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Your health, your home,

your choice

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SERVICES

Stay happy in the comfort
of your own home.

 

Our wide range of home health care and social services provide the helpful support your loved one needs, and the peace of mind you deserve. These services are administered at home to individuals who are recovering, disabled, or chronically ill needing medical, nursing, social or therapeutic treatment, or assistance with daily living activities.

 

HCR's family of certified and licensed professionals are carefully vetted, so you can trust them to assist you and your loved one to develop a safe and complete care plan unique to your needs.

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Skilled Services

Nursing


Our nurses work in tandem with patients and their physician to plan and oversee home health care. After filling out an initial assessment for care planning, nurses develop a treatment plan to help patients become independent with disease management through education and support.

HCR works with nurse leaders and nurse scientists across the country as translational research partners. These relationships have had a positive impact on our ability to have an evidence-based practice.




Physical Therapy


Helps create independence with safe mobility through balance training, strengthening, movements re-education, and equipment management. Our Physical Therapists (PT) address home safety, access mobility, and recommend the appropriate devices. They evaluate patients using diagnostic muscle, nerve, joint, and functional ability tests. PTs establish home health care treatment plans to relieve pain and to develop or restore function in order to reach maximum independence. PTs also instruct patients and their families on the use of prosthetic, orthotic, and assistive devices (canes, walkers, wheelchairs, and more) and educate regarding treatment plans and goals.




Occupational Therapy


Augments skills necessary to complete daily living activities such as bathing and dressing by addressing strength, coordination, balance, vision, and thinking abilities. Occupational Therapists (OT) instruct patients and families on different ways to do daily living activities and help maximize independence. OTs also establish household management routines and instruct patients and their families on the use of appropriate adaptive equipment. OTs communicate with other clinical disciplines and help manage the fall risk of patients though proper evaluation, care planning and patient and family education.




Speech Therapy


Provides treatment and education for communication and swallowing difficulties. Speech-Language Pathologists (SLP) evaluate patients and then develop and implement rehabilitative services for speech, language/voice, and swallowing disorders. They then educate patients and their families regarding the patients' treatment care plan. Our SLPs can also select and administer diagnostic tests and provide appropriate therapeutic techniques and materials.




Respiratory Therapy


Nurses and therapists offer skilled services and training to patients and their caregivers to address breathing issues related to conditions such as pneumonia, asthma, COPD, Parkinson’s Disease, and various acute respiratory distress syndromes. Incentive spirometers are commonly used following a hospitalization to gently exercise the lungs and associated muscles, thus maximizing the delivery of much needed oxygen to the bloodstream. Techniques such as pursed lip breathing and diaphragmatic breathing are often taught to patients to assist with relaxation and minimize effort. Supplemental oxygen delivered through a concentrator or tank are used in conjunction with oximetry to ensure patients are receiving adequate oxygen to perform their activities of daily living. Nurses closely monitor the use of medications in the home and work with the patient’s physician to ensure a safe and effective plan.




Medical Social Work


Our medical social workers and geriatric care managers specialize in home health care. They are uniquely equipped with crisis management skills and an intimate knowledge of the American health care system to help you research what services your loved one needs, how to implement them, and what payment options are available.

Medical social work services include, but not limited to:

  • Understanding your loved one’s personal and medical needs
  • Providing support, education, counseling, encouragement and timely interventions, including when people are in crisis
  • Identifying and recommend appropriate services and programs regarding financial, legal, or medical issues
  • Providing guidance on long term planning, housing options, and alternative types of care
  • Offering consumer education and advocacy
  • Consulting on costs and coverage associated with insurance options
  • Serving as a liaison for family members who live far away from their parent or loved ones




Nutrition


Our Registered Dieticians (RD) are specially trained on the nutritional requirements for chronic diseases like hypertension and diabetes. Our RDs work with you to develop good nutritional habits and design a healthy and enjoyable eating plan to fit your special needs.





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Paraprofessional Services

Home Health Aides (HHA)


Provide basic health-related services, such as checking blood pressure and changing bandages, in addition to bathing, dressing and hygiene, meal plan prep and homemaking services. Most of our HHAs advance into nursing careers in order to expand their services to patients at home.




Personal Care Aides (PCA)


PCAs are part of the home care team and provide more homemaking and companionship than health-related services. Some of these services include daily living activities, laundry and light housekeeping.





 
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Care Management

Health Home Care Management


Care Management is an approach to care focusing on client education and coordination of services that promote self-management. It also focuses on physical, behavioral, and social health goals. Care Managers work as your partners to identify goals, acknowledge needs, and to refer and connect to necessary services. Our program supports both adults and children age 6 and up. As your advocate, our Care Managers routinely work with the Department of Human Services, medical providers, insurance companies, community resources, and housing programs to help meet your needs. Care Managers will: • Identify barriers to reaching goals • Assist in creating a crisis plan • Identify gaps in care and assist to get medical needs met • Advocate to ensure your care team is working for you for
hospitalization discharge, home care services, or medical specialists • Find community resources such as food pantries, clothing closets,
and community programs • Schedules medical transportation • Provides housing lists and helps fill out applications Eligibility Requirements: Active Medicaid with chronic physical and/or mental health needs

For more information call 800-270-4904 | Click here to complete a referral





 
 
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Rehabilitation Services

Full Complement of Therapy Services


• Physical
• Occupational
• Speech
• Respiratory
• Joint Replacement
• Maintenance




Stroke Rehabilitation


The unique needs of a stroke survivor are best treated by a team of highly skilled professionals with advanced knowledge and understanding of stroke recovery and treatment. Through our customized stroke program, we can provide the education, planning and teamwork a family needs to reduce the likelihood of another stroke. Patients will receive a prompt team response and the best available care for a safe transition back to their home.




