Safety Net Assistance Project

Safety Net Assistance Project SNAP's mission is to assist the at-risk elderly by helping them navigate and access resources to ensure an adequate quality of life. Our ultimate goal is a world where all the physical, emotional, spiritual and medical needs of the elderly population in our communities are wholly met on a daily basis.

The mission of SNAP, a not-for-profit foundation, is to assist the at-risk elderly in our communities. The goal is to help them navigate and access resources and assistance to ensure that they maintain an adequate quality of life. With community resources available such as homeless shelters, food banks and charitable organizations still far too many of our citizens go hungry every night, sleep on the streets and do not have access to proper medical care. Our desire is to bridge those gaps.

Operating as usual


This story brought a smile to my face.
A Bear in the Bathtub

Some of you may recall an account of what I call the "true spirit of home care." It's this spirit that will carry us through the current pandemic as it has carried us through many other crises of various types. Here's the story:
A home health aide in Maine visited a patient in the dead of winter. The main room of the patient's home was heated by a wood stove, while the doors to the remainder of the rooms were closed, including the door to the only bathroom. The aide prepared to give the patient a bath. When she entered the bathroom, she found a dead bear in the bathtub. This was not surprising to her because she knew that the bear was a source of food for the patient and family during the winter. But how was she going to give the patient a bath with a bear in the only bathtub?
The aide had a Hoyer lift that she used for the patient and quickly realized that she could also use the lift for the bear. She used the lift to remove the bear from the bathtub, and move the patient into and out of the bathtub. Then she used the lift again to put the bear back in the bathtub where it "belonged."
This, my friends, is part of the true spirit of home care! It's that "can do" attitude that shows we will do whatever is necessary to meet the needs of our patients. "Whatever it takes" might be the motto of many home care providers.
There is another aspect of the true spirit of home care that is equally important.
Recently, an agency needed an experienced staff member to assist with billing on a part-time basis, but wasn't having any luck identifying such a person. A competitor employed an experienced biller who worked only four days per week. When the competitor heard about the need for an experienced biller, the competitor volunteered its biller to the agency.
This, my friends, is also what the true spirit of home care is all about: the willingness to assist fellow providers, even competitors, with crucial functions of agency operations. Generosity of spirit, graciousness, and value clearly placed on relationships with fellow providers are essential to the success of the industry as a whole.
The true spirit of home care makes us strong and provides a sound basis for a future that is good for patients and providers in the industry. Bill Dombi, President of the National Association for Home Care and Hospice, describes home care as "the best place to be." Yes, indeed! To all of you who embody the true spirit of home care, we say a resounding, "Thank you!" You know who you are.
©2020 Elizabeth E. Hogue, Esq. All rights reserved.


I think this is a bad idea!! It took years to get hospitals to comply so this a huge step backwards!!!

Patients' Right to Freedom of Choice in a COVID World
The Centers for Medicare and Medicaid Services (CMS) has issued a number of waivers of various requirements for healthcare providers. On May 11, 2020, CMS issued waivers regarding requirements for discharge planning for hospitals and critical access hospitals (CAHs). These waivers are described below.
CMS is waiving: Requirements of 42 CFR 482.43(a)(8), 42 CFR 482.61(e) and 42 CFR 485.642(a)(8) to provide detailed information about discharge planning as follows:

The hospital, psychiatric hospital and CAH must assist patients, their families or patients' representatives to select a post-acute provider by using and sharing data that includes, but is not limited to, home health agency (HHA), skilled nursing facility (SNF), inpatient rehabilitation facility (IRF) and long-term care hospital (LTCH) quality measures and resource use measures. The hospital must ensure that the post-acute care data on quality measures and resource use measures is relevant and applicable to patients' goals of care and treatment preferences.

Requirements and subparts of 42 CFR Section 482.43(c) related to post-acute care services to expedite the safe discharge and movement of patients among care settings, and to be responsive to fluid situations in various areas of the country except as indicated below. Specifically, CMS is waiving requirements that hospitals ensure patients discharged home and referred for HHA services, or transferred to a SNF for post-hospital extended care service or transferred to an IRF or LTCH for specialized hospital services must:

482.43(c)(1): Include in the discharge plan a list of HHAs, SNFs, IRFs or LTCHs that are available to patients;

482.43(c)(2): Inform patients or their representatives of their freedom to choose among participating Medicare providers and suppliers of post-discharge services; and

482.43(c)(3): Identify in discharge plans any HHA or SNF to which patients are referred in which hospitals have disclosable financial interests.

