Infusion Clinic
Infusion Therapy For HomeCare
Mercer Health
Disease Management offers a welcome alternative to lengthy
hospital stays for medically stable patients requiring
intravenous (IV) therapies. Our highly trained clinical pharmacists
and registered home infusion nurses work together with the
physician to meet the individual needs of each patient, from
adult
to pediatric.
Our infusion suites provide an alternative
to hospitalization for patients who need to receive medical
infusion or injection
services in a controlled setting. Patients receive kind and
compassionate care from our highly skilled, infusion-trained
registered nurses (RNs) and clinical pharmacists in a comfortable
and calm atmosphere. Often, patients who have been prescribed
a self-injection course of therapy by their physician can
receive training in the self-administering of that therapy
in an infusion suite.
Services offered:
Infusion therapy services
First dose injections
Continuous injection therapy
PICC (arm intravenous access) and dressing changes
IV access blood draws
Your team
Your nurse helps you feel at ease with your
therapy, monitors
your progress, reports to your doctor and coordinates your
supply needs. A
clinical pharmacist
works with your doctor and
nurse to manage the therapy. Our patients know that
their team is only a telephone call away. Services also include insurance verification
and authorization by our trained insurance specialists.
Therapies provided by Mercer Health Disease Management Clinic include antibiotics,
Total Parenteral Nutrition (TPN), chemotherapy, drug therapies, pain management,
hydration therapy, growth hormones and blood clotting therapies.
While Mercer Health’s Disease Management Clinic’s services are impressive
by any standard, it is the staff of dedicated professionals who make our area's
popular healthcare choice. We are committed to providing each patient with individual
attention and timely, thoughtful service. The Mercer Health’s team includes
a staff dedicated to helping you coordinate your insurance coverage – to
maximize your benefits and minimize your out-of-pocket expenses.
Infusion therapy
for Home Care
What is Home infusion therapy?
Home infusion therapy involves the administration of medications
using intravenous, subcutaneous, and epidural routes
(into the bloodstream, under the skin, and into the membranes
surrounding the spinal cord).
Drug therapies commonly administered via infusion include
antibiotics, chemotherapy, pain management, parenteral
nutrition, and immune globulin. Diagnoses commonly requiring
infusion
therapy include infections that are unresponsive to oral
antibiotics; cancer and cancer-related pain; gastrointestinal
diseases or disorders which prevent normal functioning
of the GI system; congestive heart failure; immune disorders;
growth hormone deficiencies; and more.
Why are Infusions Performed at Home?
Until the 1980s, patients needing infusion therapy had
no option but to remain in an inpatient setting until
the completion
of their therapy. With the heightened emphasis on cost-effectiveness
and cost-containment in health care, clinicians began
to search for strategies to eliminate or reduce these
costly
inpatient stays. For individuals requiring long-term
therapy (such as those requiring lifelong intravenous
nutrition
supports) inpatient care is not only tremendously expensive,
but also
prevents the individual from resuming normal lifestyle
and work activities.
Home infusion has been proven to be a safe and effective
alternative to inpatient care for many disease states
and therapies. For most patients, receiving treatment
at home
or in an outpatient clinic setting is preferable to inpatient
care. A thorough patient assessment and home assessment
are performed before initiating infusion therapy at home
to ensure
that the patient is an appropriate candidate for home
care.
Who Provides Infusion Therapy?
Infusion therapy always originates with a prescription
from a qualified physician who is overseeing the care
of the patient.
A provider of infusion must be a licensed pharmacy or
work in conjunction with a licensed pharmacy. Home nursing
services
are also provided to ensure proper patient education
and training and to monitor the care of the patient in
the
home.
What are the primary I.V. therapies administered at home?
By far, the major home I.V. therapies are I.V. antibiotics,
prescribed primarily for such diagnoses as cellulitis,
sepsis, and osteomyelitis; other diagnoses include urinary
tract
infections, pneumonia, sexually transmitted diseases,
and sinusitis.
Other major home I.V. therapies include total parenteral
nutrition, chemotherapy, pain management, enteral nutrition,
IV immune globulin, dobutamine, growth hormone, and other
therapies.
Does Medicare cover home infusion?
The short answer is no. But the real answer is that certain
therapies are covered when administered using durable
medical equipment (a mechanical or electronic infusion
pump). Only
a select few therapies are covered and only under very
specific conditions. These include antiviral therapies,
some chemotherapies,
some inotropic therapies (i.e., dobutamine), and some
pain management therapies. More specific information
can be
obtained by contacting the Medicare durable medical equipment
regional
carriers (DMERCs) or by visiting their websites at:
Region
A - HealthNow New York
Inc. - www.umd.nycpic.com
Region B - AdminaStar
Federal, Inc. - www.adminastar.com
Region C - Palmetto GBA - www.pgba.com
Region D - CIGNA
HealthCare - www.cignamedicare.com
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