Fayette County Health Department accepts Medicare, Medicaid and most major private insurance companies.  The Home Health Nursing Program is
certified by Medicare and is licensed by the State of Illinois.

What Services are Available?
Home Health agency services must be intermittent or part-time and must be necessary and reasonable for treatment of the illness or injury.  The
services are designed to provide skilled services which will include the education and teaching of the patient, patient’s family, and caregivers to
support the rehabilitation and recovery of the patient.

Custodial care (care provided which does not require the skills of a registered nurse, physical therapist, speech therapist or occupational therapist)
is NOT covered by Medicare.

    Skilled Nursing Care
    Provided by Registered Nurses
  • Complete body system assessments
  • Patient specific updated wound care
  • Patient education / teaching
  • Pain management
  • Central / PICC Line / port maintenance
  • Laboratory services (drawing blood for tests, collection of specimens)
  • Injections / instruction to self-administration
  • Diabetic care / teaching
  • Catheterization
  • Change of catheter, instruction to family/caregiver on care of catheter
  • Colostomy and ileostomy care/instruction
  • IV antibiotic therapy

    Pediatric Care
  • Failure to thrive monitoring
  • Well-baby assessments
  • Referrals to WIC and other appropriate community services

    Home Health Aid Care
  • Personal care (i.e. bathing, shampooing, oral hygiene care, and skin care)
  • Body mechanics (i.e. positioning, transferring, assistance with walker and crutches, range of motion)
  • General procedures (i.e. monitoring vital signs, simple dressings)
  • Report changes and needs to nursing
  • Instructional/reinforcement to independency with ADL’s

    Medical Social Worker
  • Long term planning for medical intervention
  • Community resource person
  • Patients advocate
  • Assist with obtaining financial resources
  • Provides emotional support to patient and family

    Occupational Therapy
  • Helps patients regain fine motor skills (i.e. writing, personal care, energy conservation techniques)
  • Assesses patients needs for assistive devices for activities of daily living
  • Upper extremity strengthening / splinting

    Speech Therapy Services
    Care is directed toward:
  • Voice disorder
  • Speech articulation
  • Non-verbal communication
  • Swallowing difficulties
  • Stroke rehabilitation

    Physical Therapy Services
  • Home exercise program
  • Helps patients regain mobility by therapeutic exercises/muscle strengthening
  • Helps patients increase strength and relieve pain
  • Muscle re-education skills
  • Gait training, transfer training

Donations and Memorials
When families, individuals and patients name the Fayette County Health Department Home Health to receive contributions and memorials, it is a
tribute not only to the patient, but to the Home Health staff who frequently leave their homes and families to provide help, comfort, and medical
intervention to patients and families.  Memorials and donations are greatly appreciated.

A contribution is tax deductible and may be of several methods.  No individual employee may accept a gift of value for services.  If the donor wishes to
donate for the benefit of all employees of Home Health, this must be stated when the donation is made.
Home Health Care

The Fayette County Health Department Home Health Care began in 1976 and has continued to meet the needs of Fayette County.  Health care in the
home is comprehensive yet specific to the patient which contributes to the quality of life of our patients.  Recovery time is decreased while cost is

The goal of Home Health is to provide skilled quality patient care in the home setting.  As patient insurance and Medicare/Medicaid providers require
hospitals to reduce their hospital stays, a number of patients returning home have ongoing needs.  Home Health care is a valuable alternative to long
hospital stays or nursing home placement.  Patient and family compliance and assistance enhances the care that Home Health can provide on an
intermittent basis.  In order to be appropriate for home care services under Medicare, patients must continuously meet the following criteria:

  • One must be homebound as defined by Medicare regulations
  • Absences from home should be infrequent and of short duration, but leaving your home for medical care is acceptable.
  • You must have a family member or caregiver able and willing to participate in your care if necessary.
medical, physical and psychosocial outcomes.  The plan of care
includes your physician, one-on-one care, family/caregiver assistance,
to your health care needs.

You have a choice.  When additional care is required after a hospital
stay, many people are not aware they have a choice in who provides
that care, or that they may ask for Home Care if they feel it is needed.  
As a county-based agency, we compete with agencies directly affiliated
with hospitals and agencies operating for profit.  We encourage you to
choose wisely, based on proven quality from professional staff.

Eligibility and Referrals
Any person in Fayette County who is homebound due to a medical
condition is eligible.  A referral may be made by family, case
managers, social workers, physicians, or patients themselves.  
Physician orders will be required prior to admission for Home Health
services.  Referrals may be made prior to entering a hospital for
elective or anticipated treatment by calling the office at 618-283-7262.