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Skilled In-Home Nursing Care

Today, there are a wide range of health care services that can be provided in the home.

This means that more people can remain in the comfort of their home while they are recovering from a hospital stay or if they just need some additional assistance and support to continue to live independently.

Our Home Healthcare Services Inlcude: Through our trained health care professionals, Interim provides a variety of home care services. We work directly with you, your family and often a team of other health care professionals to make sure your needs are met. Trusted by physicians across the country as a highly respected leader of home care services, we bring peace of mind to family members who don’t always live in the community. They know their loved one is being taken care of and looked after by our competent, caring staff.

We offer a wide range of home care assistance, all provided by highly-trained and experienced individuals. You can view caregiver qualifications here.

It’s now possible for a wide range of treatments and procedures that used to be performed in a hospital to be provided in the comfort of your home.

If you’re considering home healthcare services, you’re not alone.

It’s been estimated that more than nine million Americans will utilize some sort of home healthcare service this year. In fact, it’s now possible for a wide range of treatments and procedures that used to be performed in a hospital to be provided in the comfort of your home. Today, skilled professionals such as Registered Nurses (RN’s), Licensed Practical Nurses (LPN’s), Therapists and Medical Social Workers as well as para-professionals such as personal care aides, homemakers and companions, provide home care services for patients across the country.

If you need skilled healthcare services, the key to finding the right home care agency for you or your loved one is the same as it is with other healthcare: — becoming informed and understanding your options. Below are some of the questions you may have about skilled home healthcare:

You may have heard the term “home care” used to describe a variety of services, from wound treatment to meal and laundry service. Skilled home healthcare, however, is very specific, and usually prescribed by a physician. Skilled home healthcare patients require the services of a licensed healthcare professional such as a nurse or therapist. The services can be for either a short or long period of time. Perhaps most important, skilled home healthcare services are usually eligible for Medicare/Medicaid or private insurance payment if certain requirements are met.


Interim HealthCare of Delaware is a Medicare Certified and Delaware Licensed Healthcare Agency established in 1986, servicing the entire state of Delaware. Our Registered Nurses design and implement care plans for all our clients, including those with developmental disabilities such as Cerebral Palsy, Multiple Sclerosis, and Autism. Our field staff is highly trained in case management for all aspects of care for special needs clients.

Our Consultative Nursing Services include:

  • Functioning as the Independent HealthCare Advocate for our clients. The healthcare needs of our clients are our only concern.
  • Developing our client’s Plan of Care. Our Consultative Nurse is the primary healthcare coordinator for our clients.
  • Participating with clients and their families to identify and facilitate options and services for meeting individual health needs.
  • Securing needed services for our clients.
  • Attending client’s medical appointments.
  • Collaborating with physicians to ensure compliance with appointments as well as treatments and medications prescribed.
  • Coordinating hospital admissions and discharges.
  • Assisting with client lifestyle transitions.
  • Maintaining client records and assessments.
  • Attending Consultative Nursing meetings and conferences.

    What to Ask Home Health Agencies

Quality of care can differ among home health agencies. To make the best decision, talk to your family, healthcare provider, or discharge planner. Call agencies and ask questions about their services. Some services may not be covered by Medicare.

Ask whether the agency meets Interim HealthCare of Delaware standards:

  • Offers the specific healthcare services you need, such as nursing or therapy.
  • Has staff available to provide the hours of care your doctor ordered, and can start when you need them.
  • Meets your special needs, such as language or cultural preferences.
  • Offers the personal care services you need, such as help bathing and dressing.
  • Offers the support services you need, such as help with laundry, cooking, or shopping.
  • Can help you arrange for additional services, such as Meals on Wheels.
  • Has staff available at night and on weekends for emergencies.
  • Medicare-certified.
  • Offers the specific healthcare services you need, such as nursing or therapy.
  • Will explain what your insurance covers, and what you must pay out-of-pocket.
  • Does staff background checks.
  • Has letters from satisfied patients, family members, and doctors.
Contact Your Primary Care Physician
Usually, your physician will decide if this care is right for you. If so, he or she will develop a plan of care that describes your health needs and what care or treatments we can provide for you. This care plan is an important part of the care we provide. It ensures that you and your family understand exactly what we plan to do for you and your role in getting better, whether the care is temporary or long-term.


Coverage, Eligibility, and Insurances

Medicare, Medicaid and managed care/insurance plans cover many of the healthcare services provided in the home. Medicare, and in some states, Medicaid, will not pay for personal care services, such as personal aides, unless skilled nursing services or physical therapy is also being provided. Read More


Expert Medical Assistance to Safely Return to the Home

What is a Home Care Transition Care Coordinator?

The Home Care Transition Care Coordinator is the Interim HealthCare staff member whose role is to facilitate an effective “hand-off” or transition for the patient and his or her family caregivers from one healthcare setting to another. In home care, the most frequent “hand-off” is from the hospital to home care or from a SNF (skilled nursing facility) to home care. Importantly, the home care Transition Care Coordinator is NOT a case manager or discharge planner, he or she becomes involved after the referral to home care is made.

Key Responsibilities of Interim HealthCare’s Transition Care Coordinator

  • Meets with the patient, and preferably also the family caregivers, to introduce home care; answer any questions, and set the expectation of who will contact them about the first home care visit and when. The expectation is that home healthcare will be initiated within 48 hrs of discharge; however, it is not uncommon for the expectation to be 24 hrs.
  • Works with inpatient staff to obtains key health status, diagnosis and medication information to effectively initiate care at home. This includes which medication (s) the patient is to take the first night at home-and if a prescription needs to be filled - reviewing the importance of doing so prior to discharge from the hospital. Research indicates that clarifying which medications the patient should take the first night following discharge may avoid re-admissions due to confusion by the patient and family about what the patient should be taking. These admissions most often occur in the first 72 hrs after hospital discharge. Interim HealthCare's Transition Care Coordinator helps in preventing these remissions.
  • Supporting the patient and family to make a follow-up appointment with their primary MD or specialist within the first 5-10 days after discharge. The Transition Care Coordinator may clarify the best day and time for the appointment, and if any transportation problems are anticipated. The home care team can then follow up with the patient to ensure the appointment is made. The reason? Research also indicates that the majority of Medicare beneficiaries re-hospitalized within 30 days of discharge had not seen their physician in the first 10 days after hospital discharge.

We provide services throughout the state!

Smyrna | Dagsboro | Lewes


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My grandson had hip surgery. The caregivers are giving him the best care. They're good, and I trust them with what they do. There are a few things that we don't like, but they replace them right away. Read more
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