Heal Chief Executive Officer Nick Desai and Chairman Paul Jacobs discuss the startup’s mission to enable doctors in making house calls. They speak with Bloomberg’s Emily Chang on “Bloomberg Technology.” (Source: Bloomberg)
Category: HCCIntel
After a successful and well-received trip to Jinan, China in August, HCCI CEO Tom Cornwell, MD was invited back in November by China’s largest medical training center in Shanghai, Tongji Medical College, to provide training on home-based care. Eight modules were presented over two days, including HCCI Essential Elements of Home-based Primary Care™ case-based small group sessions that had been translated into Chinese. Accustomed to lecture-driven learning, these interactive discussions were quite a departure; this new method of learning proved very impactful. Additional topics included home health, hospice and the importance of interdisciplinary team care in geriatrics, which are not developed in China.
Asked what the best part of the trip was, Dr. Cornwell said, “The opportunity to go on an actual house call, and of course seeing HCCI’s materials in Chinese!” Dr. Cornwell’s heart is in the home and going on a house call in China was a major highlight. The patient pictured is a paraplegic living in an apartment up two flights of narrow, unlit stairs. It was rewarding to collaborate with the Chinese providers on strategies for bringing healing to this gentleman.
Early discussions are taking place regarding a possible HCCI Center of Excellence in China, along with preparing Chinese trainers to deliver HBPC training. In 2035 China will have 35% of the world’s elderly population, and HCCI is ready to help ensure that all patients who prefer to receive medical care in their home have that option.
November is National Caregiver Month. During this season, HCCI would like to honor and celebrate the 44 million family caregivers for their selfless work who alongside home-based primary care physicians and APPs provide care and comfort to the chronically ill.
HCCI sat down with Dr. Smith recently at the recent American Academy of Home Care Medicine Annual Meeting. He shared why he’s so optimistic for the field of home-based primary care (HBPC). We also enjoyed hearing the story of how he became involved in the field. Dr. Smith is rather unique in that, unlike many practitioners, he came to home-based primary care very early in his career. Finally, listen for his compelling comments on reducing “unnecessary suffering.”
According to estimates from the Small Business Administration, approximately 50% of small businesses fail within the first five years. Only 25% make it to 15 years or more. While a house call program isn’t an IT firm or subscription-based clothing firm, the challenges facing those organizations – that often prove insurmountable – are not all that different.
Research suggests that organizations, and practices, fail due to shortcomings in the following:
- Assessing the market
- Creating a viable business and financial plan
- Hiring enough of the right people
- Patient and caregiver satisfaction
- Flexibility and changing with the environment
Many well-intentioned practitioners who see a need in their area – patients who are no longer able to access traditional primary care – jump in with good intentions of meeting that need. They bring a much-needed model of care to a vulnerable population. What happens too often, however, is those same practitioners find themselves struggling months later, encountering issues with staffing, staff retention, and revenue generation. They work tireless hours for little financial return. The intrinsic rewards of home-based primary care are notable, and the care provided is life-changing for many patients and caregivers. But if the practice isn’t sustainable, all those good intentions and good work are at risk.
HCCI has developed a model for implementing and growing house call programs. Starting with the fundamentals of establishing a business, including researching the market and creating a business plan, the HCCI House Call Implementation Model guides practitioners through the multiple aspects of building and leading a successful practice. While the initial phases of the model are critical and not to be overlooked, the Model is interactive by design, and can be entered at any level. HCCI has developed a rich array of learning opportunities and tools to support practices as they grow and can provide expert assistance whenever additional guidance is requested.
HCCI is dedicated to increasing access to home-based primary care for the millions of chronically ill, medically complex patients who need it. The HCCI House Call Implementation Model supports the work of practitioners who seek to do that, helping them create thriving and sustainable house call practices equipped to provide long-term solutions for their patients.
Click here to download a copy of the model. Contact us to learn how HCCI can support your practice.
HCCI returned from the C-TAC National Summit for Advanced Illness Care last week energized and renewed after hearing so many incredible stories about advances in the field from several industry leaders.
A plenary session we found especially valuable was given by Lauran Hardin, RN, Senior Director, Cross Continuum Transformation, National Center for Complex Social and Medical Care, Ben Carter, CFO of Trinity Health, and Patrick Courneya, MD, EVP and Chief Medical Officer of Kaiser Permanente.
