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VI. Utilization of Health Services

A. Home Health Agencies

Home health care services are rapidly growing nationwide in response to the increasing size of the elderly population, declining family support, new technology and treatment procedures in medicine, and changing consumer expectations. Ideally, home health care is designed to allow the patient the maximum amount of independence while staying at home.

Table 6.1: Home Health Agency Utilization
Humboldt/Del Norte Counties 1994 1995
Patients Visits Patients Visits
Sutter Coast H.C. 477 30,379 727 25,247
Humboldt HHS-Eureka 1,255 51,946 1,432 53,848
Humboldt HHS-Fortuna 795 25,359 686 23,501
Mad River Com Hospital HHS 517 23,723 545 12,913
General Hospital HHA 425 9,359 945 31,509
Total 3,469 140,766 4,335 147,018
Source: OSHPD Home Health Care Utilization Report, 1994, 1995.

There are four licensed Home Health Agencies located in Humboldt County and one Home Health Agency located in Del Norte County. In 1995, they together saw 3,469 patients for a total of 140,766 visits, as shown in Table 6.1. Of this amount, 50.3% of the visits were made by a Registered Nurse, 32.4% by a Home Health Aide, 9.6% by a Physical Therapist, and the remaining 7.7% by a variety of other health care personnel. The average number of visits per patients was 33.9 in 1995. Although the Home Health Agencies are located in the larger communities in the region, services are available to patients living throughout the counties. The payer mix for visits, reported in Table 6.2, shows that, by far, the majority of visits were to Medicare patients.

Table 6.2: 1995 Home Health Agency Payer Mix
  Del Norte County North Humboldt California
Medicare 89.6% 84.2% 81.5%
Medi-Cal 5.4% 5.4% 3.8%
Commercial/Private Pay/Other 4.9% 10.4% 14.7%
Source: OSHPD Home Health Agencies Financial Report, 1995

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