HomeVA ProstheticsVA Handbook 1173.13 - Home Respiratory Care ProgramScope

13.2. Scope

a. The term "home respiratory care" pertains to the provision of home oxygen/respiratory care services necessary to assist the eligible person with home respiratory care. The program uses an interdisciplinary approach, involving members of Medical Service, Pharmacy Service, Prosthetic and Sensory Aids Service (PSAS), Acquisition and Materiel Management Service (A&MMS), Nursing Service, Health Administration Service, and contractors who comply with the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) standards.

b. There are three primary methods for providing oxygen therapy in the home:

(1) Compressed gas,

(2) Oxygen concentrators, and

(3) Liquid oxygen.

c. The most efficient and medically appropriate system for providing oxygen will be determined by the prescribing physician based upon the flow rate (per minute) desired, the daily period of usage, the patient's physical condition and daily activities. For instance, an ambulatory patient may need a more portable oxygen system than a bed-confined or homebound patient.


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