No Picture
Health Department

Do Your CNAs Provide Cost-Efficient Care?

In today’s economy, it’s more important than ever for health care employees to be cost-efficient. Are your nursing assistants aware of what it takes to run your organization-and how they can affect the financial bottom line? Here is some information about cost-efficient care that you can share with your CNAs:

Even Toilet Paper Adds Up!

Have you ever looked at a hospital bill and felt sicker than when you were actually in the hospital? Or, have you or a loved one ever had to consider selling your home in order to afford long term care? There is no doubt about it. The cost of heath care in America is sky-rocketing. Everything from the price of a room for the night, to the cost of a single aspirin seems to be more than the average consumer can handle.

With prices so high, you’d think health care facilities would report record profits. The opposite is true. For example, 50 percent of hospitals currently make no profit at all. So, why does health care cost so much for consumers? And, why is it still not enough?

It costs a lot of money, hundreds of millions, to run a hospital or long term care facility. Let’s look at one tiny example-toilet paper.

Imagine, a roll of toilet paper costs about 25 cents. Then, estimate there are 300 patient rooms, each with it’s own bathroom.

In addition, there are 20 public and employee restrooms with 5 stalls each. That’s 400 toilets at XYZ Hospital that need toilet paper.

At 25 cents per roll, it cost $100 to put just one roll with each toilet. Let’s say the rolls run out every three days. $100 every three days comes out to $1000 per month-or $12,000 per year. And, the hospital cannot charge patients or employees for toilet paper!

So, XYZ Hospital shifts the cost onto other things, like aspirin! That’s how an aspirin that should cost one dollar gets a price tag of ten dollars (or more)!

There are many reasons why healthcare costs are outrageous. Insurance, medication, the cost of supplies and employee wages are the biggest factors.

You may be wondering why you should care. Well, it’s simple. If the company you work for makes a profit, there will be more money for you! Read on to find out how you can provide cost-efficient care and help keep medical costs down. When you do, everyone benefits!

Where Does All the Money Go?

YOU! Whether you work in acute care, long-term care or home health, the largest portion of your employer’s budget goes to you! Well, maybe not you personally… but you as a group of employees. It takes a lot of money to recruit, train, and keep employees. Your salary, benefits, the cost of training and continuing education are all investments your company is making in you!

SUPPLIES. From dust mops to catheter kits, supplies are a necessary part of providing healthcare. Most supply expenses make sense. The cost of the item is added to the cost of storing it, using it, and disposing of it. Then, those costs are simply passed on to the consumer. The problem comes when supplies are wasted. It is estimated that the average healthcare organization wastes more than $1 million in supplies every year!

NOSOCOMIAL INFECTIONS. A nosocomial infection means that the client becomes infected while in the hospital or long term care facility. If you cause an infection in someone, who do you think is responsible for paying for the extra time and medication it takes to treat that infection? Treating nosocomial infections costs billions. Treating infections from MRSA alone, can cost up to $4 billion a year.

ENERGY. Healthcare facilities use twice as much energy as other businesses. Computer systems, high tech equipment and air handling systems all use energy-and energy is expensive. Just like conserving energy for your family, you can conserve energy at your workplace.

WASTE DISPOSAL. The “green revolution” is hitting the healthcare industry. New ideas for recycling, reducing packaging, and creating less garbage can save your employer money and help the planet.

Ten Thoughts on Cost-Efficient Care

Providing cost-efficient care means giving the best (or better) service while minimizing waste.

Waste is anything that is discarded without being put to use. Things that can be wasted include time, supplies, resources, energy, money and the resources spent on waste disposal itself.

For the average health care workplace, supplies take up 20% of the budget. Inefficient use of supplies “steals” money from the budget that might go to employee raises and benefits.

As you begin to pay attention to waste, you will see there are many areas where resources can be reserved and the care you provide will actually improve.

You don’t need any special training or an advanced degree to make an important …

No Picture
Health Department

Want to Hire Health Care Informatics Consultant?

