Glossary beginning with H

Click one of the letters above to go to the page of all terms beginning with that letter.


Hands-On Assistance

When a person always requires the physical assistance of another person to perform one or more Activities of Daily Living (ADLs), generally because they are physically unable to perform that activity.

Health Maintenance Organization

An organization that uses <b>Managed Care</b> concepts to oversee the care needs of its enrollees using a set pool of money to pay for those needs.

Home and Community Based Services

Non-medical services provided to older people still living in their own homes. These services may include case management, meals, companions, houskeeping, adult day care, senior center, and other services designed to keep people as independent as possible. Many states are experimenting with the development of Medicaid-funded HCBS programs in an effort to keep people in their residences and out of expensive nursing homes, in order to reduce the drain on the stateÂ’s Medicaid budget.

Home Care

Care provided in the patientÂ’s home. A wide range of health-related services such as assistance with medications, wound care, intravenous (IV) therapy, and help with basic needs such as bathing, dressing, mobility, etc., which are delivered at a person's home. This type of care can include nurses, social workers, occupational therapists, physical therapists, and other rehabilitation services. Medical services may be covered by Medicare if delivered by a Medicare-certified provider. Non-medical services and services provided by non-professionals are generally not covered by Medicare. State coverage of home health services under Medicaid varies widely.

Home Health Agency

A licensed provider which delivers medical services in patientsÂ’ homes. HHAs may be Medicare-certified or Medicaid-certified. Individual plan of care records are kept on each patient, there is supervision by a qualified professional (RN or licensed social worker), and the facilities employees receive appropriate specialized training. HHAs usually provide Registered Nurses, License

Homemaker Services

Non Personal Care services delivered at home, such as shopping, laundry, light cleaning, meal preparation, transportation assistance, money management, home repairs, yard work, and personal hygiene and grooming.


A cost-effective living arrangement in which one or more unrelated people move into the house or apartment of an older adult. Often the person who moves in functions as a light caregiver, prepares meals, and helps with housekeeping in lieu of rent.


A special concept of care designed to provide comfort and support to patients and their families when a life-limiting illness no longer responds to cure-oriented treatments.

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