Research strongly suggests that not only is high-quality advanced care delivery important for supporting patient health, these programs actually reduce costs and offer compelling business opportunities. Lauran and Ben shared how they were able to provide care to patients with multiple chronic illnesses who have trouble accessing the traditional primary care system, while simultaneously reducing unnecessary ER visits, lengthy hospital stays and costly hospital readmissions. Their model delivered healthcare’s triple aim of delivering better health, better care and lower costs. The case study illustrated that the hospital system not only provided extraordinary care, but realized a 23% return on their investment and increased their total profit margin – showing the synergy between margin and mission. Their inspiring talk and presentation was a reaffirmation of principles we promote here at HCCI.
If your hospital or health system is interested in learning more about home-based primary care and advanced care delivery models, the Home Centered Care Institute would be happy to help. Contact us at 630-283-9210 or [email protected].
Please join HCCI on Wednesday, October 10th at the C-TAC National Summit on Advanced Illness Care where we present a breakout session on home-based primary care titled “The Exam Table Of The Future Has Throw Pillows”.
Wednesday, October 10 (1:30 – 2:30pm)
Denver Hilton City Center
Denver, CO
Home-Based Primary Care (HBPC) is hard, and it is a model of care that requires a wide array of skills, not all of them clinical. The challenging nature of the model necessitates a methodical, disciplined approach. But why does it matter? Learn why HBPC is a model whose time has come again and how HBPC programs can be built or improved in a strategic, systematic manner.
The session will be presented by;
- Thomas Cornwell, MD, CEO, Home Centered Care Institute (HCCI)
- Tracy Hulett, VP, External Affairs, Home Centered Care Institute (HCCI)
- Eric de Jonge, Executive Director, MedStar House Call Program
- Kelly Fischer, COO, JourneyCare
- Jessica Bylander, Senior Editor, Health Affairs (moderator)
Register now: https://www.ctacsummit.org/
Michael has taught HCCI’s Essential Elements to Home-Based Primary Care™ since 2017. If you’re interested in expanding your knowledge and career opportunities in the growing field of home-based primary care, visit HCCI at http://hccinstitute.org
AAHCM Annual Meeting and Preconference
Brent Feorene, Executive Director of the American Academy of Home Care Medicine stopped by the HCCI offices this week and shared what attendees could expect at the upcoming AAHCM Annual Meeting and Preconference taking place on October 25-26-27 in Rosemont, IL.
Thursday, October 25
Loews Chicago O’Hare
Rosemont, IL
AAHCM Preconference presented by Home Centered Care Institute
“Care of the Complex Patient In The Home: Staying Ahead of the Curve”
Clinical Session
9:00 am – 12:00 pm
Faculty
Elizabeth McCormick MD (Session Lead)
Julie Glendenning MS APN-BC CHPN WCC
Traci Kalpac MSW LISW-S
Linnea Nagel PA-C MPAS
Practice Management Session
1:00 pm – 4:00 pm
Faculty
Shawna Ramey CPC CPMA (Session Lead)
Bethany Skillen BSN BS RN
Amanda Tufano MHA CMPE CPPM
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October 26-27
Loews Chicago O’Hare
Rosemont, IL
AAHCM Annual Meeting
Driving the Change to Value-Based Care: Connecting Leadership, Quality and Ethics
The AAHCM Annual Meeting will be an independent standalone conference for the second year, building on our previous success of providing leading edge clinical and practice administration content.
Focused on the issues and challenges that face the broad spectrum of healthcare professionals providing in-home primary care, you will learn from innovators in the field about the latest advancements in delivering and managing home care medicine. Sessions will cover topics including; technology, care management, new payment models, and updates on policy.
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Friday, October 26
Keynote Speaker
Patrick Conway, M.D.
President, CEO
Blue Cross and Blue Shield of North Carolina
Former Deputy Administrator for Innovation and Quality
Centers for Medicare & Medicaid Services (CMS)
Former Director of the Center for Medicare and Medicaid Innovation (CMMI)
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Saturday, October 27
Keynote Speaker
Cheryl Phillips, M.D.
President, CEO
SNP Alliance
Former Sr. Vice President for Public Policy and Health Services
LeadingAge
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Register
To learn more or to register for the AAHCM Annual Meeting and Preconference, visit https://www.aahcm.org/page/2018_Annual_Meeting