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Help HCCI Combat COVID-19 and Participate in GivingTuesdayNOW

giving tuesday now

The COVID-19 pandemic has spotlighted the important role that home-based primary care (HBPC) providers are playing in caring for homebound patients who are generally the most vulnerable to the outbreak. HBPC also helps keep these patients out of hospitals and clinics, unless necessary, which fights the spread of the virus, provides an isolated place for COVID-19 testing, and eases the strain on already stretched hospital and clinic resources, including staff, beds and personal protective equipment.

The Home Centered Care Institute is playing a key role in supporting HBPC providers during this time by educating them on COVID-19 topics and areas, such as identifying HBPC-specific changes in CDC and Centers for Medicare & Medicaid Services (CMS) updates; discussing best practices for processes and protocols; and following appropriate infection control procedures. HCCI does this in a variety of ways, including providing free webinars, online courses and resources; creating an online LinkedIn community especially for HBPC providers to discuss the pandemic; launching a video interview series called “HCCI Conversations with…,” and continuing to spread awareness of the importance of HBPC in fighting the pandemic through recent media opportunities with CNN, Hospice News and Kaiser Health News , among others.

At the same time, HCCI is also an official participating organization in the upcoming “GivingTuesdayNow” campaign. GivingTuesdayNow is a global day of giving and unity that will take place on May 5, 2020, as an emergency response to the unprecedented need caused by COVID-19.

Learn more about how you can donate to help HCCI combat COVID-19 and, by doing so, be part of the GivingTuesdayNow campaign.

Please then also consider donating on a longer-term basis. Because, as the pandemic evolves and the world slowly emerges into a “new normal,” HBPC will continue to play a critical role for these patients and others – many of whom may be in your own family or community.

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HCCI participates in “special” C-TAC Summit on Advanced Care

C-TAC National Summit
Photo credit: Bear Gutierrez

There was something special about the National Summit on Advanced Illness Care held October 9-11 in Minneapolis, as the participating members of the Home Centered Care Institute (HCCI) quickly learned. That “something” was a mixture of collaboration, a continuous improvement mindset and a passion for the patient. A passion found in the meeting’s theme of “Lead. Innovate. Inspire.”

The summit, hosted by the Coalition to Transform Advanced Care (C-TAC), and sponsored by several organizations, including HCCI, brought together hundreds of providers, practices, organizations, innovators and thought leaders. Over the three days, the participants took part in presentations and panels, interactive “labs,” breakout sessions, exhibits and countless opportunities for networking.

One of the most compelling discussions at the Summit was between Jon Broyles, executive director of C-TAC, and “patient champion” Shirley Roberson, who shared her Blue Chair story focused on the critical importance of listening to, and honoring, a patient’s voice.

The summit also saw Broyles announce C-TAC’s new “moonshot” goal centered on providing millions of seriously ill patients with a high quality of life by 2030. (Learn more about what a moonshot goal is here.) In sharing his thoughts on the goal, Broyles explained, “Quality of life is the ultimate outcome we’re all seeking, not just during serious illness, but throughout our lives. The challenge is that each person defines it differently. We have to figure out how to quantify it because we must be accountable to Shirley and millions of others, and because groups like CMS [The Centers for Medicare and Medicaid Services] will need a formula to measure it.”

Where’s a good place to start with that definition of “quality of life”? According to Broyles, it’s asking ourselves what makes a good and joyful life, and what is the purpose of all the things we do, like going to work, getting married, having hobbies, and so forth? Then, he adds, we must ask that same question of each patient to see how they define it.

As with all big goals, Broyles discussed the fact that this is just the first iteration of the “moonshot” goal, and that the specifics, including the number of lives touched, could change over time. But, he explained, “It’s important to not only focus on the big numbers. If we only focus on the ‘millions,’ that can be too big, too overwhelming to understand and to really change behaviors. Instead, we at C-TAC say, ‘Millions start with one.’ What can we do to change one life? From that, others will follow.”