Before you think hiring health care informatics consultant for any purpose, you must understand why medical informatics consultant or health domain experts are to be included while dealing with any computer application that is related to medical field. Healthcare informatics is the science that combines the computer technology and medical field. Consultant in medical informatics is expected to have knowledge of both the domains i.e. computer language and medical standards and its flow. Medical informatics experts are good at EHR, PHR, HL7, DICOM, SNOMED, LOINC etc. medical standards as well as computer languages such as Core Java, HTML, and XML etc.
Unlike other software applications, the one that is made for healthcare or medical use is not allowed to malfunction. This is because for other computers, the bug in software might crush the system and at the most, one may lose data but think about the scene where software is installed checking the oxygen saturation in the blood and alarming when it goes down contains some bug and it does not notify when the oxygen level falls in patient’s blood due to which, the patient does not receive proper amount of life-gas and dies on the spot. Said this, computer application that was installed to save the life ultimately costs patient’s life.
To overcome issues related to medical process in computer applications, you require domain experts from health industries, preferably doctors with good experience in hospitals, clinics or health care centers. Medical informatics functional consultant is the one with adequate knowledge of computer applications and also he is experienced in his own field and knows alpha and omega of patients health. Such experts can be hired by IT companies when they have medical projects or these guys are absorbed by corporate hospitals for medical software maintenance and training medical staff about computer applications.…

No Picture
Health Food

Advantages of Information Technology

What is Information Technology
Information technology is the use and application of the computer system to process, manage and distribute information. Use of IT in this context involves both the hardware and software components.
Some major advantages of Information Technology in various areas are listed below:
Speed and Accuracy in information Processing
With the use of IT more work can be done by individuals, businesses, services and government organisations. Function enhancement programs such as word processors, database programs and spreadsheets can get work done in less time with increased accuracy and efficiency.
Global Social Interaction
IT has made global social and cultural interaction very simple. This is evident with the emergence and success of social networking websites, such as Facebook and Twitter. More so, the use of information technology has eliminated language barriers with technologies such as language translators.
Entertainment
The introduction and use of high tech applications and gadgets such as iTunes, iPod and iPone has been revolutionary. Downloading, buying, playing and organising, music, videos, movies and TV shows has been made super easy and accessible. The gallant advancement of information technology through history puts the world in your palm with technologies such as iPad and Amazon Kindle.
Communication
The effect of information technology on universal communication is phenomenal. Telecommunication has gone beyond the use of basic technologies. With the advancement of the Internet and technologies such as VoIP (Voice over IP), organizations, businesses and individuals can communicate any time from different parts of the world through video and voice calls, web conferencing, seminars and virtual meetings.
Economic Advancement
A major step to global economic advancement is the removal of distance and time barriers brought about by the application of information technology to buying and selling of goods and services (e-commerce). E-commerce gave room for tiny, small and big business players to emerge. Interconnection of businesses is made painless. Thousands of local, national and international businesses and enterprises now have what is referred to as ‘web presence’ and can now reach wider audience.
Education
Education has gone far beyond the use of bricks and mortal classrooms or traditional blackboards. The world is now in the era of e-learning, using technologies such as VLEs (Virtual Learning Environments). Students can have access to all teaching materials and resources online; engage in virtual classrooms real time or asynchronously.
Health
The use of IT has led to an overall improvement in quality, safety and efficiency in the health care delivery system. The health care sector is positively impacted by the use of electronic health records, virtual healthcare team technologies, telemedicine, e-health grids and various specialist health care information systems.
Information technology had brought phenomenal changes to all aspect of life. The positive impact has been global and the change continues to grow exponentially. However, the disadvantages can not be ignored. A major menace brought about by IT is security and drastic reduction in privacy.

thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com
thehealthyconsumer.com

