Home care for adults
The home is a privileged place of care, where a team of professionals accompanies the patient and his/her daily family.
Contact us to activate home care or request information
What are they
Home care includes integrated health and social-health activities that are provided directly to the assisted person’s home.
< strong>TYPE OF HOME SERVICES PROVIDED
Health area
• nursing, specialist medical, psychological assistance, complex pathologies
• functional rehabilitation (neuropsychomotor skills, physiotherapy, speech therapy, occupational therapy)
Auxiliary area
• assistance in mobilization and personal hygiene
• assistance with activities of daily living
Who are they addressing?
Home care is guaranteed to fragile people without any distinction:
- elderly with chronic/degenerative pathologies
- neurological patients
- people with disabilities
- people with an oncological diagnosis
- people affected by AIDS or who require specific therapies
- all those who, due to disability, cannot are able to go to clinics or other local facilities
There are no age or income limits.
Delivery method
Home care (C-DOM) can be provided both in agreement with the Regional Health System (SSR) and privately.
The numbers
patients home care adult area
patients home care HIV patients
Activation of the service
Prescription
Home care can be prescribed by:
- the general practitioner
- the Free-choice pediatrician
- the hospital specialist with regards to protected discharges
- the territorial socio-health units (the set of structures territorial or home, daytime and residential which constitute the network of social-welfare services in the area).
Attention: There must be a person in the house ( care giver) dedicated to patient care.
Activation
If you or a family member has been instructed to activate the home care service, here are the steps to follow:
- Request ol>
- Contact your reference ASST and request activation of the C-DOM service
- Evaluation of the request< /strong>
- The ASST evaluates the request
- The ASST establishes the Intervention Project (P.I.)
- Issuance of the health voucher from the ASST and provision of the list of subjects accredited to provide the home care service.
- Activation of the service with the Foundation Maddalena Grassi
- Contact the Maddalena Grassi Foundation
- Our professionals define the Individual Assistance Plan (P.A.I.)
- Maddalena Grassi Foundation activates the taking charge (taking charge is activated by the Care Manager, while the Case Manager has the responsibility of facilitating and coordinating the assistance of the patients during their taking charge)
ASST
The Territorial Socio-Health Companies (ASST) participate together with the other providers, both public and private, accredited with the national health system of the C-DOM service (as foreseen by the Essential Levels of Assistance, LEA) and any additional levels defined by the Region with its own resources, in the logic of taking charge of the person, defining an Individual Plan (PI)
Individual Project (IP)
Document issued by ASST containing the identification and programming of the various interventions of the project.
Individual Assistance Plan (PAI)
document issued by the C-DOM provider in charge of the patient and shared with the user. The PAI defines the objectives of the assistance and the expected services with their relative frequency and duration over time.
Equipe
- Medical specialists
- Nurses
- Developmental neuropsychomotor specialists
- Physiotherapists
- Social health workers/social assistance auxiliaries
Locations and territory
The C-DOM organizational headquarters of the Maddalena Grassi Foundation is located in Milan in via Bordighera 6
It can be reached by public transport:
- < li>MM2 (Romolo stop at 750 m)
- lines 90,91 and 47 (P.zza Bonfanti stop at 500 m)
- line 59 (via Spezia stop 300 m away)
The headquarters in via Bordighera is also the operational headquarters for the ATS of Milan Metropolitan City.
Opening hours:
Monday to Friday from 9.00 to 18.00.
The Home Care service (C-DOM) of the Maddalena Grassi Foundation is authorized and accredited by the Lombardy Regional Social and Health System and operates in the following territorial areas:
- ATS Milan Metropolitan City
The entire territory of the Municipality of Milan (ASST Grande Ospedale Metropolitano Niguarda, ASST Santi Paolo e Carlo, ASST Fatebenefratelli Sacco, ASST Melegnano and Martesana – Visconteo district).< /p>
- ASST NORTH MILAN
- ASST WEST MILAN – only ABBIATENSE district
- ASST RHODENSE – only CORSICHESE district
- ATS Brianza< /li>
- ASST OF BRIANZA
- ASST OF MONZA
FAQ
Who will come to my house?
