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National Association for Home Care & Hospice
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Testimonials

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. 

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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.

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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

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

Heath 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.

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Former President Bill Clinton

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 element...it’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

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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.

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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.

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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.

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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.

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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.

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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.

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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. 

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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.

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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.

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Frank E. Moss, former U.S. Senator

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

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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.

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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.

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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.

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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.

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National Council of Aging

Home is the Center of Health Care

Home care and hospice are poised to play a key role in coming years. A wide range of forces is joining to push care away from nursing homes and drive it toward home and community-based care. Based on demography and dollars, experts agree that the destiny of health care lies in the home. The first of the 78 million baby boomers turned 65 last year, and the rest of the boomers will reach their golden years in the next two decades, making health care dollars grow even scarcer. As the silver tsunami sweeps on, the most important trend in health care is the shift from hospitals and nursing homes to home care, from treatment to proactive monitoring and care.

Home care is not just the preferred choice for most patients; it’s also the best bang for our health care dollars. It costs Medicare nearly $2,000 per day for a typical hospital stay and $559 per day for a typical nursing home stay. Meanwhile, home care costs just $44 a day on average.

Golden opportunities are there for those who provide this cost-effective care, and investors are betting on it, the Wall Street Journal recently observed. Home care and hospice are driving much of the investment in health services as Americans turn away from nursing home care. The occupancy rate at nursing homes has dropped since 2009, while the number of patients receiving hospice services has grown at a steady rate. And some hospice programs have begun to expand their offerings as more boomers choose the services they provide. Business is also booming in private duty home care. It’s now one of the most profitable franchises in the country, and much of the demand comes from those 65 and up. More families now have adults who both work, so there’s no one to stay home with an aging parent.

In coming decades, there will be even fewer caregivers, said a recent report from AARP. According to the study, potential caregivers will be in much shorter supply starting in 2026 when the first boomers turn 80. The causes of this impending care gap lie in well-known trends including longer life spans, smaller families, more divorces among those 50 and older, more people who never had children, and rising rates of disability associated with the obesity epidemic.

They’re all demographic shifts that translate into disturbing data. The number of frail older people over 65 is expected to increase from 11 million in 2010 to 18 million in 2030, the report notes. The percentage of frail older people who are childless is expected to rise from 14 to 18 percent during this period, and the ratio of frail, older people who have only one or two adult children is expected to increase from 38 to 49 percent. Most of these aging boomers will want to remain in their homes, but they may not be able to count on their families for long-term care when it’s needed.

But they can count on home care combined with technology to help them age in place. Technology now helps the many U.S. seniors who live at home to stay independent, enrich their lives, and keep in touch with those they love. Telehealth and activity monitors promote out-of-hospital care for chronic patients and solutions for healthy aging. Digital consults with doctors and nurses help patients to self-manage their care. And online social networks empower people to keep learning, working, and staying engaged in the communities where they live.

Combining high tech with a warm human touch helps seniors stay in their homes even longer. So many agencies now allow patients and family members to choose their own home health aides. This growing trend helps patients and aides form genuine bonds, so families have peace of mind that their loved ones are in good hands. It helps ensure that caregivers can join fully in patients’ lives, whether this involves running errands, going with them to the doctor, or assisting them with medical conditions. It also means that someone is there to provide seniors with company and conversation. Many aides are more than caregivers for their patients. They also become friends, and almost family. They’re among the reasons why home care is poised to a key role in coming years as the center of health care in our country. 

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