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Benefits of HBPC HCCIntel

I Heart House Calls – Tom Cornwell, M.D.

“I Heart House Calls” is a web series produced by the Home Centered Care Institute that features stories told by the people of home-based primary care, those who provide house calls and those who have experienced their life-affirming impact.

In this webisode, Tom Cornwell, M.D., the CEO of HCCI and a house call doctor for more than 25 years, discusses how he started making house calls, how payment reform is changing the health care landscape, and why clinicians should consider entering this rewarding career.

Have house calls made an impact on your life? Regardless of whether you’re a provider, a family member, caretaker, or patient, if house calls have made an impact on your life, we’d love to hear from you and share your story. Contact HCCI at 630-283-9200 or [email protected]!

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HBPC in the News Uncategorized

Unnecessary ED visits from chronically ill patients cost $8.3 billion

Emergency Department

About 30% of emergency department visits among patients with common chronic conditions are potentially unnecessary, leading to $8.3 billion in additional costs for the industry, according to a new analysis.

The report, released Thursday by Premier, found that six common chronic conditions accounted for 60% of 24 million ED visits in 2017; out of that 60%, about a third of those visits—or 4.3 million—were likely preventable and could be treated in a less expensive outpatient setting.

The frequency of unnecessary ED visits from the chronically ill is unsurprising given the fee-for-service payment environment the majority of providers remain in, said Joe Damore, senior vice president of population health consulting at Premier. On average, only 10% of providers’ payment models are tied to value-based models, he said, so providers don’t have an incentive to effectively manage patients to prevent disease progression and promote wellness. Read the full article

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HCCIntel Uncategorized

I Heart House Calls

February is Heart Month, and to celebrate, HCCI kicking off a new YouTube web video series aptly named “I Heart House Calls!”

“I Heart House Calls” features stories told by the people of home-based primary care, those who provide house calls and those who have experienced it’s life-affirming impact. In this webisode, click to see Gresham Bayne, the father of the modern day house call, describe what makes house call medicine so special and enduring.

Have house calls had an impact on your life? Regardless of whether you’re a provider, a family member, caretaker, or patient, if house calls have made an impact on your life, we’d love to hear from you and share your story. Contact HCCI at 630-283-9200 or [email protected]

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HBPC in the News

VNA Health Group Pushing Home-Based Primary, Palliative Care with $2.5M Grant

Seeking Grants for an Association, a Small Business or for Research

| Home Health Care News |

One of the largest home care and community health organizations in the country has landed additional financial support to continue building out its home-based primary care and palliative medicine offerings.

Holmdel, New Jersey-based Visiting Nurse Association Health Group announced in January that it had been awarded a $2.5 million grant from the Parker Foundation to assist its Advanced Care Institute.

The nonprofit VNA Health Group is led by Dr. Steven Landers, a geriatric medicine physician who serves as the organization’s president and CEO, and who has taken a thought leadership role for the industry through projects such as The Future of Home Health Care.

“The funding is really for the growth and continued development of the Advanced Care Institute, allowing us to do more community outreach, add more physicians and keep some services going that are hard to sustain financially without philanthropy,” Landers, who took over as CEO in 2012, told Home Health Care News. “I’m very passionate about home-based care for frail elders. I’ve done many home-based visits myself and believe strongly in the positive impact of in-home primary medical care for low-mobility, high-risk seniors.” Read the full article

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HBPC in the News

Why in-home healthcare is good news for plastics

house call doctor at door

Tim Jennings, President of Custom Case Group, a manufacturer of casings for the biotech industry among others, explains why the trend towards in-home healthcare is set to benefit the plastics industry.

A hundred years ago, most doctor visits took place in the patient’s home. But by the 1940s, population growth in urban areas and advances in medical technology made office visits more efficient and effective for both doctors and patients. By the 1960s, the vast majority of doctor visits occurred in health care settings, enabling doctors to see more patients in a single day and ensuring easy access to the latest medical equipment. But in the last decade, this trend has slowly begun to reverse; and the health care industry – and as a result, the medical plastics sector – will benefit.

At first, the reemergence of in-home health care seemed like a premium service that only the wealthy could afford. But recent findings suggest the opposite: In-home health care might actually cost less in the long run than in-office health care.

One of these findings came from the Independence at Home Demonstration (IAH), developed by the Centers for Medicare & Medicaid Services in 2012. The program, which aimed to evaluate the efficiency and effectiveness of at-home medical care, focused on 10,000 Medicare patients with chronic illnesses. 17 independent medical practices were assigned to these patients, and each practice was required to provide primary care at home, maintain a mobile electronic health record for each patient, and visit patients within 48 hours of emergency room or hospital discharge.

Overall, the Centers for Medicare & Medicaid wanted to determine the quality of at-home care; whether or not it improved patient experience; and if it could potentially reduce Medicare costs by decreasing ER visits, hospitalizations and 30-day readmission rates. In the first two years of the program, all of these metrics were met. ER visits, hospitalizations and 30-day readmission rates declined; patients reported greater satisfaction; and Medicare costs declined by 30% – or more than $35 million in savings. If expanded, a nationwide IAH program could save up to $15 billion over the next decade. Read the full article

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HBPC in the News

Knock-knock, It’s The Doctor

Knock_knock

There is a growing trend in health care that’s kind of a “throw back”, doctors making house calls.

Insurance company Aetna announced it is teaming up with the Los Angeles-based startup Heal to offer doctor house calls to the Atlanta metro area. According to Heal’s website, the service is available in Clayton, Cobb, DeKalb, Forsyth, Fulton and Gwinnett counties. Read the full article

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HBPC in the News

Value-based Care and Financing in Health Care

Value-based health care

Value-based health care is a health care delivery model in which providers, including hospitals and physicians, are paid based on patient outcomes. Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease and live healthier lives in an evidence-based way.

Value-based care differs from a fee for service or capitated approach, in which providers are paid based on the amount of healthcare services they deliver. The “value” in value-based health care is derived from measuring health outcomes against the cost of delivering the outcomes. Read the full article