Only qualified professionals will show up at your home. The Maddalena Grassi Foundation does not provide domestic assistance (caregivers) or babysitting services.
What documents are needed to activate home care (C-DOM)?
To activate private home care it is sufficient to provide:
- Photocopy of the Patient’s Identity Card (front / back)
- Photocopy of the Tax Code (Service Charter)
To activate integrated home care (in agreement with the Regional Health System) you must provide:
- Prescription from your GP
- Photocopy of the Patient’s Identity Card (front / back)
- Photocopy of the Tax Code (Service Charter)
If the patient comes from hospital discharge, add:
- Hospital discharge letter
- Only if rehabilitation treatments started in hospital need to be continued, the PRI (Individual Rehabilitation Plan)
Is it possible to activate a physiotherapy service through the home care service (C-DOM)?
With private home care it is always possible to activate the physiotherapy service.
With home care integrated with the SSR (Regional Health System) only patients in the acute phase of the pathology can be taken care of ( right femur fracture; stroke; bed rest syndrome…), for example after discharge from hospital dating back no more than 2 months ago or after a fall at home certified by an emergency room visit .
A prescription from the GP is required which requires a physiatric visit and a cycle of physiotherapy: “C-DOM activation is required, first physiatric visit to the home for PRI drafting and cycle of physiotherapy in patient following the outcome of…
If the patient has already undergone rehabilitation in hospital and is in possession of the PRI (individual rehabilitation project), it is not necessary to have a physiatric visit. In this case the C-DOM service is activated with the PRI, the hospital discharge letter and the GP’s prescription which must contain the following formula: “C-DOM activation is required for a physiotherapy cycle in a patient following the outcome of…”
Attention: The PRI must have been drawn up by a physiatrist and not by other specialists (geriatrician, orthopaedist, etc.) .
Can Home Care (C-DOM) be activated for personal hygiene?
With private home care there are no limitations.
Instead, the regional rules of the home care service (health service) allow the provision of personal hygiene services only if nursing and/or physiotherapy assistance is underway or needs to be activated.
How is your service structured?
We have a group of people from healthcare backgrounds who are responsible for organizing care (care managers). These are the people who will contact the Patient or his/her care provider (care giver) to find health information. Then there are healthcare professionals who directly deal with the patient’s treatment process (case manager). The care manager will contact a case manager, communicating the information received, and will send him to the Patient’s home for care.
The case manager will carry out an accurate assessment of the Patient’s socio-health situation, fill in the PAI (Individualized Care Plan) and will determine the intensity of care needed. He will carry out the first healthcare service and entrust the continuation of the assistance to a healthcare professional. Periodically the case manager will visit the home to re-evaluate the patient.
Request assistance, how long does it take for the service to arrive?
Under normal conditions, the times for activating home care are on average 24 hours for nursing services, 72 hours for rehabilitation services and 12/24 hours for palliative care.
In certain periods of the year, coinciding with particular situations, and for some types of services there may be waiting lists and longer deadlines. Our care managers will provide indications on waiting times from time to time.
What is the role of the care giver in the home care plan (C-DOM)?
Care giver is a family member who experiences the treatment process together with the sick person. It plays an informal role of assistance, support and closeness, actively participating in the experience of the illness and dedicating itself to daily personal care activities.
It is not necessary for the Care giver to be present at all times of the day. However, it is essential to define a reference point for the operators who will come to your home. The care giver, in fact, will have the task of reporting what happens between one visit and another.
Service Charter
Fondazione Maddalena Grassi
Contacts
To request information and to activate home care:
DEDICATED NUMBER
TEL: 02 29521856
FAX: 02 20240374
Number active from Monday to Friday from 9:00 to. 18:00
Mail: assistenza@fondazionemaddalenagrassi.it
C-DOM/ADI Coordinator: Fabio Pellegatta
Health Director: Orsola Sironi
For patients already in care:
PRIVATE NUMBER
ATS METROPOLITAN CITY: 02 29522431
ATS DELLA BRIANZA: 02 80011350
Monday to Friday from 9:00 to 18:00
The operational headquarters for the ATS della Brianza, in via Meredo 39 in Seveso (MB), is not open to the public.