Anyone doing home visits for cash?
I live in a remote area with many wealthy elderly residents. Many are widowed/single and live alone. No uber/lyft if they are unable to drive.
Healthcare in our town is inadequate, including no home health, no hospice. No nursing homes. I do not & have never worked for any local or hospital system in my state. I have no intention of doing home hospice.
Full practice state.
Many years of primary care experience, oncology & home infusions (among other experience)
I’m considering offering home visits for cash. I would require that the patients keep their primary care and specialists.
For example, someone who has had major limb preserving arm surgery at a facility two hours away who needs dressing changes. This example is my neighbor & literally there are no options for the dressing change to get done, even though all of our local hospital/ortho/primary care are a part of the system where they had the surgery. I am doing it for free because she is my neighbor & I am her friend.
Someone post hospitalization (chf, thyroidectomy) who needs someone to drop in and be a second set of eyes, weigh, check incisions, drains, medication checks.
Most of their children live far away, usually out of state. We are a 2+ hour drive from an airport.
In general these patients are 85+ years old but more like 65-75 as far as overall health/independence compared to most Americans.
Thoughts? Things to consider? Pitfalls?
Do not plan to prescribe anything. More of a “your incision is healing well, changing the dressing q 3 days” or “you’ve gained 10 lbs & have 2+ pitting edema, let’s call your cardiologist”.
I do have my own malpractice insurance already.