On December 3, all home nurses in the state of Connecticut merged with Central State University to further fine-tune the new law coming into force next year in connection with a delegation of medical management nurses with a non-licensed home health care staff. Starting January 1, all home care agencies should develop a policy regarding the delegation of responsibilities to home health care assistants. Currently home care does not have certified home care medicine. The state is still working on the training aspect of the certification program for assistants, so it is unlikely that it will be delegated to administrators in the near future, but we are one step closer to putting this regulation into effect. Understandably, the plan is aimed at patients (mostly psychiatric) who are currently receiving nursing visits from licensed home care agencies for medication management.
The state spends about $ 20 million annually on visits to nursing departments through in-home care agencies. By transferring this responsibility to an Assistant to a Home Health Care Agency, they expect to incur significant cost savings. The government hopes to help patients through medication management with access to home care agencies, and that there will be a large number of nursing homes that will have the right to move to the community.
That is, these patients mostly live in nursing homes because they need the medication they are given every day, and they are not sufficiently responsible for taking them on their own. It can be assumed that most of these patients also have psychiatric illness and require medication monitoring. Then we can expect the community's psychiatric population to grow rapidly in the next two years. Has the State of Connecticut thoroughly assessed the impact of moving these patients to the community?
The fact that these patients may be resistant to the current regimen of their medication, while at the institute, does not mean that they will remain so if they are exposed to community stress and temptations. One can only hope that this policy change is not driven solely by financial factors (government deficits) and that additional auxiliary services will be provided to that population. Thirty years ago, the state of Connecticut moved psychiatric patients from a community hospital to a community that had no less than catastrophic consequences for both the patients and the communities in which they were located. No one is solving this issue yet.
Most of the feedback received in the room from the nurses who would make these changes at the agency level was below positive. Change is often difficult to accept, and especially when it may include increasing agency responsibility, planning headaches, and making it a safe practice. At the same time, as a result of the new regulation, there is a potential increase in the number of mid-level patients being moved to the community, and may see a serious shortage of nurses and assistants over the next few years. qualified monitor these patients at home and take responsibility for their medication management and support services in the community.