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National Association for Home Care & Hospice
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In the various roles he has undertaken through the years, Val J. Halamandaris has been a singular driving force behind the policy and program initiatives resulting in the recognition of home health care as a viable alternative to institutionalization. His dedication to consumer advocacy, which enhances the quality of life and dignity of those receiving home health care, merits VNA HealthCare Group’s highest recognition and deepest respect. 

VNA HealthCare Group

I have the highest respect for them, especially for the nurses, aides and therapists, who devote their lives to caring for people with disabilities, the infirm and dying Americans.  There are few more noble professions.

President Barack Obama

Home health care agencies do such a wonderful job in this country helping people to be able to remain at home and allowing them to receive services

U.S. Senator Debbie Stabenow (D-MI) Chair, Democratic Steering and Outreach Committee

Home care is a combination of compassion and efficiency.  It is less expensive than institutional care...but at the same time it is a more caring, human, intimate experience, and therefore it has a greater human’s a big mistake not to try to maximize it and find ways to give people the home care option over either nursing homes, hospitals or other institutions

Former Speaker of the U.S. House of Representatives Newt Gingrich (R-GA)

Medicaid covers long-term care, but only for low-income families.  And Medicare only pays for care that is connected to a hospital discharge....our health care system must cover these vital services...[and] we should promote home-based care, which most people prefer, instead of the institutional care that we emphasize now.

Former U.S. Senator Majority Leader Tom Daschle (D-CD)

We need incentives to...keep people in home health care settings...It’s dramatically less expensive than long term care.

U.S. Senator John McCain (R-AZ)


Home care is clearly the wave of the future. It’s clearly where patients want to be cared for. I come from an ethnic family and when a member of our family is severely ill, we would never consider taking them to get institutional care. That’s true of many families for both cultural and financial reasons. If patients have a choice of where they want to be cared for, where it’s done the right way, they choose home.

Donna Shalala, former Secretary of Health and Human Services

A couple of years ago, I spent a little bit of time with the National Association for Home Care & Hospice and its president, Val J. Halamandaris, and I was just blown away. What impressed me so much was that they talked about what they do as opposed to just the strategies of how to deal with Washington or Sacramento or Albany or whatever the case may be. Val is a fanatic about care, and it comes through in every way known to mankind. It comes through in the speakers he invites to their events; it comes through in all the stuff he shares.

Tom Peters, author of In Search of Excellence

Val’s home care organization brings thousands of caregivers together into a dynamic organization that provides them with valuable resources and tools to be even better in their important work. He helps them build self-esteem, which leads to self-motivation.

Mike Vance, former Dean of Disney and author of Think Out of the Box

Val is one of the greatest advocates for seniors in America. He goes beyond the call of duty every time.

Arthur S. Flemming, former Secretary of Health, Education, and Welfare

Val has brought the problems, the challenges, and the opportunities out in the open for everyone to look at. He is a visionary pointing the direction for us. 

Margaret (Peg) Cushman, Professor of Nursing and former President of the Visiting Nurses Association

Although Val has chosen to stay in the background, he deserves much of the credit for what was accomplished both at the U.S. Senate Special Committee on Aging, where he was closely associated with me and at the House Select Committee on Aging, where he was Congressman Claude Pepper’s senior counsel and closest advisor. He put together more hearings on the subject of aging, wrote more reports, drafted more bills, and had more influence on the direction of events than anyone before him or since.

Frank E. Moss, former U.S. Senator

Val’s most important contribution is pulling together all elements of home health care and being able to organize and energize the people involved in the industry.

Frank E. Moss, former U.S. Senator

Anyone working on health care issues in Congress knows the name Val J. Halamandaris.

Kathleen Gardner Cravedi, former Staff Director of the House Select Committee on Aging

Without your untiring support and active participation, the voices of people advocating meaningful and compassionate health care reform may not have been heard by national leaders.

Michael Sullivan, Former Executive Director, Indiana Association for Home Care

All of us have been members of many organizations and NAHC is simply the best there is. NAHC aspires to excellence in every respect; its staff has been repeatedly honored as the best in Washington; the organization lives by the highest values and has demonstrated a passionate interest in the well-being of patients and providers.

