Categories
Benefits of HBPC Event HBPC in the News HCCI in the News HCCIntel Training & Education

International Workshop Shows How Small the World Really Is

GSA 2019 International Workshop on Home Care Medicine

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.”

Recognizing the need to expand the “home care medicine conversation” globally, GSA invited the Home Centered Care Institute (HCCI) and American Academy of Home Care Medicine (AAHCM) to develop and co-lead the workshop. The session brought presenters together with participants from countries around the world, including Canada, China, France, Italy, Japan, the Netherlands, Spain, and the United States.

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.

Categories
Benefits of HBPC HCCIntel Training Training & Education

House Calls Are Reaching the Tipping Point — Now We Need the Workforce

home-based primary care training and education

7-29-2019
Written by: Thomas Cornwell, Home Centered Care Institute; Northwestern Medicine Regional Medical Group
Journal of Patient-Centered Research and Reviews

Abstract

Home-based primary care (HBPC) improves the lives of high-cost, frail, homebound patients and their caregivers while reducing costs by keeping patients at home and reducing the use of hospitals and nursing homes. Several forces are behind the resurgence of HBPC, including the rapidly aging population, advancements in portable medical technology, evidence showing the value of HBPC, and improved payments for HBPC. There are 2 million to 4 million patients who could benefit from HBPC, but only 12% are receiving it. The number of these patients is expected to double over the next two decades. This requires a larger and better prepared HBPC workforce, making St. Clair and colleagues’ article published within this same issue very timely. They showed residents exposed to HBPC had increased interests in providing HBPC in the future. They also found HBPC training fulfilled all 6 Accreditation Council of Graduate Medical Education core competencies and at least 16 of the 22 Family Medicine Milestone Project subcompetencies. Such medical education curricula are necessary to sufficiently develop a future workforce capable of appropriately providing HBPC to an increasing number of patients.

Recommended Citation

Cornwell T. House calls are reaching the tipping point — now we need the workforce. J Patient Cent Res Rev. 2019;6:188-91.

Download button

 

 

Categories
HCCIntel Practice Management Tip of the Month Training & Education

Why is HCC Coding so Important for Home Care Medicine?

Medical coding

A hot topic in health care today is Hierarchical Condition Categories (HCCs), and there is no better time to consider the value of HCC coding to your home-based primary care program!  HCC coding is the risk adjustment method used by Centers for Medicare and Medicaid Services (CMS) to determine the annual payments for patients in Medicare Advantage plans.  HCC risk adjustment uses predictive modeling to determine the severity of patients’ conditions, health risk, and status to project the cost of health care coverage for that population.  This is how CMS determines cost savings for patients enrolled in Accountable Care Organizations and the Independence at Home Medicare Demonstration, and HCC risk adjustment will also determine into which Practice Risk Group patients will be placed for the new Primary Care First Model.

Correct diagnosis coding is always important, but it is critical for accurate risk adjustment because it drives appropriate reimbursement for provider services in value-based payments.  An easy “best practice” to initiate is to always code to the highest specificity.  Unfortunately, Electronic Health Records (EHRs) complicate this because the search list populated for diagnosis codes frequently brings the unspecified codes to the top of the list. To overcome this challenge, we recommend creating a list of HCC diagnosis “favorites” that will more easily display for selection. Check if your EMR can highlight diagnoses that map to HCC scores.  Partnering with a certified medical coder can assist in ensuring accuracy in the common conditions included as “favorites,” especially for disease combinations such as diabetes with chronic kidney disease. In addition, you can also consider running a diagnosis utilization report to identify your most frequently treated HCC diagnoses and then review and update your problem lists so you can be as specific as possible for patients with those conditions.

Correct coding is essential for accurately predicting future health care costs for patients and ensuring the appropriate reimbursement for providers.

To enhance your understanding of which conditions carry a risk adjustment factor, download our HCC Resource Sheet for Home-Based Primary Care (HBPC) which provides a list of common HBPC diagnoses for HCC scoring.

Categories
HBPC in the News HCCIntel Training & Education

HCCI Brings Home-Based Primary Care Training To China

 

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.

 

 

 

 

Categories
Benefits of HBPC HCCIntel Training Training & Education

The HCCI Home-Based Primary Care Implementation Model

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.