No Picture
Health Facts

Rumen PH Monitoring to Detect SARA in the Dairy Cattle Sector

Up to 20% of dairy cows develop acidosis after calving. A condition known as sub-acute rumen acidosis (SARA) may also be present in larger numbers of cows. This will reduce milk fat and milk output and in some cows to cause more serious disease such as lameness, mastitis and sub-fertility which can cost hundreds of dollars per affected animal.
Sub-acute rumen acidosis (SARA) is an increasing health problem in most dairy herds in the US and has been estimated to cost the US dairy industry between $500m and $1 billion per annum. Results from field studies indicate a high prevalence of SARA in high-producing dairy herds as producers respond to the demands for increased milk production with higher grain, low fibre diets to maximize energy intake during early lactation. SARA poses a challenge for dairy farmers and dairy nutritionists to implement feed management practices to prevent or reduce the incidence of this disease.
Monitoring rumen pH levels in sentinel cows within a herd would provide farmers with important information indicative of the state of dietary health of the herd. When the sentinel cows exhibit increasing acidosis, this allows a farmer to adjust feeding to prevent major problems developing.
Methods for monitoring the rumen pH in cows are currently limited to either invasive veterinary techniques for off-line analysis or pH sensors inserted through a cannula and connected by a wire to a data collection device outside the animal.
What is required is a radio transmitter based device which can be inserted into the rumen and send data remotely to farm information systems to alert the farmer to the potential onset of problems. Such devices are available with a short lifetime and have been used to validate the approach of remotely monitoring rumen pH. Long lifetime sensors which will last for 100 days and which transmit data remotely to farm information systems are under development and are currently being used in trials.…

No Picture
Health Gov

Typical Bureaucratic Mistake – Asking the Wrong Question

I had the unusual opportunity, because of inclement weather, to watch much of the recent health care reform summit. After all, I do have a vested interest in the outcome. I listened intently from both sides about positions that, quite frankly, to the more than casual observer like me, are nothing new. However, I was struck by the presupposition which has become the basis for the entire discussion on health care reform. That is, what part of the current legislation President Obama has put forward can they find common ground on? At first blush, it’s sounds like a perfectly reasonable strategy. Then it struck me! We’re asking the wrong question entirely. The question in Washington shouldn’t be what do the Republicans like in the current proposal that they can support and find common ground on. Instead, the question should be. What, in our current health care system can we agree is good and, therefore, worthy of building upon? A natural follow-up question to that would be. What’s broken that needs fixing? Democrats would argue that they are doing exactly that – fixing what’s broken. However, their proposal is too far reaching, overly intrusive and would upset the delicate balance between proper government oversight and the free-market system.
Most, if not all Americans believe that our health care system is one of the best in the world – if not the best! So why should we take the approach that the whole system needs to be scraped in favor of a government-run alternative. There are many areas in the current health care system that are flawed and in need of change and restructuring so why not build on that framework for true effective reform? I’m always struck when an important foreign dignitary announces that they will be flying to the United States to have some sort of medical procedure done. That’s not an accident by any means. They know that there best chance of medical success lies in treatment in the United States. Indeed, our very Congressman and Senators take full advantage of all our amazing medical technological advancements. You don’t see any one of them requesting to get treatment in another country. No, I’m afraid this is more about power and making history for the Democrat party rather then real, substantive change for all Americans. That’s really a shame because we do have the ability to make significant change.…

No Picture
Health Food

Why Health Care Practices Should Consider Outsourcing Their Newsletter Marketing Programs