When asked how C-TAC and HCCI can work together, along with the other organizations in the advanced care space, to “focus on the one,” Broyles answered, “We’re all facing a significant human and societal challenge, where the need will so far outpace what individual groups can do, that we have to figure out how to do it together. We must be open to new ideas, while building on what’s working now. This includes thinking about the role that caregivers, volunteers, communities, employers and others play in supporting each patient.”

Focusing on the importance of taking into account the patient’s perspective in this collaboration, Broyles added, “We need to understand how patients experience care and view quality of life along a continuum. Then, all the providing groups, whether it’s palliative care, hospice care, home-based primary care or other models of care, must work together to create a seamless experience for the patient. The goal is an experience where patients’ needs are anticipated and met, without them having to do extra work or perform extra coordination to make it happen. After all, they have enough to think about and do.”

Reinforcing this focus on collaboration, HCCI presented a well-received video, entitled “The Intersection of Home-Based Primary and Home-Based Palliative Care.” In the video, Dr. Thomas Cornwell, CEO of HCCI and founder of Northwestern Medicine HomeCare Physicians, shared that, “Home-based primary care can add significant value to an existing home-based palliative care program. This effort can include providing education and technical assistance to palliative and hospice programs and the patients they serve.”

Watch for more information in future HCCI newsletters on how HCCI will be working together with C-TAC and other key partners to make person-centered care a reality for more of those who need it.

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Blueprint for Success: Building and Growing Your Home-Based Primary Care Practice

Blueprint for Success:
Building and Growing Your Home-Based Primary Care Practice

Friday, February 7– Saturday, February 8, 2020
Sheraton Crescent Hotel, Phoenix, AZ

Save-the-date to learn strategies for planning and operating a successful and sustainable home-based primary care practice!

Topics covered include personal readiness, managing change, creating a budget, deciding whether to outsource business services, ­­­staffing models, geographic scheduling, documentation and coding, straddling between fee-for-service and value-based environments, a telemedicine-EMR users’ panel, and interactive exercises that put it all together.

This conference is ideal for all providers and operations staff!

More information will be available soon at HCCInstitute.org or NNPEN.org.

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Join HCCI at GSA 2019 Annual Scientific Meeting

GSA 2019

Join the Home Centered Care Institute (HCCI),
the American Academy of Home Care Medicine (AAHCM)
and other global leaders as we present the first-ever
International Workshop on Home Care Medicine

Friday, November 15 | 8:00 a.m. to 11:30 a.m.
Austin Convention Center | Austin, TX

Through the International Workshop on Home Care Medicine, GSA offers the opportunity to learn the latest trends and developments from home care medicine leaders, build strategic partnerships to address challenges, and network with peers.

Panel 1: Service Delivery and Interprofessional Care (1 hour)

  • Aaron Yao, Research Director, Home Centered Care Institute and Professor, Shandong University, Panel Chair
  • Irina Jara Calabuig, Home Care Physician at Alzira´s University Hospital in Valencia, Spain
  • Theresa Soriano, Regional Chief Health Officer at Cityblock Health and President-elect of American Academy of Home Care Medicine, USA
  • Noriko Yamamoto-Mitani, Professor of Medicine at the University of Tokyo School of Medicine, Japan


Panel 2: Technology (Mobile Diagnostics, EMR) in Home Care (30 minutes)

  • Aaron Yao, Research Director, Home Centered Care Institute and Professor, Shandong University, Panel Chair
  • Zia Agha, Chief Medical Officer and Executive Vice President at WestHealth, USA
  • Dai Yumino, Chief Director of Yumino Medical, Japan


Panel 3: Payments and Revenue Models (1 hour)

  • Eric DeJonge, Chief of Geriatrics, Capital Caring and President of American Academy of Home Care Medicine, USA, Panel Chair
  • Laurence Nivet, Director and Matthieu De Stampa, Head of Medical Staff, HAH-Larger Paris University Hospitals (AP-HP), France
  • Tadashi Wada, Clinical professor at Irahara Primary Care Hospital, Japan


Panel 4: Workforce Education and Training (1 hour)

  • Thomas Cornwell, CEO and Founder of Home-Centered Care Institute, USA, Panel Chair
  • Sabrina Akhtar, Physician Lead of the Home-Based Care Program, Toronto Western Family Health Team, Canada
  • Takashi Yamanaka, Chair and Associate Professor of Home Care Medicine, University of Tokyo, Japan

 

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HCCI at the C-TAC National Summit

Lead. Innovate. Inspire.

