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Home Health Articles

Pulse Home Health Care practices skilled health care procedures firmly rooted in the latest research and best practice policies. We routinely mail bulletins to physicians and other medical referral sources to highlight how we help patients and to explain the scientific basis for different services. Here we share selected physician bulletins about Pulses' Home Health Services. If you have questions about how home health could help you, please contact us today.
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Telephone Calls to Your Office

photo of nurse taking a telephone call Handling periods of high telephone call volumes is a management challenge for most doctors’ offices. Here’s an interesting fact that can help offices manage those calls better. A study published in the Journal of Family Practice found that 23% of after-hours calls to the doctor’s office were made by 0.6% of that office’s patient panel.(1) Identifying patients who call more than once over the same or similar issue and connecting them with enhanced care options can have two important benefits. One, it can improve the overall care of these patients and enhance the patient experience with the practice. Two, it can reduce call volume by an appreciable margin while not reducing the patient panel.

In a later study, Hildebrandt and colleagues pulled the charts of high frequency callers and found their common characteristics. (2) Compared to the control group, frequent callers proved 120 times more likely to use the emergency department during the year (1.2 times per year on average) and 80 times more likely to be admitted to the hospital (2.4 times per year on average). Given the correlation between frequent calling and possible hospital readmissions, enhanced interventions have the potential to reduce hospital readmissions among high utilizers and to improve patient health and peace of mind.

Other common characteristics of frequent callers include multiple diagnoses and multiple medications. Thirty-eight percent had psychiatric diagnoses (depression, anxiety, etc.). Twenty-three percent had pain, and 17% had chronic medical conditions.

When your patients are homebound, Pulse Home Health Care stands out as an excellent management option to reduce frequent phone calls and reduce unnecessary rehospitalizations. When you refer your patients to Pulse, those patients have a nurse on-call 24/7. Day or night, patients call our nurse on call first to discuss their current health concerns. Furthermore, upon your referral, we will begin follow-up teaching for your patient and your patient’s caregivers. Making multiple visits to your patients’ homes, we will reinforce teaching on medication, diet, signs and symptoms of exacerbation, emergency planning, and other topics related to your patient’s diagnoses and prescriptions. For qualified patients, Medicare pays 100% of allowable costs from Pulse, and Medicare pays doctors for the paperwork involved with making referrals to Pulse.

Most Patients Pay Nothing for Home Health

  • Patients pay nothing for home health when they qualify for services and have Medicare.
  • Medicare encourages home health episodes designed to decrease the risk of hospitalization, because the investment in patient health saves Medicare thousands of dollars in the long run.


  1. Hildebrandt D, Westfall J. Reasons for after-hours calls. J Fam Pract. 2002; 51: 567-569.
  2. Hildebrandt D, Westfall J, Nicholas R, et al. Are frequent callers to family physicians high utilizers? Annals of Family Medicine. 2004 November / December; 2 (6): 546-548.

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Member Home Care Association of Louisiana
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