Joint Replacement Therapy


We provide the education and guidance to reduce your recovery time and regain the function you desire. Physical Therapy is essential for recovery following joint replacement, and HCR offers intensive support and therapy to get you back on your feet, quickly. Our patients regularly report great satisfaction with their renewed ability to walk and climb stairs with minimal pain.

We offer an extensive pre-operative in-home assessment, and the proper post-operative therapy and care for greater success, reduced pain and improved overall quality of life. You’ll have access to support and therapy within 24-48 hours of discharge, and benefit from our full-time physical therapy coverage on weekends. This ensures a seamless transition back home early in the rehabilitation process.




Maintenance Therapy


Physical and Occupational Therapists are specially trained to help patients restore function following an illness or injury. Therapists are equally capable of helping patients maintain function when confronted with long-term, chronic illnesses such as Parkinson’s disease, multiple sclerosis, heart failure, and chronic obstructive pulmonary disease.

Many other medical conditions serve as basis for maintenance therapy as well. The advanced skills of a trained therapist are applied to prevent or slow the loss of independence with common activities of daily living such as walking, bathing, dressing, and personal hygiene tasks. With the right skilled approach, our therapists help patients live a longer, more independent life in the comfort of their own home.

Insurance plans such as Medicare, Medicare advantage, Medicaid, and several other insurance plans offer coverage for maintenance therapy services.




Energy Conservation


Energy conservation is a series of strategies used to minimize stress on joints, muscle fatigue, pain, and shortness of breath. Nurses and therapists instruct patients and caregivers to simplify daily tasks such as walking around the home, taking a shower, or getting dressed in the morning. Once they’ve learned these strategies, patients often report feeling less frustrated by their illness and have energy that lasts longer throughout the day.

A few common strategies include:

  • Sliding objects instead of lifting them when possible
  • Slow, deep breathing to relax and help slow down and smooth out body motions
  • Sit down while brushing your teeth or combing your hair
  • Dress the lower part of your body first, bringing feet up to you rather than bending
  • Relocate frequently used objects in easy reach; avoid reaching far overhead
  • Avoid rushing when possible




Parkinson’s Disease Management


We are dedicated to providing care to patients with Parkinson’s and offering needed support for their caregivers. Through extensive training and experience, we have gained the expertise to can help overcome day-to-day challenges. The goals for our services include:

  • Gain more knowledge about PD and how to manage your symptoms
  • Learn how to move safely through your home and our community
  • Learn compensatory strategies to improve your ability to complete daily activities
  • Be familiar with available support networks in our community
  • Develop effective methods to communicate with family, friends and health care providers





 
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Specialized Care

Wound and Ostomy


Our wound and ostomy team provides customized post-surgical and chronic wound care under the supervision of Certified Wound, Ostomy, Continence Nurses (CWOCN). These highly trained nurses have achieved national certification in wound, ostomy, and incontinence care. Our goal is to prevent complications while promoting recovery and independence.

Our team specializes in treatment of conditions such as:

  • All types of ostomies

  • Diabetic ulcers

  • Burns

  • Surgical incisions or wounds

  • Lower extremity ulcers

  • Skin breakdown related to an injury or fall

  • Pressure ulcers

  • Cellulitis

We use a secure, HIPAA compliant system to acquire wound photos through our tablet devices and attach them to our clinical record, which allows us to access centrally located specialists for review and consultation. And with telehealth monitoring, nurses can send clear, sufficient wound photos for evaluation and also share it with your physician.




Cardiac


Our cardiac disease program manages patients with heart failure and intensive cardiac needs. Our team employs a multidisciplinary approach consisting of nurses and nurse practitioners with cardiology and pulmonary expertise; physical and occupational therapists; and registered dietitians. Our experts will develop a personalized care plan to maximize your wellness and recovery within the comfort of your own home.

Our customized cardiac program focuses on:

  • Recognizing the signs of heart failure

  • Managing your diet and fluid restrictions

  • Telehealth monitoring to check blood pressure, heart rate, oxygen level, weight,

  • and blood glucose

  • Using oxygen and achieving better breathing through comfort measures

  • Stress management strategies

  • Using your medications properly

  • Suggesting an appropriate exercise regimen

  • Achieving greater self-care and independence




Diabetes Management


Sometimes, managing diabetes is too difficult on your own, and a home health care service is needed. Our expert and multidisciplinary team of health care professionals include nurse Diabetic Educators and Registered Dietitians specializing in guiding and treating patients with diabetes. HCR works with patients and their families to learn the skills to better self-manage their disease and prevent complications.

