Outreach

Outreach is an effort by individuals in an organization or group to connect its ideas or

practices to the efforts of other organizations, groups, specific audiences or the general
public. Unlike marketing, outreach does not inherently revolve around a product or
strategies to increase market share. Typically non-profits, civic groups, and churches

engage in outreach.
Outreach often takes on an educational component (i.e., the dissemination of ideas), but it
is increasingly common for organizations to conceive of their outreach strategy as a twoway street in which outreach is framed as engagement rather than solely dissemination or

education.
Outreach strategies are linked to the organization's mission, and define targets, goals, and

milestones.
Dick Tizard of Cambridge University was an early pioneer of outreach to increase the
number of students from schools that did not traditionally send their pupils to Cambridge

Outreach is an effort by individualsin an organization or group to connect its ideas or practices

to the efforts of other organizations, groups, specific audiences or the general public.
Unlike marketing, outreach does not inherently revolve around a product or strategies to
increase market share. Typically non-profits, civic groups, and churches engage in outreach.
Outreach often takes on an educational component (i.e., the dissemination of ideas), but it is
increasingly common for organizations to conceive of their outreach strategy as a two-way street
in which outreach is framed as engagement rather than solely dissemination or education.
Home care
Home Care, (commonly referred to as domiciliary care), is health care or supportive care
provided in the patient's home by healthcare professionals (often referred to as home health care
or formal care; in the United States, it is also known as skilled care) or by family and friends
(also known as caregivers, primary caregiver, or voluntary caregivers who give informal care).
Often, the term home care is used to distinguish non-medical care or custodial care, which is care

that is provided by persons who are not nurses, doctors, or other licensed medical personnel,
whereas the term home health care, refers to care that is provided by licensed personnel
Concept
"Home care", "home health care", "in-home care" are phrases that are used interchangeably
in the United States to mean any type of care given to a person in their own home. Both
phrases have been used in the past interchangeably regardless of whether the person requires
skilled care or not. More recently, there is a growing movement to distinguish between
"home health care" meaning skilled nursing care and "home care" meaning non-medical
care. In the United Kingdom, "homecare" and "domiciliary care" are the preferred
expressions.
Home care aims to make it possible for people to remain at home rather than use residential,
long-term, or institutional-based nursing care. Home care providers render services in the
client's own home. These services may include some combination of professional health
care services and life assistance services.
Professional home health services could include medical or psychological assessment,
wound care, medication teaching, pain management, disease education and management,
physical therapy, speech therapy, or occupational therapy.
Life assistance services include help with daily tasks such as meal preparation, medication
reminders,

laundry,

light

housekeeping,

errands,

shopping,

transportation,

and

companionship.

Activities of daily living (ADL) refers to six activities: (bathing, dressing, transferring,
using the toilet, eating, and walking) that reflect the patient's capacity for self-care.

Instrumental activities of daily living (IADL) refers to six daily tasks: (light housework,
preparing meals, taking medications, shopping for groceries or clothes, using the
telephone, and managing money) that enables the patient to live independently in the
community.

While there are differences in terms used in describing aspects of home care or home health
care in the United States and other areas of the world, for the most part the descriptions are
very similar.
Estimates for the U.S. indicate that most home care is informal with families and friends
providing a substantial amount of care. For formal care, the health care professionals most
often involved are nurses followed by physical therapists and home care aides. Other health
care providers include respiratory and occupational therapists, medical social workers and
mental health workers. Home health care is generally paid for by Medicaid, long term
insurance, or paid with the patient's own resources.
[edit] Aide worker qualifications
It is not a requirement that you have a GED or high school diploma, you will need to check
with your local department of health for state requirements. Often aide workers have
experience in institutional care facilities prior to a home care agency. Workers can take an
examination to become a state tested Certified Nursing Assistant (CNA). Other
requirements in the U.S.A. often include a background check, drug testing, and general
references.
Licensure and providers by state
California California is NOT a licensure state for non medical or custodial care services and
therefore there are no barriers to entry, no consumer protection laws, no minimum standards
yet and no official state oversight. In California the consumers and their families must adopt
a "buyer beware" approach, do their homework and hire caregivers that are bonded and
insured. This is why it is important to use a full service agency that has supervision and
oversight of staff. Full service agencies also do preemployment background check
(criminal), department of motor vehicle checks and reference checks. Staff become the
agency's employee not an independent contractor or "under the table" person. Full service
agencies also train, monitor and supervise the staff that provide care to clients in their home.

There IS, however, a certification available for home care companies in California. It is
administered by CAHSAH, the California Association for Health Services at Home. For
more information about this, see www.cahsah.org
Florida Florida is a licensure state which requires different levels of licensing depending
upon the services provided. Companion assistance is provided by a home maker companion
agency whereas nursing services and assistance with ADL's can be provided by a home
health agency or nurse registry. The state licensing authority is the Florida Agency for
Health Care Administration.[1]
[edit] Payments and Fees

Home Health Aides Caregivers who work for state licensed agencies are billed hourly at
rate of about $8 to $15 depending on the state for self employed caregiver or caregivers
hired directly by family. For caregivers hired though agency rates are generally 40%-70%
higher, since they are employees of the agency.

Live-in Aides Live-in aides rates are between $120$200 per day for. The rates are 2030% higher for 2nd care recipient. Live-in aides are available only though direct hire (see
External links).

Additional Fees Agencies' fees for non-medical home care are traditionally NOT
reimbursed by State, Federal, or private insurance. However, private long-term care
insurance will often reimburse policyholders for part of the cost of non-medical home
care, depending upon the terms of the policies.

[edit] Compensation

RNs and Skilled Services: In the United States, registered nurses employed in the home
care field receive on average around $22.00 to $30.00 per visit. Some as much as $45
$55, and also receive 52 to 58 cents per mile tax free. Payment/reimbursement of other
Skilled Services vary according to the specific discipline.

'Home Health Aides:' Caregivers working for state-licensed agencies bill at an hourly rate
of about $11.00 to $25.00, depending on the state. A Home Health Aid employed by the
agency is paid between $7.25 (current US minimum wage) and $10.00 or more per hour,
depending on location.

Direct Hire Caregivers: Direct hire caregivers are either employed by family or are self
employed. A direct hire home care aid is paid between $8.00 and $15.00 per hour
depending on location, number of hours, and experience.