With NPs being the fastest-growing segment of HBPC providers, the conference provided attendees with critical information on planning and operating a successful and sustainable HBPC practice. Participants brought varying backgrounds and HBPC experience levels to the conference, entitled, “Blueprint for Success: Building and Growing Your Home-Based Primary Care Practice.” The first day concluded with a well-attended “Open Office Hours” segment, where participants were able to ask questions about their specific situations, which invariably applied to many in the room.
The two organizations’ strategies are necessarily distinct. HCCI focuses on professional development for NPs who have a specific interest in HBPC while NNPEN, as Sandy Berkowitz, RN, JD, and Co-founder and CEO of NNPEN, explains, “focuses on supporting nurse practitioners as professionals who want to be their own boss.”
At the same time, though, HCCI and NNPEN have a similar vision. “We share the same vision and passion to create access for a primary care population of frail and elderly patients who are vastly underserved,” Berkowitz continues, “and to explore how advanced practice providers can do well by doing good.”
In sharing her own conference takeaways, Heather Hodge, Director of Education for HCCI, said, “During the conference, I was struck again by how providers are offering HBPC through a variety of business models. It’s not a one-size-fits-all. Plus, people seemed to take something from every session that they could immediately apply to their own situations. Finally, the conference gave people a place to ask their top-of-mind questions and share their successes and challenges, like managing different state laws, payer requirements, and so on. In all, the event helped many see they weren’t alone and that, if they were having an issue, someone else probably was, too.”
For NPs and others with questions about developing or sustaining an HBPC practice, HCCIntelligence™ offers webinars and a hotline at 630-283-9222 and [email protected].
On Friday, November 15, over 45 professionals in the field of gerontology attended the first-ever International Workshop on Home Care Medicine in Austin, Texas, as part of the Gerontological Society of America’s (GSA) Annual Scientific Meeting. The GSA describes itself as “the oldest and largest interdisciplinary scientific organization devoted to the advancement of gerontological research, learning, and practice.”
Aaron Yao, PhD, lead researcher for HCCI and Cheeloo Scholar Professor at Shandong University in China, played a key role in organizing the workshop. The program was designed to present recent trends and developments in home care medicine, facilitate the building of strategic partnerships to address global challenges, and provide an opportunity for peer networking.
The workshop was made up of four panel sessions featuring participants from different countries and allowed for extensive Q&A. The four panel themes were Service Delivery and Interprofessional Care, Technology (Mobile Diagnostics, EMR) in Home Care, Payments and Revenue Models, and Workforce Education and Training.
When asked what stood out most for him about the program, Yao answered, “The workshop’s message to me was simple but powerful – that aging has no borders and that great minds think alike.”
Melissa Singleton, Chief Learning Officer, HCCI, also found unique value in the event, “Having the chance to hear people from around the world talk about this growing and much-needed field of medicine reminded me of how very much alike we all are. Of course, each country has its own methodology, such as how they train providers, their payment models, and so on. But, even with that, finding our commonalities and sharing best practices make the world a little smaller, the challenges more manageable and the opportunities for collaboration even greater.”
The GSA workshop was not HCCI’s first appearance on an international stage. A little over a year ago, Yao facilitated an invitation for Dr. Thomas Cornwell, Chief Executive Officer of HCCI, to teach at the Shandong University School of Healthcare Management. Since then, much of HCCI’s curriculum has been translated into Chinese, and a total of 1,250 Chinese providers have been trained by HCCI faculty. The recent collaboration for GSA was an opportunity to bring Dr. Cornwell and HCCI back together with colleagues at Shandong University, as well as to meet new leaders in the field from around the world.
“All those who provide care and comfort to people in their homes are privileged to witness the many ways in which ‘giving’ is expressed through families, caregivers, colleagues, and patients themselves,” offers Heather Hutchison, Chief Development Officer of the Home Centered Care Institute (HCCI).
As the holiday season approaches, we will be asked to give through our time and talents — and financially. GivingTuesday, a global day of giving, helps to remind us that we can give to a purpose, a cause, that reaches well beyond ourselves, like home-based primary care (HBPC). HBPC’s purpose is to care for those who are homebound or home-limited and this cause, by its very name, begins at home.
In the spirit of GivingTuesday, HCCI would ask you to share your stories of giving with us (while keeping HIPAA standards in mind, of course) so that they might be shared with others. It’s as easy as sending an email to [email protected] with “Giving Begins at Home” in the subject line. To inspire us all, we will consider these stories for sharing in our upcoming newsletters and through social media with the hashtag #HCCIgivingbeginsathome.
If you’re moved beyond the sharing of a story to support HCCI with a charitable gift for GivingTuesday, we would be grateful. Simply click here to make a donation that will make a real difference to patients and families who need us most, including educating providers and practices who bring health care to their homes.
Your meaningful and moving stories will remind us of the needs of others. Whether that story is about a caregiver being vulnerable enough to share their challenges with their visiting physician or nurse practitioner or about a patient expressing heartfelt gratitude to their caregiver. Whether it’s about climbing three floors to visit a patient or listening to a story that’s been told many times before. A hand stretched out, a shoulder leaned on, a smile that warms the heart. All of these are stories about giving, stories that touch the lives of HBPC providers, practice leaders and operations staff.
“Wonderful and meaningful stories about giving are prevalent in our everyday lives and in the lives of those for whom we care,” added Hutchison. “We reflect on those stories for their inspiration. Yes, giving comes in many forms.”
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.
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!
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
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.
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
5300 N. River Road
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.
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.
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]
One Session/Both Sessions
Advanced Practice Providers $90/$165
Residents and Fellows $90/$165
Practice Managers and Operations staff $90/$165
Allied Health Professionals $90/$165
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.
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).
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.
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.