Diabetes management focuses on:

  • Monitoring blood sugar level and help to keep it in control

  • Obtaining and selecting the most appropriate testing devices and supplies

  • Telehealth monitoring to check blood pressure, heart rate, oxygen level, weight, and blood glucose

  • Planning healthy meals to control glucose levels and reduce cholesterol

  • Coordinating needed lab work

  • Working with your physician to monitor your A1C level




Palliative


Our services may benefit anyone with a life-threatening illness suffering from pain, fatigue, anxiety, nausea, stress or depression. Our team coordinates with physicians and work closely with you and your family for an extra layer of support tailored to your unique needs.

Our team is led by experienced home care managers who are specially trained in Hospice and Long-Term Care. We are comprised of the largest group of Palliative credentialed clinicians and caregivers trained through the Center to Advance Palliative Care – a national organization dedicated to increasing the availability of quality health care for people living with a serious illness.

Palliative care outcomes may include:

  • Peace of mind

  • Relief from pain

  • Better sleep

  • Improved functional status

  • Less anxiety

  • Improved breathing

  • Less depression

  • The ability to enjoy life




Falls Prevention


One-third of all people over 65, and half of those over 80, fall every year. The HCR Falls Prevention/Intervention Program can dramatically reduce your risk of falling and resulting serious or debilitating injury.

Led by APTA Board Certified Geriatric Certified Specialists, our multidisciplinary team assesses a patient’s falls risk using validated, evidence-based assessment tools. After a comprehensive examination, we’ll work with your physician to develope a personalized plan to improve balance, strengthen mobility and recommend home safety modifications to reduce the risk of falls, so you can remain safely at home.




Pain Management


Our goal is to help patients with acute or chronic pain achieve and maintain their maximum level of independence and comfort. Our pain management team can help you resume daily activities such as walking, bathing, and climbing stairs and effectively restore a valuable part of your life.

Our physical therapists use manual techniques, including nerve glides and nerve mobilization, to increase blood flow and reduce restrictions of the peripheral nerves. By gently exposing the nerve to pain-free motion, graded exposure desensitizes the sensitivity of the pain cycle.

Treatment strategies may include:

  • Soft Tissue Mobilizations

  • Joint Mobilizations

  • Neuromobilization

  • Proprioceptive Neuromuscular Facilitation (PNF)

  • Modalities including ultrasound, TENS, and mechanical traction




Telemonitoring


Telemonitoring can help prevent a symptom from becoming a trip to the hospital. It’s a fast, simple way for us to keep an eye on your vital signs and symptoms every day with easy-to-use equipment you use at home. It also gives your physician information that is important for your ongoing care.

Telemonitoring allows us to check your blood pressure, heart rate, oxygen level, weight and blood glucose level. It can be used by anyone needing daily monitoring, especially patients with heart failure.

Telemonitoring strives to:

  • Decrease avoidable hospitalizations and Emergency Room visits

  • Improve patient outcomes such as medication management

  • Improve self-care management

  • Increase early identification of disease exacerbation

  • Decrease visit utilization thus decreasing the cost of care


After the patient uses the monitor, the patient information is transmitted to a secure website. HCR uses a centralized monitoring system whereby the results are monitored by an in-office registered nurse (RN) seven days per week. These monitors work with a land line or cell phone and can be programmed in several languages.





TRANSCULTURAL

CARE

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We understand and recognize cultural preferences regarding health care. HCR will respect and support your family traditions, religious beliefs, cultural practices, and help with any personal language barriers/needs.

 
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MULTI-LANGUAGE CARE

HCR clinicians and paraprofessionals are skilled in the following languages:

• Spanish
• Ukrainian

• French

• Russian

Interpretation and language-access assistance is available for those not listed for complete language coverage.

• Italian
• German

• Vietnamese

• American Sign Language (ASL)

 
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Providing safe and competent care
without prejudice or discrimination.

 

HCR Home Care established the Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning Care Program in order to promote the health and well-being of LGBTQ+ patients served in Rochester and Monroe County.
 

Through the delivery of high quality, LGBTQ+ Affirming Home Health Care services, we are dedicated to providing safe and inclusive environments to help our patients thrive and meet their health care goals.

 

HCR Home Care and HCR Care Management advocate services for transgender patients. We help transgender individuals navigate the process to change identity, and connect individuals with community resources.

For more information, contact us at 800-270-4904 or email us at info@hcrhealth.com

LGBTQ+ PROGRAM

 
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PAYING FOR HOME HEALTH CARE

It can be more affordable than you think. We accept a wide variety of insurances including, Medicare, Medicaid, HMO’s (Health Maintenance Organizations), and the Veteran’s Administration. Home health care can also be paid on a private basis by patients and families.

 

Call (800) 270-4904 today to speak with a home health care expert. We can work within your means to provide a customized care plan that is right for you. 

 

“Your nurses are excellent! You can take pride that you have employees like this representing your organization.”

 

— Michael N.

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