Categories
HCCIntel Training Training & Education

20% Discount On All Remaining 2018 Educational Classroom Workshops

20% Limited time offer

Hearing from industry leaders at last week’s AAHCM Annual Meeting, it’s more apparent than ever that home-based primary care will soon become the standard for treating frail, medically complex, homebound patients. HCCI is dedicated to creating universal access to best practice house call programs for those patients by raising awareness of and advocating for expanding the HBPC model, growing the HBPC workforce through education and training, and developing a research-based model for sustainable house call program implementation and growth.

To encourage medical professionals to explore opportunities in this growing field, we are currently offering a 20% discount on our remaining 2018 educational classroom workshops. This is a limited time offer. Sign up today using code: AAHCM20. See the available workshop dates and locations: http://bit.ly/HCCI_education_workshops

Categories
Benefits of HBPC HCCIntel Practice Management Training & Education

Leveraging the Knowledge and Experience of HBPC Experts to Help Your House Call Program Succeed

Brent Feorene is a practice management expert and consultant in the field of home-based primary care medicine. Home-based primary care (HBPC) or “house calls” are making a resurgence because they better serve the needs of the four million frail, chronically ill, medically-complex, homebound patients in the US who have trouble accessing the traditional office-based healthcare system.

Hospitals sometimes refer to these patients as frequent flyers or MVPs (multi visit patients) because of their frequent trips to the ER and disproportionately high number of hospital admissions and readmissions. Getting primary care to these patients in their home is proving to meet the triple aim of better outcomes, higher patient satisfaction, and cost savings. In this video Brent describes some the unique challenges that hospitals and physician practices face as they consider providing care to patients at home.

HCCI has convened and continues to work with industry experts from around the country to set standards, develop HBPC training and assist providers and hospitals at all levels attain greater levels of success.

If your hospital or hospital system is seeking ways to reduce readmissions and improve it’s bottom line, contact HCCI for assistance and training implementing a house call program.

The Home Centered Care Institute (HCCI) is a national non-profit organization focused on advancing home-based primary care (HBPC) to ensure that chronically ill, medically complex and homebound patients have access to high-quality care in their home. HCCI works with leading academic medical centers, health systems and industry experts to raise awareness of and advocate for expanding the HBPC model by growing the HBPC workforce through education and training and developing a research-based model for sustainable house call program implementation and growth.

Categories
Benefits of HBPC HCCIntel Training & Education

HCCI Brings Home-Based Primary Care Training to China

This week, HCCI’s CEO Tom Cornwell, MD., travels to China to be part of an International Symposium on Home-Based Medical Care. Dr. Cornwell will present 3 different lectures at the School Of Health Care Management, Shandong University in Jinan, China.

Categories
Caregiver Stories HCCIntel Training & Education

One Nurse Practitioner’s Path to a Career in Home-Based Primary Care

The Home Centered Care Institute (HCCI) recently exhibited at AANP18 in Denver where we met dozens of amazing nurse practitioners who are providing home-based primary care around the country.  Ed Etherton, NP, was kind enough to sit down for an interview and share his inspiring story and his path to a career in #hbpc providing house calls for UnityPoint Health Senior Health Division in Peoria, IL.  Ed is an NP “Ahead Of The Curve On Care!”

Are you a nurse practitioner who is currently making house calls?  HCCI would love to hear your story!  Are you a nurse practitioner interested in expanding your career into home-based primary care?  HCCI provides the training to help you better serve patients in their homes.

About HCCI
The Home Centered Care Institute (HCCI) is a national non-profit organization focused on advancing home-based primary care (HBPC) to ensure that chronically ill, medically complex and homebound patients have access to high-quality care in their home. HCCI works with leading academic medical centers, health systems and industry experts to raise awareness of and advocate for expanding the HBPC model by growing the HBPC workforce through education and training and developing a research-based model for sustainable house call program implementation and growth.

Our Mission and Vision
The Home Centered Care Institute (HCCI) is dedicated to creating universal access to best practice house call programs, making home-based primary care the national standard for treating medically complex patients who are better cared for in the home.

We seek to ensure every patient in need has access to quality medical care in the home that results in a profound improvement in medical outcomes, patient and family experience and healthcare spending.

Home Centered Care Institute (HCCI)
1900 Golf Rd
Suite 480
Schaumburg, IL 60173
630-283-9210

Home

Categories
HCCIntel Training & Education

HCCI Releases Six New HBPC Online Training Courses

Online Learning

HCCI is committed to training the future home-based primary care (HBPC) workforce, bring more providers and practice managers into the field, and set clinical and operational standards for HBPC. Stay ahead of the curve! Sign up for six new online courses available now at HCCI University.