About the Home Centered
Care Institute (HCCI)
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 health care spend.
All those in need of house calls get them. Because the future of healthcare… is in the home.
Introduction to Home-Based Primary Care and HCCI
Home-based primary care (HBPC), also known as the “modern-day house call,” provides medical care to frail, medically complex patients who are either homebound or home-limited. These are patients for whom visiting a doctor in their office is either difficult or impossible. Physicians, nurse practitioners, and physician assistants provide ongoing care to these patients in their homes – often through to the end of their lives. Thanks to advances in modern technology, a visit can even include lab tests, an EKG, x-ray, ultrasound, and more. House calls have not only been proven to dramatically improve health outcomes and the quality of life for patients and their caregivers, but also can reduce the overall cost of care by reducing unnecessary emergency room visits and hospitalizations.
The Home Centered Care Institute (HCCI) is a national nonprofit organization focused on scaling home-based primary care and bringing it into the healthcare mainstream. In addition to being an authoritative source for clinical and operational best practices for house call programs, HCCI is advancing the field through education, consulting, research, and advocacy.
To learn more about HBPC and HCCI, watch the video.
Rethinking Modern Medicine
The Home Centered Care Institute’s video, “Rethinking Modern Medicine,” highlights what happens during an initial home-based primary care (HBPC) visit, including the patient assessment, exam, and conversations with the caregiver. At the same time, it shares the feeling of house calls, as they help people feel cared for and connected.
Known as the “modern-day house call,” HBPC is exactly what it sounds like — physicians, nurse practitioners, and physician assistants traveling to a patient’s home, or the place they call “home,” to deliver primary care services.
Welcome to the website of the Home Centered Care Institute (HCCI), a not-for-profit organization dedicated to expanding house call practices throughout the nation. Our work focuses on bringing you the knowledge, perspective and experience of leading experts in the field, and educating and guiding you and other professionals in the rewarding practice of home-based primary care (HBPC).
As a practicing physician with over 30 years of experience, I have dedicated my career to HBPC, personally making over 33,000 house calls. I also understand the important difference home-based primary care makes in patients’ lives and the value it brings to the health care industry. This is one of the many key reasons I founded this organization and passionately support the growth of HBPC in our communities.
As you explore our site, I encourage you to engage with HCCI. Consider taking an online course, register for a workshop, review our consulting offerings, sign up for an HCCIntelligence™ webinar, or call us to discuss the benefits of education and ways to improve and grow your HBPC practice. Together, we can improve our nation’s health care as leaders in this innovative model of care.
Thomas Cornwell, MD
Home Centered Care Institute (HCCI)
What is your vision for HCCI?
When I think of our vision, I think of what we often say at HCCI, which is that the future of healthcare is in the home. We are working to realize that vision through four key strategies: education, consulting, research, and advocacy. We have already done significant awareness-building around the importance of home-based primary care, but there is much still to do. With HCCI’s dedicated staff, consultants, and faculty, we can make great strides in increasing the availability of home-based care.
Our research shows that the demand for home-based primary care far outweighs the supply. Patients want and need this care, but not enough providers deliver it. We are looking at how we can add to that supply through workforce development and by encouraging practices, investors, and payers to get behind it. My overarching goal is to improve equity by improving access to high-quality care delivered in the home.
What is the biggest opportunity and challenge for home-based primary care?
One of the biggest opportunities is the shift from a fee-for-service model to value-based care. Home-based primary care providers can ultimately improve patient outcomes and save money by engaging in value-based payment arrangements. For example, The Center for Medicare & Medicaid Innovation demonstration projects like Independence at Home have been highly successful. Read More
Our healthcare system’s shift from fee-for-service to value-based reimbursement will dramatically increase the utilization of home-based primary care—reducing healthcare costs and improving patient outcomes for society’s most vulnerable patients.
Today, a perfect storm has developed that is fanning the sails of the modern house call movement.
Home care medicine can help health systems achieve the Triple Aim – markedly improving the quality of life for our nation’s most complex patients, delivering substantially better experiences for patients and caregivers, and dramatically reducing health care costs.
Diverse factors are driving the growing trend toward home-based primary care and aging in place. HCCI founder, Dr. Thomas Cornwell, calls this convergence the “perfect storm” in his report on the state of house call medicine today.
Click here to read Dr. Cornwell’s report.