The Illinois House Call Project: Preparing for Success in the ILHCP - Presentation
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute, LLC and the Home Centered Care Institute. PeerPoint Medical Education Institute, LLC is accredited by the ACCME to provide continuing medical education
The Illinois House Call Project: Community Services and Partnership Opportunities in Illinois
Diane Slezak President and CEO AgeOptions: www.AgeOptions.org Contact Information: diane.slezak@ageoptions.org Sandy Pastore, MSW Division Manager Illinois Department on Aging: www.ilaging.illinois.gov/ Contact Information: sandra.pastore@illinois.gov Cherish Reinwald COO/Director of Counseling Services Eaves Health Partners: www.eaveshp.com/ Contact Information: cherish@eaveshp.com Therese Byrne, LCSW Social Worker CATCH-ON: www.catch-on.org/ Contact Information: therese_byrne@rush.edu
The Illinois House Call Project - Job Summary Advertisement
Are you a dedicated and compassionate medical provider with a passion for delivering exceptional care to those who need it most? Do you thrive on providing personalized medical services in a setting where you can make a significant impact on the lives of high-needs, frail, and chronically ill patients? If so, we invite you to
The Illinois House Call Project: Media Tool Kit
This toolkit is intended to help your practice understand how to promote the importance of home-based medical care in your community, particularly to potential patients and caregivers. It will also help you identify the key messages and media tactics you can use to reach your target audience most effectively. The goal of this toolkit is
The Illinois House Call Project: Preparing for Success in the ILHCP - Agenda
Thursday, August 8, 2024 Location: 1900 East Golf Road, 4th Floor Schaumburg, IL 60173
The Illinois House Call Project: Kick-off Call
This Illinois House Call Project Kick-Off Call was the inaugural event marking the beginning of the second cohort of the Illinois House Call Project. During the call, participants were introduced to the program's goals, objectives, and methodologies. Key program leaders introduced the project's framework, expected outcomes, and the roles and responsibilities of the cohort members.
Live Webinar Series
1-on-1 Office Hours
An Introduction to Home Based Primary Care and the Home Centered Care Institute
HCCI’s I Heart House Calls campaign is intended to illustrate the power of this type of care − and the connection it provides − for patients, caregivers, families, providers, practice staff, and others.
Why a Georgia Provider Started Her Own House Call Practice
Date: 7|3|2024 Dr. Nancy Hurlock, DNP, AGPCNP-BC, and owner of Statesboro, Georgia-based Beyond Health Group, knows the importance of providing quality, patient-centered care for homebound or home-limited patients firsthand. “As a home-based primary care provider, I see the positive impact of home care on my community every day,” she said. “There are so many older
The Transformative Impact of House Calls: Part V
Date: 7|3|2024 Blair Findlay, HCCI’s Development Associate, rode along with Dr. Paul Chiang, HCCI’s Senior Medical and Practice Advisor, and Northwestern Medicine HomeCare Physicians’ Medical Director, for a day of house calls. In this series, Findlay shares her experiences from that day. Read Part I, Part II, Part III, and Part IV. The final installment
Home-Based Primary Care: A Powerful Solution for Home-Limited, Medically Complex Patients
Developed in consultation with a long-time caregiver and member of HCCI Practice Advisory Group, this resource aims to increase awareness of HBPC among caregivers, including "conversation starters" for talking with the patient's primary care provider about obtaining HBPC, how it can help them manage their demanding responsibilities and take care of their own needs, and
Chronic Care Management (CCM) Provider Checklist - 2024
This resource is intended to assist home based medical care providers with effectively managing Chronic Care Management (CCM) services, inclusive of guidance on how to identify eligible patients with multiple chronic conditions, initiate appropriate visits for assessment and consent, document patient consent, record and update patient information in certified Electronic Health Record (EHR) systems, develop
Patient Qualifications Durable Medical Equipment - Home Oxygen - 2024
This resource was created to provide clarity around the patient qualifications and provider documentation requirements for home oxygen equipment.
Home-Based Medical Care: Telehealth Guidelines & Coding Requirements - 2024
A comprehensive resource designed to provide guidance to home-based medical care programs in the use of telehealth services to care for their patients with the expansion of reimbursement opportunities post-pandemic. All content reflects 2024 updates and was gathered utilizing Centers for Medicare & Medicaid Services (CMS) guidelines.
