AG ADULT
FOSTER CARE
1-781-605-3724
We provide innovative solutions that improve health and quality of life for those in need of in-home health services. AG Adult Foster Care services has established itself as one of the most experienced homecare companies in the industry. As an established community partner, AG Adult Foster Care is focused on patients and dedicated to deliver quality patient care. All services are supported by a network of experienced healthcare professionals and staff. We are committed to provide a quality care, with a level of expertise, training, patient service, and monitoring.
Our Services
Care Managers
Responsible for coordinating care and monitoring the needs of the member in conjunction with the registered nurse. Care management performed by the AFC Care Manager include the following activities:
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Conducting initial and ongoing psychosocial evaluation of a member's appropriateness for AFC;
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Evaluating, supporting, and training AFC Caregivers;
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Assisting with the development of the member's interim and final AFC plan of care with input from the member or responsible party, all members of the MDT, and other individuals designated by the member.
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Ensuring implementation of the AFC plan of care;
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Conducting on-site visits with each member at the qualified setting;
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Assisting with coordination of AFC with any other health services or supportive services the member is receiving from MassHealth, a managed care organization, an accountable care organization or other agencies or organizations including, but not limited to, visiting nurse services, therapy services, Department of Developmental Services (DDS) services, Department of Mental Health (DMH) services, and Massachusetts Rehabilitation Commission (MRC) services;
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Assisting with making referrals to appropriate service providers if the member requires services other than those provided by the AFC provider.
Registered Nurses
Registered nurses fulfill a variety of job duties. In addition to the primary role in treating and caring for patients, their responsibilities also include educating patients and the public about a variety of medical conditions, as well as providing emotional support and advice to the families of their patients. Some duties include:
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Completing or coordinating all applicable clinical assessments and clinical evaluations;
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Developing the member's interim and final AFC plan of care, with input from the member or responsible party, all members of the MDT, and other individuals designated by the member;
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Completing a semi-annual health status report for each member;
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Ensuring implementation of the AFC plan of care;
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Coordinating the delivery of AFC with any other health services or supportive services the member is receiving from MassHealth or other agencies or organizations, including, but not limited to, visiting nurse services, therapy services, Department of Developmental Services (DDS) services, Department of Mental Health (DMH) services, and Massachusetts Rehabilitation Commission (MRC) services;
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Conducting on-site visits with each member at the qualified setting;
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Completing a nursing progress note for each on-site visit or encounter and upon significant change;
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Monitoring each member's health status and documenting those findings in the member's medical record for each on-site visit or encounter, or more often as the member's condition warrants;
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Educating the member about hygiene and health concerns;
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Reporting changes in the member's condition to the member's PCP;
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Coordinating and implementing the PCP form and approval for AFC with the member, AFC caregiver, and AFC provider personnel.
Caregivers
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Supervise and assist with ADL’s, IADL’s, and any other personal care of a member that is necessary for the member's health and well-being;
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Monitor and report any nonurgent or nonemergency changes in the member's medical condition to the member's AFC provider. In cases of emergency, the AFC caregiver must report directly to the most appropriate provider and follow up with the AFC provider;
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Maintain of the qualified setting consistent with the requirements of 130 CMR 408.435;
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Complete a caregiver log;
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Provide ongoing supervision to the member of health-related activities, such as:
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timely refilling of the member's prescriptions;
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assisting with or arranging for member transportation to medical and other appointments;
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assisting the member to comply with health-care instructions from health-care providers; and promptly arranging for medical care that the member needs.
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issuing reminders to the member about prescribed medications;
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Benefits of the AFC Program
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24-Hour Supervision
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Caregiver Training – initial and continuing
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Care Management
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Companionship
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Nursing Oversight – provided by a registered nurse
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Bathing – includes grooming and personal hygiene
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Dressing / Undressing
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Eating
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Housekeeping
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Laundry
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Meal Preparation / Clean Up
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Maintenance of Wheelchairs and Adaptive Equipment
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Medication Management – includes assistance with paperwork to receive prescribed medications
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Mobility
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Shopping for Essentials
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Toileting
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Transferring
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Transportation – to appointments