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VI. Utilization of Services

A. Home Health Agencies

Home health care services are rapidly growing in the United States 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 services are designed to allow the patient the maximum amount of independence while staying at home.

Source, OSHPD, Home Health Utilization Report, 1994, 1995.

Table 6.1 Home Health Agency Utilization

Imperial County 1994 1995
Patients Visits Patients Visits
Olsten Health Services 2,085 59,594 2,071 62,716
Helping Hands 754 41,681 338 36,163
Helping Hands, Branch 89 4,968 182 11,885
Imperial Valley Home Health 250 12,219 192 14,365
Home Choice Health Care 63 1,681 377 18,012
Home Care Partners 4 47 296 14,022
Total 3,245 120,190 3,456 157,163

There are six licensed Home Health Agencies located in Imperial County. In 1995, they together saw 3,456 patients for a total of 157,163 visits. (Table 6.1). Of this amount, 47% of the visits were made by a Registered Nurse, 37% were made by a Home Health Aide, 6% by a Physical Therapist, and the remaining 10% by a variety of other health care personnel. The average number of visits per patient in 1995 was 45. Although the Home Health Agencies are located primarily in Brawley and El Centro, services are available to patients living throughout the county. The payer mix for visits is reported in Table 6.2.

Source: OSHPD, Home Health Agencies Financial Report, 1995

Table 6.2: 1995 Home Health Agency Payer Mix

  Imperial County California U.S.
Medicare 92.3% 81.5% 47.3%
Medi-Cal 3.8% 3.8% 11.2%
Commercial/Private Pay/Other 3.9% 14.7% 41.5%

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