Elaine Stephens, Director of Home Care of Steward Home Care/Steward Health Systems and former NAHC C

Home care increasingly is one of the basic building blocks in the developing system of long-term care.  On both economic and recuperative bases, home health care will continue to grow as an essential service for individuals, for families and for the community as a whole.

Former U.S. Senator Olympia Snowe (R-ME)

NCOA is excited to be part of this great event and honored to have such influential award winners in the field of aging.

National Council of Aging

Health care at home…is something we need more of, not less of.  Let us make a commitment to preventive and long-term care.  Let us encourage home care as an alternative to nursing homes and give folks a little help to have their parents there.

Former President Bill Clinton

Harvard Study Shows Value of Home Care Checklist

August 30, 2016 01:36 PM

A simple telephone-based checklist enabled caregivers to quickly identify changes in the condition of their home care patients, according to a new pilot study approved by the Harvard Medical School.

The study found that caregivers who use a short checklist about their patients’ conditions were able to report changes resulting in interventions that could prevent hospital readmissions, one of the costliest expenses in the entire health care system.

NAHC closely monitors and supports advances in telemedicine for the potential they offer patients to take greater control of their care and remain independent and in their own homes. It is a guiding principle of NAHC that home care allows people to get well and live to their potential in a comfortable setting.

“Millions of elderly Americans receive supportive home-care services each year, and many of them require frequent hospitalizations, so we set out to determine whether a simple real-time checklist could help improve outcomes and lower health care spending,” said study leaderDavid Grabowski, Ph.D., professor of health care policy at Harvard Medical School. Dr. Grabowski believes the results of this study are the first step toward answering that question.

The study, conducted over six months in early 2016, looked at 22 offices of Right at Home, a home health care company with over 300 offices in 45 states. Right at Home offers three levels of care – companion, personal care and skilled care.

The telephone-based checklist was administered when caregivers clocked out, asking them to answer questions about the health of the patient, such as, “Does the client seem different than usual? Has there ben a change in mobility, eating or drinking, toileting, skin condition or increase in swelling? Press 1 for yes and 2 for no.” If the caregiver presses 2, the checklist is completed, but if the caregiver presses 1, to indicate a change in condition, the caregiver is prompted to answer additional questions about the change or changes.

Whenever a change in condition is reported, the system automatically notifies the office’s care manager, who manages the change in condition. The care manager uses the information in the checklist to take further action, which could be anything from notifying a family member of the patient, speaking to the caregiver directly, notifying another health care professional or even calling 911, if necessary.

“Most interviewees suggested that changes in condition would not have been reported without the in-home checklist,” according to the study. “They also reported relatively few ‘false positives’ in that they felt that most of the tasks warranted attention.”

Caregivers involved in the study reported condition changes after two percent of all visits, for an average of 1.9 changes per patient over the course of the six-month study. Three hundred thirty patients were hospitalized during the pilot period, or about 14 percent of all care recipients.

The checklist system showed some promise for reducing hospitalizations. The owner of one Right at Home office mentioned a patient with diabetes mellitus whose caregiver used the checklist to report a minor foot injury. Under normal circumstances, the injury would not have been reported so quickly, but would have been relayed at the end of the week. However, because the caregiver reported the change immediately through the checklist, the office care manager was able contact the patient’s nurse, who quickly began treatment, preventing a potential hospitalization.

Some care managers said they already had a system in place to track changes in condition and found the In-Home system duplicative and unnecessary. Some staff also questioned using the checklist for tracking patients with chronic conditions that flare up occasionally because a predictable flare-up does not represent a true change in condition.

However, caregivers reported that the checklist was useful and felt “enthusiastic about the intervention,” according to the study. Caregivers also noted the checklist did not add much time to their clocking-out period and they were pleased with learning about the outcome of the changes they reported. Office owners appreciated the business case for preventing unnecessary trips to the hospital and allowing patients to remain in their homes.

The need for home care will only increase as the 78 million baby boomers reach their retirement years. Most baby boomers will prefer home care because it offers patients the opportunity to remain independent and keep their families together, seeking professional care when necessary. In addition, home care is also far more cost-effective than institutional alternatives and saves Medicare billions of dollars every year – something NAHC makes clear to the public and policymakers at every opportunity.

As NAHC President Val Halamandaris says: “There is a real premium in keeping people out of the hospitals.”




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