Social work visit, in the home, per diem
HCPCS code
Name of the Procedure:
Social Work Visit, In the Home, Per Diem (S9127)
Common names: Home Visit by Social Worker, In-Home Social Work Assessment
Technical/Medical terms: S9127, Social Work Home Care, Home-Based Social Services
Summary
A social work visit in the home involves a licensed social worker traveling to a patient's residence to provide supportive services, assess needs, and create a care plan. This service is designed to help address the social, emotional, and practical needs of the patient within the comfort of their own home.
Purpose
The procedure addresses social, emotional, and practical problems that may impede a patient's ability to manage their health and well-being. The goals include evaluating the patient's living conditions, identifying resources and support systems, and creating a comprehensive care plan to improve their quality of life.
Indications
- Chronic illness or disability
- Recent hospital discharge
- Elderly or individuals with limited mobility
- Mental health issues such as depression or anxiety
- Need for assistance with navigating social services or community resources
Preparation
No specific preparation is required from the patient. It is helpful for the patient to have any relevant medical documents or lists of medications available. The social worker may request background information on the patient's health and social situation.
Procedure Description
- Initial Contact: The social worker coordinates the visit with the patient and/or family.
- Home Visit: The social worker arrives at the patient's home at a scheduled time.
- Assessment: The social worker conducts a comprehensive assessment of the patient’s psychosocial needs, living conditions, and support systems.
- Planning: Depending on the findings, the social worker develops a care plan, which may include referrals to relevant community resources, counseling, or coordinating with other healthcare providers.
- Follow-Up: The social worker may schedule additional visits or follow-up calls to monitor progress and adjust the care plan as needed.
No specialized tools or equipment are usually required, and the procedure does not involve anesthesia or sedation.
Duration
A social work home visit typically lasts between 1 to 2 hours, depending on the complexity of the patient's needs.
Setting
The procedure is performed in the patient's home.
Personnel
The visit is conducted by a licensed social worker, often supported by community health workers or case managers as needed.
Risks and Complications
Risks are minimal but may include:
- Miscommunication or misunderstanding of the patient’s needs.
- Inadequate assessment if the patient is unwilling or unable to disclose information.
- Challenges in accessing urgent resources or services.
Benefits
- Personalized care and support in a familiar environment.
- Empowerment through connecting patients with community resources.
- Improved mental and emotional well-being.
- Enhanced ability to manage health conditions and daily activities.
Recovery
No physical recovery is required. Patients may experience immediate emotional relief and a sense of support. Follow-up visits or calls may be scheduled to ensure ongoing support.
Alternatives
- In-office visits with a social worker or psychologist.
- Telephone or virtual consultations.
- Utilization of community support groups or resource centers.
Each alternative has its pros and cons, such as convenience, accessibility, and level of personalized care. In-home visits often provide the most comprehensive and tailored support.
Patient Experience
During the visit, patients can expect a supportive and non-judgmental interaction. They will be encouraged to share their experiences, challenges, and concerns. Comfort measures include a calm and empathetic approach by the social worker, with a focus on building trust and rapport.