What is NORMS?

NORMS stands for Nurture Out- Reach Medical Services, and it is an institution which brings quality health care at your doorstep in a comprehensive and wholistic manner.

Who is the Head of NORMS?

Dr. Avinash Rajkumar is the founder and Head of NORMS. He has 15 years experience in emergency medicine and critical care in addition to more than 12 years experience in home health care. Operational Head is Mrs. Divya Avinash who handles all non medical operations.

Why choose us NORMS?

You can choose NORMS for comprehensive one stop solution for all your healthcare needs at home. We assure cost effectiveness with no compromise on quality in a transparent model of functionality and billing.

What is HCSP?

HCSP is short form for Health Care Service Professional. This includes all the personnel involved in providing health care service from NORMS.

What are the category of Health care professional you provide?

Categorisation of HCSP refers to nursing. We have 3 levels of nursing care.

A) Medical Attendant – these people have no medical knowledge and are there to provide only physical support and help in activities of daily life.

B) Basic Nursing – these are diploma holders or ANM nurses who have basic medical knowledge and they can handle medications and also help in activities of daily life. Some senior nurses in this category can handle tube feeding and catheters.

C) ICU trained nurses – these nurses are diploma holders or ANM nurses with prior experience in ICU care of patient. These nurses can handle ventilation equipments, suction, tracheostomy, all other catheters, tube feeding and enteral medications.

Where is NORMS office situated?

NORMS office is situated at the address listed in the website. The office is only for backend work and accounts.

How much amount we have spent for Home care services for One month?

The amount varies from patient to patient as we have customized billing model. The amount would be indicated only after initial assessment and counseling by our clinical coordinator.

Are you a registered company?

Yes we are a registered company in Chennai, Tamil Nadu.

What are the services you provide?

We provide a comprehensive solution for all health care needs at the home of the patient. Nursing, Attendent, Doctor visits, physiotherapy, complete range of medical equipments.

Does the doctor comes and visit the patient on a emergency time?

Doctor visit only as scheduled visits, in case of emergency or if the doctor feels that patient needs immediate medical attention, ambulance services will be called and patient would be shifted to hospital.

What we have to do if (I/We) want to terminate the services?

If services are terminated for any other cause other than death then the company needs atleast 1 week notice period for termination of services. Please refer to the general consent form which has the terms and conditions.

How long does home health care last?

Home health care can include broad care given by skilled medical professionals, including skilled nursing care, physical therapy, occupational therapy and speech therapy. Home health care can also include skilled, non-medical care, such as medical social services or assistance with daily living from a highly qualified home health aide.

What should I expect from my home health care?

The caregiver will keep a regular check on you to ensure you take your prescribed medicines and carryout your rehabilitation procedures (if any) regularly without disturbing your private space. The caregiver will also talk to your doctor about your care and keep your doctor updated about your progress. Above all, you should ensure you are comfortable with the caregiver, because unless otherwise there is good rapport between the caregiver and the patient, home healthcare can become painful. The care giver is going to be with you maybe throughout the day or meeting you frequently, please ensure you are comfortable and enjoy your time with them.

How do people pay for home health care?

Home healthcare services is billed based on number of days the service has been provided. You can always check with your home healtcare provider on the payment procedure.

Why would somebody use home health care?

Home health care is a wide range of health care services that can be given in your home for an illness or injury. Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility. In general, the goal of home health care is to treat an illness or injury. Home health care helps you get better,regain your independence, become as self-sufficient as possible, maintain your current condition or level of function.

Whom should we contact in case of any doubts or emergency?

You can contact the doctor who visits the patient directly for any medical doubts and you would also be given a set of contact numbers who would be taking care of your patient. They would handle all trouble shooting issues and if needed escalate it to the office.

What should we do in case of an emergency?

In case of an emergency please call the ambulance service first. You can call our doctor also, who will try to reach there as soon as possible. Incase of any doubts in this FAQ, please call us at +91-86870-66666

Do you have specialty doctors?