Home-Based Primary Care: An Essential Lifeline for Caregivers
Developed in consultation with a long-time caregiver and member of HCCI Practice Advisory Group, this resource aims to increase awareness of HBPC among caregivers, including "conversation starters" for talking with the patient's primary care provider about obtaining HBPC, how it can help them manage their demanding responsibilities and take care of their own needs, and
Suggested Equipment and Supplies for HBPC - 2024
This resource list the recommended supplies that providers should carry each day in order to effectively perform procedures and provide quality care to patient each day.
Key Metrics for Demonstrating the Value of HBPC Programs - 2024
This resource is intended to help clinicians and practices determine metrics for evaluating operational efficiencies, productivity, and patient outcomes. While not an exhaustive list, HCCI recommends selecting a core set of measures from the following key data areas to demonstrate the value of your HBPC program. The staffing and operational metrics will help you evaluate
Gastrostomy Tube Replacement Procedure for Home-Based Medical Care Providers - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff to provide procedure recommendations for replacement of gastrostomy tube in the home setting.
Knee Aspiration & Injection Procedure for Home-Based Medical Care Providers - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff to describe step-by-step instructions for performing knee aspirations and injections in the home setting.
Tracheostomy Tube Replacement Procedure for HBPC Providers - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff to provide procedure recommendations for replacement of tracheostomy tube in the home setting.
Annual Wellness Visit Template Guidelines - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff and assists with the creation of a template for annual wellness visits (AWV) by providing the required documentation elements necessary to bill for this service; however, be sure to review the Centers for Medicare & Medicaid Services (CMS) guidelines for a full
Provider Orders and Instructions Form - 2024
The Provider Orders/Instructions Form is a comprehensive document designed to convey clear and precise healthcare directives from a physician to the patient and other healthcare professionals involved in the patient's care. This form serves as a written record of the physician's recommendations, treatment plans, and specific instructions to ensure accurate and consistent implementation across the
Durable Medical Equipment: Wheelchairs, Power Mobility Devices, and Hospital Beds - 2024
This resource was created to provide clarity around the patient qualifications and provider documentation requirements for standard wheelchairs, power mobility devices and hospital beds. The content was gathered from various Centers for Medicare & Medicaid Services (CMS) sources.
Infection Control Guidelines - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff and provides an overview of infection control.
Recruiting Patients for your HBPC Program - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff to assist practices that are starting, growing or adding a home-based primary care (HBPC) program to their services with recruiting and talking to potential new patients. These tips guide practices on appropriately and effectively relaying their program’s vision and mission and the
Securing Referrals for Your HBPC Program - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff to provide suggested talking points and topics of discussion for practices that recently started or are trying to grow their home-based primary care (HBPC) program. These are intended to be used in conversations with providers who are known to the practice and
Chronic Care Management (CCM) Care Plan Requirements - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff and provides an overview of the 2024 required elements for the Chronic Care Management (CCM) Care Plan. This resource may be utilized as a guide to create a standard CCM Care Plan but is not all-inclusive. Refer to CMS guidelines for full
Home Based Medical Care Practice Intake Guide - 2024
This resource is a communication guide for staff who conduct intake calls and/or respond to calls from patients and/or caregivers interested in enrolling in a home-based primary care practice.
Professional Resources for the Homebound Patient - 2024
Assist patients and caregivers with identifying local specialty providers, services, and resources to support with the interdisciplinary care of frail, medically complex, and chronically ill homebound patients.
Tips for Developing your Unique Value Proposition - 2024
This resource assist in identifying specific benefits a customer can expect from you to help write your Unique Value Proposition.