HCCI is proud to be a Gold Sponsor of the
C-TAC National Summit on Advanced Illness Care
October 9-11, 2019 in Minneapolis, MN

500 disruptors. One room.

You see the impact our healthcare system has on those with advanced illness. From uncoordinated, fragmented care to inadequate support for family caregivers, navigating advanced illness care has become a treacherous task.

Each year, the Summit gathers a diverse set of leaders – including payers, providers, health systems, entrepreneurs, foundations and advocates – to generate solutions that will change the reality of advanced care for millions of Americans.

The networking sessions, focusing on topics from policy and advocacy to building state coalitions, will give you the chance to meet leaders with the passion to drive change on advanced care and the resources to make it happen.

For more information and to register for the C-TAC Summit, visit https://www.ctacsummit.org/

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AAHCM Preconference presented by HCCI

The American Academy of Home Care Medicine (AAHCM) has partnered with Home Centered Care Institute (HCCI), offering a preconference opportunity for a deep dive into areas critical to a successful home-based primary care practice.

House Calls:
Achieving Clinical Excellence and Sustainability

Thursday, October 17, 2019

Loews Chicago O’Hare Hotel
Louvre Ballroom
5300 N. River Road
Rosemont, IL

Clinical Session
9:00 am – 12:00 pm

Practice Management Session
1:00 pm – 4:00 pm

Optional Office Hours
4:00 pm – 5:00 pm

The AAHCM Preconference is designed to help you enhance your medical knowledge, patient care, and interpersonal and communication skills by illustrating the complex care needs of homebound patients with serious illness and their caregivers through case-based discussions, mini-lectures and question-and-answer sessions. Our faculty of national experts will help you to elevate the clinical care you provide to your home-based primary care patients, as well as to enhance your practice’s sustainability in both the current fee-for-service world and the ever-evolving value-based delivery system.

Clinical Session

Topics in the Clinical Session will include: treatment of homebound or home-limited patients with moderate- to late-stage dementia including behavioral disturbances; transitions of care and care coordination; palliative/supportive care and end-of-life care.

Practice Management Session

Topics in the Practice Management Session will include: advanced coding and billing, including HCC scoring; efficiency strategies to enhance practice operations; creating a value proposition to tell your practice’s story to payers, ACOs, and health systems.

Registration

To register for the AAHCM Annual Meeting and Preconference presented by HCCI, click or go to https://www.aahcm.org/page/2019_Annual_Meeting.
If you have already registered for the AAHCM annual meeting and want to add a preconference session, please contact member services at 847-375-4719 or [email protected]

Registration Fees
One Session/Both Sessions
Physicians $135/$240
Advanced Practice Providers $90/$165
Residents and Fellows $90/$165
Practice Managers and Operations staff $90/$165
Allied Health Professionals $90/$165

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GAPNA Preconference presented by HCCI

Attending the GAPNA Annual Conference?
Register today for the Preconference presented by

The Gerontological Advanced Practice Nurses Association (GAPNA) has partnered with Home Centered Care Institute (HCCI), offering a preconference opportunity for a deep dive into areas critical to a successful home-based primary care practice.

House Calls:
APNs Navigating Challenges
and Implementing Solutions

Wednesday, October 2, 2019
12 pm – 5 pm

This Preconference practice management workshop is designed to explore the challenges faced and opportunities presented when caring for complex patients in the home. The aim of the session is to expose learners to the successes and failures in NP-driven practices. Time efficiencies, documentation and coding for house calls, valuing your practice, payer/ACO partnerships, and community resources also will be addressed.