CMS is maintaining: Discharge planning requirements that ensure patients are discharged to appropriate settings with necessary medical information and goals of care as described in 42 CFR 482/43(a)(1)-(7) and (b).
Since most of these requirements are included in statutes, it is unlikely that CMS waivers will be permanent. Nonetheless, important rights are being waived temporarily that seem difficult to justify.

©2020 Elizabeth E. Hogue, Esq. All rights reserved.


Running Toward the Fire
Much of the focus thus far in the treatment of COVID-19 patients has been on hospitals and rightfully so. Practitioners on the front lines of treatment of COVID-19 patients and policy makers are now beginning to advocate for the treatment of COVID-19 patients at home instead of in hospitals. Are home care providers ready to run toward the fire?

Italian physicians led the way, as reported in an article, "A Plea From Doctors in Italy: To Avoid COVID-19 Disaster, Treat More Patients at Home," by Sharon Begley that appeared in STAT on March 21, 2020. The article says:

A dozen physicians at the epicenter of Italy's COVID-19 outbreak issued a plea to the rest of the world..., going beyond the heartbreaking reports of overwhelmed health care workers there and a seemingly uncontrollable death toll to warn that medical practice during a pandemic may need to be turned on its head with care delivered to many patients at home.

Fearful that major hospitals and ambulances transporting sick patients to hospitals became major sources of transmission of COVID-19, physicians said:

Managing patients at home is a brilliant thing...and one that could be augmented by mobile clinics and telemedicine. Bring them nutrition, measure their oxygen levels, even bring them oxygen, and you probably keep many of them at home...That change would decrease transmission and protect other patients as well as health care workers.

Then, in "Will 2020 Be the Year That Medicine Was Saved?" that appeared in The New York Times on April 14, 2020, Ezekiel J. Emanuel and Amol S. Navathe, who direct the Healthcare Transformation Institute at the University of Pennsylvania, pointed out that treatment of chronic conditions has been slowly moving from hospitals to home care. The authors said:

In general, patients treated at home recover faster, with fewer tests, fewer readmissions and high satisfaction. And care in the home typically costs less than care in hospitals. Covid-19 has shown that even more patients can be treated well without being hospitalized.

Among the authors' recommendations in the article is that: "hospitals should be required to offer all low-risk patients a care-at-home option, so they can stay out of the hospital..."

Finally, in "Senior Care Innovator Bill Thomas: COVID-19 Rewriting Health Care Rules, Pushing Home Care into the Spotlight," by Joyce Famakinwa that appeared in Home Health Care News on April 20, 2020, Mr. Thomas characterized the COVID-19 virus as a "home-and community-based emergency."

Thomas went on to say:

Let's say that the intense focus on hospitals, ventilators and ICU beds was the right thing in the early weeks of the outbreak. Maintaining that focus, going forward, is actually counter-productive. If we're going to control the virus in the months before we have a vaccine, it's not the hospitals that are going to get control of the virus, it's the home. That's where we will hold the virus at bay.

Thomas closed with this prediction:

First, we're going to finally see an awareness from health care systems that home care is an essential part of the equation and not just someone to call at the end of a hospitalization. Home care providers need to be at the table, working side-by-side with health care systems to design responses...In order to manage the second, third and fourth wave of this COVID virus, we're going to need a really powerful, well organized, well-resourced home care system nationally.

Yes! Yes! Yes!

The focus on home care providers as first responders, however, means that they must be prepared to "run toward the fire" as first responders do instead of "mopping up" after patients are discharged from hospitals. Scary as this idea may be seem to some, there is no doubt that home care providers are up to challenge. As a longtime friend to home care, I know it's so! Make it so!

©2020 Elizabeth E. Hogue, Esq. All rights reserved.




Nurses on the Front Lines of Coronavirus: Shaved Heads and Adult Diapers!

Nurses are undoubtedly on the front lines in the fight against coronavirus. Here are excerpts from a letter that Chinese nurses from Wuhan sent to The Lancet:

The conditions and environment here in Wuhan are more difficult and extreme than we could ever have imagined...Due to the need for frequent hand washing, several of our colleagues' hands are covered in painful rashes. As a result of wearing an N95 respirator for extended periods of time and layers of protective equipment, some nurses now have pressure ulcers on their ears and foreheads....In order to save energy and the time it takes to put on and take off protective clothing, we avoid eating and drinking for two hours before entering the isolation ward. Often, nurses' mouths are covered in blisters. Some nurses have fainted due to hypoglycaemia and hypoxia...In addition to the physical exhaustion, we are also suffering psychologically. While we are professional nurses we are also human. Like everyone else, we feel helplessness, anxiety, and fear...