Yes we do have specialist doctors who come for home visits. The appointment is fixed atleast 4 days in advance.

Who are physician assistant?

They are specialised senior nurses who act as a bridge for nursing and doctors. They make visits in between if needed to monitor the progress of the patient. This avoids very frequent doctor visits which escalates cost for the patient.

How do I know if my care givers or nurses are qualified?

All HCSP are interviewed for their capabilities and skill. Based on which we provide the levels of nursing. These are explained during time of counseling by our clinical coordinators before starting the services.

Do you provide the medicines?

We do arrange medicines but from a 3rd party pharmacy for which we do not charge any extra amount. It would be delivered to your home. We do not promise any discount on medicines and would be able to extend the discount only if the pharmacy extends a discount.

Do you provide the lab services?

Yes we do provide lab services. We have a tie-up with Lister Metropolis Laboratories for all laboratory investigations. Their bill will be included in your monthly billing from NORMS. There is no extra cost for these bills, and only actuals will be charged. We would provide the copies of Lister bills along with the bills of NORMS.

Do you provide 24 hour services?

Yes we do provide 24 hour services for nursing and attendant. They work in 12 hour shifts and 2 people would cover 24 hours.
Doctors visits are scheduled, however in case of emergency doubts doctors would respond to phone calls.

Do you provide emergency and ambulance services?

No, we do not cater to emergency calls and right now we do not have emergency ambulance services.

Who will be coming to receive the patient at the time of discharge?

In case of ICU level of patient, our HCSP would be accompanying the patient from the hospital to home.
The Clinical coordinator/ Physician Assistant would be at the home to receive the patient.
Based on time of discharge the doctor visit is arranged the same day of discharge but they do not usually wait for the arrival of the patient.

What level of graduation doctor you have?

Most of the doctors have completed Masters degree. Only few doctors are Bachelors completed.

Do you provide Ambulance service?

No we do not directly have ambulance services, but we do coordinate with your primary hospital for the ambulance in case of emergency.

Will the same care giver or nurse come each time?

Yes the same set of HCSP would continue services.

Do you have send any replacement staff?

In case the HCSP is unable to report to duty, then our office would send replacement for the HCSP.

If I wish to alter category of the health care services?

The alteration or changes of health care services and level of HCSP is to be decided only by the doctor who is in charge of the patient. In case you change any of the services without prior consultation with our team of doctors then we would send a letter of indication that we would not be able to take responsibility for the outcome or progress of the treatment of the patient.

What is the billing cycle?

Billing cycle is from 1st day of moth to the last day of the month. In case services are terminated in between then the last day of the services is taken up for billing.

How I will get the bills from NORMS?

Bills are sent to your email address between 1st and 5th of every month. If hard copy is required, it would be couriered to you along with the receipt of your payment once we receive your payment.

How can I pay my billing amount?

The payment can be done by cheque, bank transfers or cash. In case of cash and amount exceeds more than 2 lakhs PAN number has to be furnished as per rules if Dept. of Income Tax.

Why you are collecting the deposit for services?

The deposit is a security deposit for all services and equipment provided for health care services provided at your home. it is a refundable deposit which is adjusted with the final bill at the time of termination of services.

How do you calculate the amount of security deposit?

Once all services and equipment are finalized for the patient, a projected bill is calculated for about 40 days, considering that 1 month of services is given and additional 10 days for the bill payment.

Do I pay the care giver or nurse or doctors myself?

No payment should not paid directly to any of the HCSP including doctors. In case it is only one off visit by any of the HCSP, then the office would inform of the amount that is to be handed over to the HCSP. The receipt for the same will be sent to you by email or courier.

Are your services covered by insurance?

No at present insurance companies are not covering home health care. However it is best for you to check with your insurance company if they provide cover for domiciliary care.

When I have to sign the consent?

The consent forms will have to be signed before initiating any medical services. The soft copy of the same will be delivered to your email address.