To register for the GAPNA Annual Conference and Preconference presented by HCCI,
go to https://www.gapna.org/events/annual-conference.

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AAHCM and HCCI present a webinar on new CMS Primary Cares Payment Models

Woman watching a webinar

The American Academy of Home Care Medicine (AAHCM) in collaboration with the Home Centered Care Institute (HCCI) will host a webinar Tues. July 30 at 4 pm (ET) on the new CMS Primary Cares Initiative payment models relevant to home care medicine. The three different payment models will be discussed in detail; Primary Care First (PCF), Seriously Ill Population (SIP), and Direct Contracting (DC).

Register

CMS Primary Cares Initiative

In April, the Center for Medicare and Medicaid Innovation (CMMI) announced a CMS Primary Cares Initiative which includes new payment demonstrations meant to promote value-based care, with a shift of up to 25 percent of primary care Medicare fee-for-service patients to these new models. Primary Care First (PCF), Seriously Ill Population (SIP), and Direct Contracting (DC) will offer enhanced payment for home care medicine and other providers to provide primary care for people with advanced illness.

Primary Care First (PCF) & Seriously Ill Population (SIP)

The Primary Care First (PCF) and Seriously Ill Population (SIP) models will be offered in 22 states and 4 regions for a January 2020 start date:   STATEWIDE in Alaska, Arkansas, California, Colorado, Delaware, Florida, Hawaii, Louisiana, Maine, Massachusetts, Michigan, Montana, Nebraska, New Hampshire, New Jersey, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, Tennessee, and Virginia. In Local Regions of Greater Buffalo, NY, Kansas City (Kansas and Missouri), Greater Philadelphia (Pennsylvania), North Hudson-Capital Area, NY, and Northern Kentucky.

PCF/SIP Timeline:   A letter of intent (LOI) is not required for PCF or SIP.   A request for application (RFA) will be released in the coming weeks and is required for participation.  Both models are scheduled to begin January 2020.

Direct Contracting

The Direct Contracting (DC) path will engage practices or groups of providers who can reach 5,000 beneficiaries by Year 3 (with potential exceptions for smaller practices), as well as Health systems, Accountable Care Organizations, Medicare Advantage plans, and Medicaid Managed Care Organizations.  DC builds upon the Next Generation ACO model and has no geographic limitations on who may apply.   The DC path will include three models: Professional PBP, Global PBP, Geographic PBP (Proposed).

Timeline:  A Letter of Intent (LOI) is required to apply for participation in the DC Models and is due on Friday, August 2. The LOI is non-binding. CMS will then release the request for application (RFA), which will be required for participation. All models are scheduled to begin January 2020 except the DC Geographic Option, which will begin at a later date.

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The Perfect Storm: Addressing Needs with Home-Based Primary Care

Virtual Event: The Perfect Storm: Addressing Needs with Home-Based Primary Care

Date: June 4, 2019
Time: 1-2 PM ET

In a health care climate of rising costs and resource strain, the aging population is particularly at risk for being medically underserved. In a 2018 white paper, Home Centered Care Institute (HCCI) founder and CEO Dr. Thomas Cornwell examines the potential for home-based primary care as a solution to this challenge.

HCCI is a non-profit organization dedicated to expanding access to home-based primary care (HBPC) by educating, training, and growing the home-based clinical care workforce. They’ve partnered with JourneyCare, Illinois’ largest non-profit provider of palliative and hospice care, on an HBPC pilot project to help improve access and quality of care through collaborative project management and oversight, rigorous process development and system monitoring, and alignment of evidenced-based care models.

This virtual event will feature a discussion of the opportunities and challenges inherent to this (and other) pilot projects in the context of the “Perfect Storm” identified by Dr. Cornwell.

Register now!

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HHS Secretary Azar Announces CMS Primary Cares – A Historic Turning Point In American Healthcare

Secretary of Health and Human Services Alex M. Azar CMS Primary Cares Press Conference

April 22, 2019  |  CMS.gov

This is the speech (as prepared) delivered by HHS Secretary Alex M. Azar, April 22, 2019 in Washington, D.C.

