August 2020 | Page 46

Coronavirus Concerns ... (Continued from page 45) She said there could also be an influx of experienced nurses coming into home health care. “I think there’s going to be a huge, growing demand. This has been the fastest-growing need for home care services,” she said. “I think we’re going to see a tremendous growth.” Warren Hebert, chief executive officer of the HomeCare Association of Louisiana, said he also believed there would be increased skilled nursing in the home setting, as well as more communitybased services and more palliative and hospice care in the home. Hebert said families might begin seeking out additional home care options and maintaining independent living at home following reports of how coronavirus spread widely in nursing homes and other facilities. According to data collected by NBC News, at least one-third of the 90,000 known coronavirus deaths in the United States are linked to nursing homes and other long-term care facilities. “I think that we’re going to see families thinking much harder and having much more conversation about whether that’s the right choice or not,” he said. Hebert said in light of the pandemic and fears of infectious diseases, going forward “we need to be more intentional about the way we go about building the relationship between the health care provider and the patient and the patient’s family.” Some families have been refusing home visits from a nurse or therapist because of those fears, he said, so it was critical for providers to communicate protocols and ensure the safety of their patients. “That home health nurse needs to find the way to build trust and confidence with the patient and their family,” he said. “If that nurse can help to manage the person’s chronic illness well, then it keeps them out of the hospital or an urgent care center or the emergency department.” Roger Noyes, director of communications for the Home Care Association of New York State, said the “pandemic has really required all sectors of health care to rethink everything.” “For home care, that includes everything from basic supply issues to the role of technology in providing care,” he said. Noyes said in New York City, home care providers have long employed telehealth monitoring and a range of telecommunication systems that have been important in keeping patients safe during a pandemic. But to date, Noyes said, that has not been covered by Medicare. Beyond medical services, video technology is providing much-needed mental and social services during a time when so many have been isolated from their loved ones, Noyes said. (See Coronavirus Concerns on page 47) 46 Adviser a publication of LeadingAge New York | Summer 2020