Crime in the Home Health Care Field : Workplace Violence, Fraud, and Abuse

Name: Crime in the Home Health Care Field : Workplace Violence, Fraud, and Abuse
Availability: OutOfStock
ISBN: 9780398074043

ISBN-10: 0398074046

ISBN-13: 9780398074043

Edition: 2003

Authors: Brian K. Payne

List price: $42.95

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Description:

Over the past couple of decades, individuals have come to rely more on home health care visits for their health care needs. While there have been decreases in hospital stays and in the percentage of older persons living in nursing homes, the consequence has been the emergence of a new type of occupational crime: home health care abuse. In considering offending in the home health care industry, it is important to focus on crimes by and against home health care professionals. This book is one of the first to fully address abuses occurring in the home health care industry. Its intent is not to suggest that home health care is a dangerous field for workers and consumers; rather, the intent is…

Book details

List price: $42.95
Copyright year: 2003
Publisher: Thomas Publisher, Limited, Charles C.
Binding: Hardcover
Pages: 192
Size: 7.25" wide x 10.25" long x 0.50" tall
Weight: 0.440
Language: English

Brian K. Payne is Chair and Professor of the Department of Criminal Justice at Georgia State University. His research interests include family violence and criminal justice, elder abuse, electronic monitoring, and white-collar crime. He has published six books, including Incarcerating White-Collar Criminals: The Prison Experience and Beyond (ï¿½2003) and Family Violence and Criminal Justice, 3e (ï¿½2009). Additionally, he has published a number of journal articles and presented at many professional meetings.

Preface	p. vii
Home, Home on the Range: Where Health Care is Provided and Crimes are Committed	p. 3
Introduction	p. 3
The Nature of Home Health Care	p. 5
The History of Home Health Care	p. 6
Early Home Health Care	p. 7
Factors Influencing Home Health Care Expansion	p. 10
The Structure of Home Health Care	p. 15
Types of Home Health Care Agencies	p. 15
Occupations in the Home Health Care Field	p. 18
Occupational Drawbacks	p. 22
Crime in the Home Health Care Field	p. 25
Conceptualizing Crime in the Home Health Care Industry	p. 29
Types of Crime in the Home Health Care Industry	p. 31
Summary and Presentation Plan	p. 33
Home Health Care Professionals as Victims and Witnesses	p. 36
Introduction	p. 36
Types of Abuse Against Home Health Care Professionals	p. 37
Non-Fatal Assaults	p. 41
Verbal Abuse	p. 43
Sexual Abuse	p. 44
Intimidation	p. 44
Inconsiderate Practices by Clients	p. 45
Transportation Accidents	p. 46
Homicides	p. 47
Risk Factors	p. 48
Patient-Based Risk Factors	p. 49
Occupation-Based Risk Factors	p. 50
Contact with the Public	p. 50
Exchange of Money	p. 50
Having a Mobile Workplace	p. 51
Working Alone or in Small Numbers	p. 51
Working Late at Night, During Early Morning Hours, or in High Crime Areas	p. 52
Preventing and Responding to Victimization	p. 52
Management Commitment	p. 53
Employee Involvement	p. 55
Hazard Analysis, Hazard Prevention, and Control	p. 57
Training and Education	p. 57
Recognizing Potentially Volatile Situations	p. 58
Avoiding Volatile Situations	p. 59
Diffusing Volatile Situations	p. 61
Responding to Violence after the Fact	p. 61
Home Health Care Workers as Witnesses and Reporters	p. 62
Concluding Remarks	p. 67
Crimes by Home Health Professionals: Violence, Theft, and Deception	p. 70
Introduction	p. 70
Homicide	p. 73
Physical Abuse	p. 75
Sexual Abuse	p. 76
Neglect	p. 79
Drug-Related Offenses	p. 80
Emotional Abuse	p. 81
Rights Violations	p. 83
Theft from Clients	p. 83
Theft from Medicare/Medicaid	p. 86
The Structure of Medicare and Medicaid	p. 87
Factors Contributing to Concerns about Fraud	p. 88
Fraud versus Abuse Conceptualizations	p. 91
Legal Definitions of Fraud	p. 92
Types of Fraud in the Home Health Industry	p. 93
The Provision of Unnecessary Services	p. 94
Billing for Services Not Provided	p. 96
Overcharging	p. 98
Forgery	p. 98
Negative Charting	p. 99
Substitute Providers	p. 100
Double Billing	p. 100
Kickbacks	p. 101
Patterns Surrounding Fraud	p. 102
Source of Crime in Home Health Care Field-Caregiver or Customer?	p. 102
Types of Providers More Prone to Crime in the Home Health Care Field	p. 102
Offenses Usually Occur Over Time	p. 103
The Group Context	p. 103
Concluding Remarks	p. 104
Responding to Crime in the Home Health Care Field: Strategies, Obstacles, and Issues	p. 105
Introduction	p. 105
Detecting Home Health Care Offenses	p. 109
Referrals from Care Recipients/Family Members	p. 110
Referrals from Caregivers	p. 111
Referrals from Competitors	p. 112
Referrals from Anonymous Tips	p. 112
Referrals from Employers	p. 113
Referrals from Current and Former Employees	p. 119
Referrals from Local and State Agencies	p. 120
Audits as Detection Strategies	p. 121
Investigating Home Health Care Misconduct	p. 122
Prosecuting Home Health Care Misconduct	p. 124
Criminal Prosecutions of Home Health Care Offenses	p. 124
Civil Prosecutions of Home Health Care Offenses	p. 125
Civil Prosecutions by Justice Officials	p. 126
False Claims Act Prosecutions	p. 127
Qui Tam Lawsuits	p. 128
Punishing Home Health Care Misconduct	p. 131
Fines as Punishment of Home Health Care Offenders	p. 132
Probation and Home Health Care Offenders	p. 132
Incarcerating Home Health Care Offenders	p. 133
License Revocation and Program Exclusion	p. 135
Problems Responding to Home Health Care
Misconduct	p. 135
Proof Problems	p. 136
Witness Problems	p. 138
Memory Problems	p. 138
Cognitive Problems	p. 138
Relational Obstacles	p. 139
Conspiracy Problems	p. 140
The Hidden Nature of Home Health Care Misconduct	p. 141
Record Chasing	p. 142
Complexity	p. 143
Statutory Problems	p. 144
Minor Losses	p. 144
The Problem of Offender Sympathy	p. 145
The Time Problem	p. 145
Ageism	p. 146
Funding	p. 147
Cooperation and Home Health Care Investigations	p. 148
Concluding Remarks	p. 149
Preventing Home Health Care Misconduct	p. 151
Institutional Causes	p. 151
Organizational Causes	p. 152
Societal Causes	p. 153
Concluding Remarks	p. 156
References	p. 157
Name Index	p. 167
Subject Index	p. 172
Table of Contents provided by Rittenhouse. All Rights Reserved.