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VNS Services

Care Choices

The Care Choices Program is a specialized program for the coordination of healthcare services in the homecare setting for persons with very serious illnesses. Under the direction of your doctor, we help you manage your pain and symptoms to allow you to remain independent in the comfort of your home.

Managed by the Visiting Nurse Service of Northeastern New York, the
interdisciplinary team will work with you...with a patient-centered focus to establish and maintain your goals of care during this stage of your life.

When you or a loved one has advanced illnesses, it is often a time of change and adjustment. We provide support to ease fears that come with advanced chronic illnesses.

Who is it For?

Care Choices is for people with advanced illness who are currently receiving treatment for their illness or those who have completed or discontinued treatments. Examples of advanced chronic illnesses include heart and lung diseases, Alzheimer’s and cancer. Care Choices Palliative Care IS NOT Hospice. Care Choices Palliative Care is provided under the Skilled Home Healthcare benefit for eligible patients with a Skilled Medical Need, who are Homebound; defined as requiring considerable effort to be outside of the home.

Your Team

The VNS uses a team approach to managing your care and/or treating your illness. Our experienced staff works directly with your doctor to develop an individual care plan. The interdisciplinary team will work with you...using a patient-centered focus to establish and maintain your goals of care with a Patient Specific Plan of Care under the direction of your physician who certifies ongoing skilled medical need every 60-days.

Our team includes:

  • Your Physician
  • Physical Therapist
  • Occupational Therapist
  • Speech Therapist
  • Respiratory Therapist
  • Social Worker
  • Registered Nurse
  • Licensed Practical Nurse
  • Home Health Aide
  • Registered Dietician
  • Chaplain (Spiritual Counselor)

What to Expect

  • Comprehensive in-home health assessment
  • Individualized care plan based on your needs and goals of care.
  • Expert clinical attention to distressing symptoms
  • Assistance in connecting various community partners to help you make healthcare decisions.

Next Steps

VNS will need the following for admission to the Care Choices Program:

  • Physician's referral – your doctor must make a referral for care based on the skilled medical need
  • Patient request – you must express your desire to remain at home and to play an active role in the management of your care, and speak with your physician to make a referral.