Name of the Procedure:

Chore Services; Per Diem (HCPCS S5121) Common name(s): Chore Services Technical or medical term: HCPCS S5121

Summary

Chore services are non-medical assistance provided to individuals who need help with daily living activities. This service ensures the living environment remains clean and safe for those who may find it challenging to maintain on their own due to age, disability, or chronic conditions. The term "per diem" indicates that these services are billed on a daily basis.

Purpose

Chore services are aimed at helping individuals maintain a safe and hygienic living environment. These services are often necessary for those who have difficulties performing household tasks due to physical or cognitive limitations. The primary goals are to enhance the individual's quality of life, prevent accidents or injuries, and ensure a clean and comfortably livable home.

Indications

• Elderly individuals with reduced mobility or cognitive function.
• Persons with physical disabilities or limitations.
• Individuals recovering from major surgeries or illnesses.
• Patients with chronic medical conditions that impair their ability to perform household chores.

Preparation

• No special preparation is required from the patient.
• It is helpful to provide a list of tasks that need to be completed.
• A brief assessment may be conducted to tailor the services to individual needs.

Procedure Description

1. Initial Assessment: A healthcare provider evaluates the patient's living environment and determines the necessary chores.
2. Task Assignment: Based on the assessment, specific chores are assigned to a professional chore worker.
3. Execution: The chore worker performs designated tasks such as cleaning, laundry, grocery shopping, and minor home maintenance.
4. Follow-Up: Regular visits and assessments to ensure the living environment remains safe and clean.

Tools/Equipment: General cleaning supplies, laundry equipment, minor repair tools.

Anesthesia/Sedation: Not applicable.

Duration

Chore services are typically provided for several hours each day as needed, with the duration varying based on the individual's requirements.

Setting

These services are performed in the patient's home environment.

Personnel

• Chore workers or aides with training in domestic tasks and elder or disability care.
• Occasionally supervised by nurses or social workers for more complex needs.

Risks and Complications

Common risks:

• Miscommunication regarding task expectations.
• Minor injuries from household tasks (e.g., slips or falls).

Rare risks:

• Risks are minimal and generally related to the home environment rather than the service itself.

Benefits

• Enhanced quality of life and comfort.
• Reduced risk of falls and accidents in the home.
• Maintenance of a clean and safe living environment.
• Improved mental well-being due to a cleaner home.

Recovery

• No recovery period needed since this is a supportive, non-medical service.
• Continuous or regular services may be necessary based on individual needs.
• Follow-up may include assessments to adapt services as conditions change.

Alternatives

• Hiring private cleaning services.
• Relying on family members or friends for assistance.
• Assisted living facilities or other community support programs.
• Pros: Alternatives may offer more personalized or extensive services.
• Cons: Alternatives may be more expensive or less consistent in care quality.

Patient Experience

Patients can expect a clean, safe, and organized living environment. Emotional and psychological relief from stress or anxiety related to household chores is also a typical experience. Comfort measures include the presence of a friendly, supportive aide to assist with daily needs.