In an ideal world, health care practices would have the time, expertise and resources to create their own newsletter marketing programs. Unfortunately, the reality is quite often the opposite.
The reputation of your health care practice is as important as the health of your patients. And just as you wouldn’t advise your patients to compromise their health by self-medicating, I wouldn’t advise you to compromise your reputation by skimping on the quality of your newsletter. The same way that you would advise your patients to see an expert (you!) about whatever is bothering them, I would advise you to work with an expert on newsletter marketing as well.
Outsourcing your medical, dental or physical therapy newsletter benefits you and your practice in the following ways:
It saves time. Creating a professional newsletter takes time-something that you, as a health care practitioner, don’t have in abundance. On top of that, patients and other health care professionals who receive your newsletter are information savvy. They can tell the difference between a hastily put together newsletter and one that you crafted to include information relevant to their concerns. If your aim is to connect with your readers, encourage them to refer patients to you or come to you in their time of need, a newsletter hastily put together will reflect badly on your health care practice.
Don’t let lack of time affect the quality of your healthcare newsletter. Not only will outsourcing save you time but your readers will love hearing from you because your newsletter articles will be informative and a pleasure to read. They will appreciate the fact that the information you provide is catered specifically to them. We have found that when newsletters are done well, recipients anticipate their arrival.
It gives you access to expertise you lack. When I say lack of expertise, I don’t mean your clinical knowledge. On that front, you are the expert. What I mean is a lack of copywriting expertise.
There’s no one better to educate, teach, and inform your patients and referral sources than you. But it’s quite possible that you don’t have the copywriting, design or marketing skills to do all of the above in words and terms your readers can easily understand.
Having someone whose expertise is to create newsletter content will ensure that your newsletter articles are optimized for your reader’s understanding and interest.
So unless your health care practice has a marketing department with specific experience with newsletter marketing, outsourcing to a newsletter service is your best option.
How to Outsource Your Newsletter Content
When outsourcing your newsletter, look for a company that has experience in your field of health care practice.
Once you find a few companies, research them well. Ask for client testimonials or referrals, and pay close attention to how they communicate. Are they professional? How rigorous are their writing, proofreading and fact-checking processes? Are they willing to go the extra mile?
When you find a newsletter marketing company you trust, you still need to read your entire newsletter. If a reader calls you about a newsletter article that piques his or her interest, be sure you are ready to respond.
Newsletters can be a powerful marketing tool for your medical, dental or physical therapy practice. After 28 years in the newsletter marketing business, I have seen their success firsthand. But I also know that your No. 1 concern is your patients, so my advice to health care practices interested in setting up a newsletter program is always, “Don’t go it alone.”…

No Picture
Health Food

8 Questions to Ask Your Home Health Care Agency Or Nurse

If you are in the process of finding a home care services agency or if you are considering hiring a home care nursing aide or a home health care physical therapist or occupational therapist, it is critical to find out their qualifications.
We assembled a list of 8 questions you can ask the home care agency to ensure that you are choosing the right provider for your needs.
1) What is the background of the home care company & how long have they been in business?
You want to find a reputable in home nursing agency that has been in business for a number of years and has a successful track record. Most newer home nursing care agencies haven’t been around long enough to build a proven track record or a list of red flags.
So, it’s important to find out as much information about the company as possible. You can do this by finding information on who owns the company and what role the ownership plays in the type and levels of service.
2) What are the home nursing care agencies qualifications, certifications, experience and training of their home care aides and nurses?
It’s extremely important to find out about the credentials of the home health aides and nurses that the home care company sends to your home.
Make sure their home health aides and nurses are certified and have received adequate training.
3) How does the home nursing care agency monitor care and can the family provide feedback?
Find out if there are any quality assurance measures in place. Many home health care agencies periodically visit the home of the client or make regular calls to gather client feedback.
If this is not the case, find out how a family member can provide feedback on the quality of care or who they may contact in the home care agency to have any questions answered.
4) Are there any home visits or assessments that take place prior to home health care services beginning?
Find out if there are any options available that allow the family members, client and the home care agency representative to meet prior to the start of services. Most reputable home nursing care agencies offer free consultations.
5) Does the agency have a current operating license in their respective state or city?
It is important to find out if the home health care agency has a current and valid license to operate in their respective city or state. This often overlooked aspect is the most important factor in choosing a home health care agency.
6) How does the home nursing care company work with your doctor in developing a plan of care?
Most agencies work directly with your doctor in planning for your care, especially if the client requires care that is beyond the scope of activities related to activities of daily living.
7) Can the home care company provide references or testimonials?
Most reputable home health care companies can provide references from doctors, nurses, social workers and even clients if requested. They may even have a page on their website that is dedicated to providing this type of information to potential clients.
8) What happens if a home health aide or nurse is absent from the agency on a particular day?
If the home health care provider is required to take a day off for illness or another emergency, what type of protocol is put in place by the home health care company to cover the absence?
There are usually plans put in place to ensure that the client receives that continuity of care in the event of an absence by their home care provider or nurse.…