Good afternoon, everyone, and thank you so much for joining us. Thank you in particular to the American Medical Association for inviting us here to announce today’s news.

It’s appropriate to be at the headquarters of an organization with such a long history in American medicine, because I believe we’ll look back at what we’re announcing today as a historic turning point in American healthcare.

Today’s announcement is the culmination of years of work by many at HHS and throughout American healthcare.

When I announced last year that moving toward a value-based healthcare system would be one of my priorities as secretary, I was well aware that I was at least the fourth HHS Secretary to take this issue seriously, dating back through Secretaries Burwell and Sebelius to Secretary Leavitt, who first laid out the idea of paying for value rather than procedures.

It is only thanks to the efforts of my predecessors that we get to take this major step forward. Today also could not be possible without the enthusiastic engagement of so many physicians and other providers. That includes members of HHS’s advisory committee on physician-focused payment models, PTAC—a member of which we have here today, Kavita Patel.

That committee has analyzed a huge number of payment model ideas from physicians who are excited about innovation. Their work, including submissions from the American Academy of Family Physicians, the American Academy of Hospice and Palliative Medicine, and the Coalition to Transform Advanced Care, has inspired many significant aspects of the initiative we’re announcing today.

So what are we announcing? We’re launching CMS Primary Cares—an initiative with two sets of new payment models that will enroll a quarter or more of traditional Medicare beneficiaries and a quarter of providers in arrangements that pay for keeping patients healthy, rather than ordering procedures.

The Primary Care First path will allow smaller primary care practices to be paid a simple, flat stream of revenue for each patient. When a patient stays healthy and out of the hospital, these practices will get paid a bonus. But if the patient ends up sicker than expected, these practices will bear responsibility for the extra spending, up to a certain share of their practices’ revenue.

The other path, Direct Contracting, is more ambitious and aimed at larger practices. Just like in Primary Care First, when patients have a better experience and stay healthier, these practices will make more money. But if patients end up sicker, Direct Contracting practices will bear the risk for the extra health spending, not just at their own practice but throughout the system.

Providers will have greater flexibility to spend these resources how they want, allowing them to come up with innovative ways to care for patients—and receive significant savings if they keep patients healthier than expected.

Within this initiative, we will also have options for providers who want to focus on particular populations and particular serious illnesses—where there is huge potential for better health outcomes and more savings.

We’re also seeking input on another Direct Contracting model, to award a local entity a contract for an entire geographic area, covering all patients and providers in the area who want to opt into this arrangement.

This would provide an unprecedented ability for that local organization to negotiate better rates than Medicare does today, take responsibility for outcomes, and provide benefits that work for the local community’s needs.

Primary care is a small slice of health spending overall, but it has a significant impact on downstream costs and quality.

This initiative will radically elevate the importance of primary care in American medicine, move toward a system where providers are paid for outcomes rather than procedures, and free doctors to focus on the patients in front of them, rather than the paperwork we send them.

In just a minute, I’ll turn things over to Administrator Verma—I’m sorry to say, she is the one who sends doctors the paperwork, but she’s made sure there’s less and less of it every year.

Then we’ll hear from my senior advisor for value-based transformation and CMMI’s director, Adam Boehler. They’ll both discuss more details about this initiative and the range of options it’s going to offer for patients and clinicians.

Moving in this direction, toward value-based care, has been largely just a vision for so long. Now, value-based care is a reality, for a quarter of traditional Medicare beneficiaries in primary care, and a significant and growing number of patients in other settings as well.

This is the pivotal, hockey stick moment in paying for value in American healthcare.

This initiative will lay the groundwork not just for better care and lower costs in the $700 billion Medicare program and the $580 billion Medicaid program, but will also help drive innovation toward a new, patient-centered approach in our entire $3.5 trillion healthcare system. This initiative is specifically designed to encourage state Medicaid programs and commercial payers to adopt similar approaches.

I believe that true transformation is possible because of the experiences we’ve gained, but also the bold leadership we have today. Read the full speech