Home-Based Medical Care: Superbill Worksheet - 2024
A comprehensive list of the primary services that a home-based medical care practice would bill and submit for reimbursement. Includes CPT® codes, location of service (if applicable), service descriptor, 2024 wRVU, 2024 Medicare National Fee Schedule Payment, and precalculated 85% of Medicare allowable payment (NP/PA). This information allows programs to estimate revenue, create an internal
Home Based Medical Care Advanced Coding Opportunities - 2024
A comprehensive resource to assist home-based medical care providers and practice staff with understanding the advanced coding opportunities beyond Evaluation and Management (E/M) Current Procedural Terminology (CPT®) codes that are available billing and reimbursement based on the high level of complexity of patient needs. These 2024 CPT codes align with the care provided and allow
Home-Based Medical Care Evaluation and Management (E/M) Guidelines - 2024
This resource is intended to serve as a reference for home-based providers that review the Evaluation and Management (E/M) documentation & coding guidelines on the criteria needed to support billing for the different levels of service for the home visit CPT range (CPT 99341-99350). Refer to CMS guidelines1 for full details and requirements.
Social Determinants of Health (SDoH) Screening and Coding Requirements - 2024
This resource is intended to provide home based medical care providers and practice staff an overview of the basic understanding of Social Determinants of Health (SDOH), its impact in patient care and medical decision making, and the importance of documentation in the SDOH Risk Assessment. All content reflects 2024 Centers for Medicare & Medicaid Services
Risk Adjustment Factors (RAF) for House Calls: Hierarchical Condition Categories (HCC) Coding Guide - 2024
Hierarchical Condition Category (HCC) Coding is the risk adjustment methodology used by the Centers for Medicare and Medicaid Services (CMS) and other programs to determine the annual capitated payments for Medicare Advantage beneficiaries and to determine expected costs in Medicare Shared Savings Programs (ACOs) and newer Alternative Payment Models (APMs). Capturing HCC scores for your
Transitional Care Management (TCM) Face-To-Face Visit Requirements - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff and defines the 2024 face-to-face documentation requirements for Transitional Care Management (TCM) Face -To - Face visits and serves as a reference when creating visit templates or building components into an Electronic Health Record (EHR). The content was gathered utilizing Centers for
Transitional Care Management (TCM) Interactive Contact Requirements - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff and defines the 2024 requirements for the interactive contact required of clinical staff during the Transitional Care Management (TCM) period and serves as a reference when creating workflows or templates for outreach. The content was gathered utilizing Centers for Medicare & Medicaid
Chronic Care Management (CCM) Care Plan Template - 2024
Our Comprehensive Chronic Care Management Plan Template is a tool aimed at enhancing the coordination and quality of care for individuals with chronic health conditions. This template serves as a structured framework to assist healthcare providers in developing personalized and effective care plans, fostering a proactive approach to managing chronic illnesses.
Interdisciplinary Team (IDT) Meeting Guide - 2024
IDT meetings are an important tactic for house call programs to use to promote optimal care, quality outcomes, and team communication, often leading to improved clinical care and teamwork. This resource was developed to assist with the development and implementation of IDT team meetings for house call programs using the following recommended agenda items.
Payer Communication Guide for Home-Based Medical Care: Navigating Value-Based Care Contracting - 2024
This resource is intended for home-based primary care (HBPC) providers and practice staff to assist practices in developing an effective strategy for meeting with payers by accurately and persuasively communicating the value of the services they provide.
Remote Patient Monitoring - 2024
This resource is designed to guide house call programs in the use of remote patient monitoring services to care for their patients following the expansion and highlighted need for telemedicine as a result of the COVID-19 pandemic.
Patient Caregiver Satisfaction Survey Form - 2024
This survey seeks to assess various aspects of the healthcare experience, considering the perspectives of both those directly receiving care and those providing crucial support. By capturing insights from both parties, healthcare organizations can gain a holistic understanding of the quality of care and support services offered.
House Calls Medical History Form - 2024
Semi-customizable & downloadable form used to gather important information about a patient’s past and current health status. This includes questions about the patient's medical history, including any illnesses or medical conditions, surgeries or hospitalizations, and medications they are currently taking. This comprehensive picture of a patient's health can help guide diagnosis and treatment decisions and
Patient Demographic Intake Form - 2024
The Patient Demographic Intake Form is designed to collect key information about individuals seeking healthcare services. Serving as the foundational record in a patient's medical history, this form captures demographic details necessary for accurate identification, communication, and efficient management of their healthcare needs.
