Ives said individualized plans are formed around the goals of the patient and their family. The first step is to have conversations about their short and long term goals; and use that information to form everything every care plan should include.

That’s why they call it “personalized care plans”.

Since they started about 30 to 45 days ago, the number of patients in the program has not changed, but with Young’s participation they expect the number of patients / families to grow.

Nagpal said that the patient or family usually calls for information on this service.

Once connected to home services, they get an appointment with a nurse practitioner to visit wherever the patient calls “home”.

Decisions are collaborative and sometimes include a separate meeting if the patient is very old or very ill and / or underserved, they said.

Young said that because Peterson Health is a not-for-profit medical system, it can provide valuable patient and community service with some management changes.

Nagpal said Home Health and Hospice staff added support for easy access to providers under one roof.

“We shared the decision-making – if someone has to move out of their home, the question is when and where? “

Young said the support is not just for the patient and their family, but with institutions and facilities.

“Sometimes the decision is necessary between going to the hospital or not,” he said, adding that they are striving to allow the patient and their family to make this decision with dignity, grace and control.

Nagpal said they help educate every family and patient on whether their preferred goals and plans are realistic or not.

“And when a patient is very sick, we can help guide them on their journey, with the reality of their illness. “

She said people also need help knowing what questions to ask.

Young said, “Patients appreciate having the time to discuss these issues with love and care.”

Ives said the reaction is often that “someone can help me figure it out.”

Description of the program

The newly organized “Peterson Providers at Home” include several service options that staff can provide to patients and their families. These include:

• Transferring the care of a patient from the hospital to the home;

• Primary care, including preventive care / screening, medication management; order tests and the like;

• Palliative care which includes the support and management of symptoms related to chronic diseases limiting life expectancy;

• Advance care planning;

• And referrals to other providers, for example, home care, therapy and specialists, if applicable.

PRMC Home Health Care staff said personalized care means patients have choice and control over how their care is planned and delivered.

They work with each patient, their family and / or their caregivers to develop a personalized care plan.

They described it as “personalized care in your private residence, assisted living or nursing home”.

Their team of professionals includes James Young, a certified internal medicine and palliative care physician; advanced practice providers (nurse practitioners) with expertise and experience in adult care and gerontology; experienced nurses; Medical social workers prepared for master’s degree; chaplains and volunteers.

“We participate in shared decision-making,” they said. “We maintain close communication with you and your family / caregiver by calling you with any changes to your care plan. “

They said they were available “across the continuum” from the hospital to the skilled nursing facility, assisted living and home.

“We have nurse practitioners and / or doctors on call 24/7 with a local support group on call. Our after-hours call response time is less than 30 minutes. We have exceptionally skilled and trained healthcare professionals, ”said Ives.

Residents and families in the community who are unsure whether they or their loved ones can benefit from these services can call the Peterson Providers at Home office, and they will help callers navigate.

Their hours of operation are Monday to Friday, 8 a.m. to 5 p.m. Call 258-6300; or visit their website at [email protected]

Who pays for the services?

Ives and Young said they accept Medicare, Medicaid, and most commercial insurance. They also accept “auto-pay”.

They bill patients for insurance just like any other healthcare provider or specialist; and the patient may or may not have a co-payment depending on their insurance plan.


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