In an article in The New York Times on February 26, 2020, entitled "Shaved Heads, Adult Diapers: Life As a Nurse in the Coronavirus Outbreak," Nurse Zhang Wendan reports that she has cut her hair short for personal hygiene and convenience. Chinese state media has called female medical workers who shave their heads "the most beautiful warriors" fighting the outbreak. Ms. Zhang says that it's difficult to find time during the day to go to the bathroom, let alone deal with menstruation while wearing full-body protective suits, so nurses are wearing adult diapers during their shifts! She says: "I worry about being infected, I miss home." Her mother cooks meals for her and leaves them on the sidewalk outside her home where Ms. Zhang picks them up. Her mother watches her do so from a safe distance.
There you have it: reports from the current front lines!
If predictions are correct, the virus is likely to spread around the world, including the United States. Nurses everywhere will be on the front lines helping patients just like nurses in China are doing now. Our gratitude to nurses everywhere knows no bounds!

©2020 Elizabeth E. Hogue, Esq. All rights reserved.


More reliable information for coronavirus preparation. In summary:

-The main thing that will help decrease transmission is good hand hygiene: Wash your hands for 20 seconds with soap and water when you first enter your house, before eating, and after sneezing/coughing. This practice alone can reduce disease transmission by 30-50%.

-Avoid touching your mouth, nose, and face.

-Sneeze/cough into your elbow or into a Kleenex to avoid spread.

-Keep your counters at home clean. Diluted bleach/water or just soap and water works just fine to kill the virus.

-Purchase Tylenol, ibuprofen, bottled water, Gatorade/PediaLyte now to avoid having to go into crowds once the virus spreads. These items also help you manage mild viral symptoms at home before having to go to the hospital.

Using common sense public health tactics can help us fight this.

Merry Christmas!

Merry Christmas!

Thanks for your sacrifice.

Thanks for your sacrifice.

Happy Tuesday

Happy Tuesday

Happy birthday America!

Happy birthday America!


I am blessed to spend a lot of my time in the company of those that need care and those that give care. Right now I want to give a shout out to all the caregivers out there. What you do every day is incredible, necessary, and appreciated. I know you do it because of love because there is not enough monetary compensation for it. Keep doing what you do and remember to practice self love also. Peace.



Peace brethren

Peace brethren


Our mission is to help and assist at risk senoirs in the community navigate resources that help to enhance and improve the quality of their lives.

We want to hear from you as we plan our next community outreach. What would you like to see?
What challenges are the senoirs in your life and neighborhood experiencing? Let us know please.
Leave us a comment below.


Our mission is to help and assist at risk senoirs in the community navigate resources that help to enhance and improve the quality of their lives.

We want to hear from you as we plan our next community outreach. What would you like to see?
What challenges are the senoirs in your life and neighborhood experiencing? Let us know please.
Leave us a comment below.


Looking for reliable caregivers in Katy, Spring and Houston areas. In box me for details. Friends please re post.


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We can help. In box me for details.

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WILL YOU Be Able To retire IN Dignity?
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Whether you think you can or think you cannot, either way you are right. Henry Ford.


There are more tears shed for answered prayers than unanswered prayers....saint theresa. Hmmm...


86% of American healthcare dollars are spent on the treatment of chronic diseases! DO YOU HAVE LONG TERM CARE INSURANCE? WE CAN HELP!


Looking for caregivers in the southwest area of Houston. Zip codes 77082. 77083.
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Looking to hire caregivers in Humble and Porter Texas. In box me for details. Spread the word please.


Hiring caregivers in 77072 area. Northwest Houston, Cypress areas.
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Hiring caregivers in the following areas:
Spring (77388) Southwest Houston (77082)
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Looking to HIRE CAREGIVERS in the following areas:
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Caregiver needed in Spring Texas. Must be dependable and have reliable transportation. In box me for details. Please repost friends to get the word out.

Keyshia Cole

Keyshia Cole


Today is world smile day. Flash a big smile to everyone in your path today and beyond.


Do you or someone you know need work as a caregiver in Montgomery texas? Please send me a private message. Thanks.


8700 Commerce Park Dr. Suite 105
Houston, TX

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Thursday 9am - 5pm
Friday 9am - 5pm
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(713) 459-0654


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