Patient and Provider Contract - Opioid Pain Medication - 2024
This contract serves as a vital document establishing a clear and comprehensive understanding between healthcare providers and patients regarding the responsible and appropriate use of opioid medications. This agreement is designed to ensure the safe and effective management of pain while minimizing the risks associated with opioid use.
Patient Communication Choices Authorization Form - 2024
This form empowers individuals to control the disclosure of their health information. By signing this form, patients grant explicit consent to a specified organization to share their health information with designated family and friends, as well as individuals involved in their care or the payment for their care
New Innovation Award Offers Free CCM Implementation Packages
Date: 6|9|2024 The newly announced HCCI & Elea Institute Innovation Award program is intended to support Illinois-based palliative care organizations in implementing Chronic Care Management (CCM) services to expand and diversify their services and assist with driving revenue. To achieve this goal, HCCI will select up to 10 community-based palliative care programs to participate, beginning
Crossroads of Care: Managing Serious Illness in the Home (Session 4 of 4)
With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients
Crossroads of Care: Managing Serious Illness in the Home (Session 3 of 4)
With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients
Crossroads of Care: Managing Serious Illness in the Home (Session 2 of 4)
With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients
Crossroads of Care: Managing Serious Illness in the Home (Session 1 of 4)
With the usage of value-based care models growing, the need for home-based primary and palliative care is on the rise. In many programs across the country, though, these two models have operated separately. There is, however, an increasing need for them to work more closely together to increase access to holistic, seamless care for patients
The Value of Home-Based Primary Care
Home care medicine can help ACOs and health systems achieve the Quadruple Aim – markedly improving the quality of life for our nation’s most complex patients, delivering substantially better experiences for patients and caregivers, enhancing opportunities for workplace joy and balance among healthcare providers, and dramatically reducing health care costs. Diverse factors are driving the
The Impact of COVID-19 on HBPC Providers, Practices and Patients
Review this HCCIntelligence™ Webinar Recording from March 2020.
The Most Important Billing Codes You May Not Be Using
Review this HCCIntelligence™ Webinar Recording from June 2019.
What You Should Know About 2020 Coding Updates
Review this HCCIntelligence™ Webinar Recording from February 2020.
Value-Based Care: New Revenue Opportunities for Home-Based Care Practices
Review this HCCIntelligence™ Webinar Recording from August 2021.
The Florida House Call Project: A State-level Approach to Expanding HBPC Awareness and Access
This HCCIntelligence™ Webinar Recording from October 2021 shares insights gained from this innovative pilot program, including from two Champions who have been part of this initial cohort.
Unlocking Revenue Streams: Navigating the 2024 Medicare Physician Fee Schedule for Home-Based Medical Care
Review this HCCIntelligence™ Webinar Recording from January 2024.
The Art of Attracting, Recruiting, and Onboarding the Right Talent for your Practice
Review this HCCIntelligence™ Webinar Recording from October 2022.
Strategies for Growing Provider & Patient Referrals for Your Practice
Review this HCCIntelligence™ Webinar Recording from June 2020.
Self-Care: Avoiding Burnout and Maximizing Yourself and Your Team
Review this HCCIntelligence™ Webinar Recording from January 2020.
Relational Leadership-Building Strong Teams and Culture in Home Based Care
Review this HCCIntelligence™ Webinar Recording from March 2021.
Ready, Set, Go: Planning Ahead to Administer the COVID-19 Vaccine to HBPC Patients
Review this HCCIntelligence™ Webinar Recording from February 2021.
Putting Person-Centered Decision Making into Practice
Review this HCCIntelligence™ Webinar Recording from May 2020.
COVID-19 Vaccine Administration
Review this HCCIntelligence™ Webinar Recording from January 2021.
Navigating COVID-19 Challenges with Telehealth
Review this HCCIntelligence™ Webinar Recording from May 2020.
Medication Management: Art of Deprescribing Medications in HBPC
Review this HCCIntelligence™ Webinar Recording from March 2020.
Managing Depressive Disorders in Homebound Patients
Review this HCCIntelligence™ Webinar Recording from December 2019.
COVID-19 and Home-Base Care-What Have We Learned
The world has changed significantly since the onset of the COVID-19 pandemic, but what did we learn about Home-Based Care and its role going forward? Review this HCCIntelligence™ Webinar Recording from May 2021 to explore this interactive discussion.
Leading Teams During a Crisis: COVID-19 and Beyond
Review this HCCIntelligence™ Webinar Recording from September 2020.
Introduction to Point-of-Care Ultrasound (POCUS) for the Home Care Provider
Review this HCCIntelligence™ Webinar Recording from November 2020.
Intersection of Faith and Community Organizing in Advanced Illness Care During COVID-19
Review this HCCIntelligence™ Webinar Recording from July 2020.
Integrating Occupational Therapy into HBPC
Review this HCCIntelligence™ Webinar Recording from August 2020.
Improving Workflows: Front Office, Back Office and What It Means For Staffing
Review this HCCIntelligence™ Webinar Recording from August 2019.
Geographic Scheduling: Impact on HBPC Productivity
Review this HCCIntelligence™ Webinar Recording from September 2019.
Entrepreneurship: I Want To Start A House Call Program
Review this HCCIntelligence™ Webinar Recording from November 2019.
Driving Practice Growth through Marketing, Media Relations, and Your Community
Review this HCCIntelligence™ Webinar Recording from December 2022.
Data Analytics: The Key to Achieving Growth and Quality in Home-Based Medical Care
Review this HCCIntelligence™ Webinar Recording from November 2023.
COVID-19 Updates: Advance Care Planning, Self-Care/Team-Care and Centers for Medicare & Medicaid Services Telehealth Changes
Review this HCCIntelligence™ Webinar Recording from May 2020.
Clinical Conundrums: Three Common Challenges You May Be Facing
Review this HCCIntelligence™ Webinar Recording from July 2019.
2023 Here We Come! Billing & Coding Impacts You Need To Know
Review this HCCIntelligence™ Webinar Recording from February 2023.
2022 Coding & Policy Impacts
Review this HCCIntelligence™ Webinar Recording from December 2021.
The Transformative Impact of House Calls: Part IV
Date: 5|25|2024 Blair Findlay, HCCI Development Associate, rode along with Dr. Paul Chiang, HCCI’s Senior Medical and Practice Advisor and Northwestern Medicine HomeCare Physicians’ Medical Director, for a day of house calls. In this series, Findlay shares her experiences from that day. Read parts I, II, and III. Modern-day house calls can allow for a deeper, more compassionate level of
Big Changes Are Coming to HCCI
Date: 5|23|2024 To better meet your needs and the needs of all of those in the home-centered care industry, the Home Centered Care Institute (HCCI) is making some BIG changes. We’ve listened to your feedback and combined it with our own research findings to create several new initiatives designed to make it easier for you
The Transformative Impact of House Calls: Part III
Date: 5|1|2024 Blair Findlay, HCCI Development Associate, rode along with Dr. Paul Chiang, HCCI’s Senior Medical and Practice Advisor and Northwestern Medicine HomeCare Physicians’ Medical Director, for a day of house calls. In this series, Findlay shares her experiences from that day. Read parts I and II. In part I of this series, I mentioned how
What Brought a Resident Back to House Calls
Date: 4|25|2024 Increasingly recognized for the significant role it plays in providing quality, patient-centered care for homebound or home-limited patients, home-based primary care (HBPC) offers providers a unique opportunity to deliver medical care to patients where they live. The approach is especially beneficial for patients with high-cost, complex medical needs because it helps curtail unnecessary
Hospitals’ New Push: Treating Patients in Their Homes
Institutions say it is safe and opens hospital beds, but policymakers fear it’s too pricey and lacks strict standards By Melanie Evans Szymczak for WSJ Follow | Photographs by Kayana Aug. 13, 2024 at 5:30 am ET In a suburb just outside Boston, Herbert Irvine sat in his recliner on a July morning as he
The Power of Three Plus One: The John A. Hartford Foundation Expands Collaborative Grant Effort to Advance Home-Based Primary Care
Date: 4|11|2024 Building on two previous phases of an ongoing initiative to advance home-based primary care in the U.S., The John A. Hartford Foundation (JAHF) has launched Moving and Scaling Home-Based Primary Care Phase III: Quality, Training, Advocacy, and Policy. This most recent grant phase supports JAHF’s overall mission of creating age-friendly health systems and represents the
The Transformative Impact of House Calls: Part II
Date: 4|4|2024 Blair Findlay, HCCI Development Associate, rode along with Dr. Paul Chiang, HCCI’s Senior Medical and Practice Advisor, for a day of house calls. Dr. Chiang also serves as Medical Director forNorthwestern Medicine HomeCare Physicians. In this series, Findlay shares her experiences and insights from that day. Read part I here. “Hospice” can be
The Transformative Impact of House Calls: Part I
Date: 3|6|2024 Blair Findlay, HCCI Development Associate, rode along with Dr. Paul Chiang, HCCI’s Senior Medical and Practice Advisor, for a day of house calls. Dr. Chiang also serves as Medical Director for Northwestern Medicine HomeCare Physicians (HCP), a suburban Chicago practice focused on delivering care to medically complex patients in their homes. In this
Why Home-Centered Care Practices Need Data and Where to Find It
Date: 2|26|2024 Home-centered care practices and organizations live in a data-driven world. And whether your practice is just getting started, looking to grow, or already well-established, having the right data is essential for making informed decisions, solving problems, and guiding continuous quality improvements. But where do you find the “right” data? Here are three common
How to Best Retain House Call Staff
In September, Dr. Paul Chiang, Senior Medical and Practice Advisor, HCCI, and Medical Director, Northwestern Medicine HomeCare Physicians, and Rebecca Ramsay, MPH, BSN, Chief Executive Officer, Housecall Providers, presented on The Intersection of Home-Based Primary Care and Palliative Care for a group of Illinois-based palliative and hospice care providers in Schaumburg. The presentation was the
2021 Coding: Impacts for Home-Based Providers and Practices
Review this HCCIntelligence™ Webinar Recording from January 2021.
Take Charge of Your Practice's Financial Health
Date: 8|25|2023 Are you a home-based medical care provider or practice administrator feeling overwhelmed with the complexities of Revenue Cycle Management (RCM)? Do you find it challenging to understand RCM, including how to effectively delegate tasks to your staff? Kera Holmes, HCCI, Manager of Practice Development, can help you unravel the mysteries of RCM and equip
Help the Next Generation of House Call Providers
Date: 8|23|2023 Are you an HCCInsider? For only $15 a month, your donation (which will be doubled by a generous HCCI donor) will cover the cost to provide early career online training in home-based primary care for a medical resident or trainee and accomplish the following: Offer vital exposure for residents, and those training to
37,000 Visits and Counting: A Physician’s Journey into House Call Medicine
Date: 7|6|2023 As Senior Medical and Practice Advisor at HCCI and Medical Director for Northwestern Medicine HomeCare Physicians in suburban Chicago, Dr. Paul Chiang has made over 37,000 house calls to more than 3,600 patients during his 23-year career. We talked to Dr. Chiang about his impressive track record, why he started making house calls
In Just One Year, More Than 1,700 New Patients Benefiting from Medical 'House Calls'
National nonprofit celebrates success of the Illinois House Call Project’s 14 medical practices and their ‘Champions’ on providing home-based primary care in the state June 2023 — In Illinois, medical practice “Champions” of the Home Centered Care Institute’s (HCCI) Illinois House Call Project (ILHCP) have spent the past year working to provide care and close
AGS Meeting Participants Take Home-Based Care Adventure
Date: 6|1|2023 At the annual Scientific Meeting of the American Geriatrics Society, May 4-6 in Long Beach, California, Dr. Paul Chiang, Senior Medical and Practice Advisor, HCCI, and Medical Director, Northwestern Medicine HomeCare Physicians, was among the presenters of the Choose Your Own Adventure: Navigating the Home-Based Care Continuum in Clinical Practice workshop. More than
New Platform Provides Vital Data to Better Deliver Home-Centered Care
Confer Analytics™ platform is powered by the Home Centered Care Institute Schaumburg, IL (May 15, 2023) — An innovative new platform developed by the Home Centered Care Institute (HCCI) merges and analyzes data to help health care organizations answer key questions about the rapidly expanding market of home-based medical care. The newly launched Confer Analytics™
Our Most Popular Resources Bring Real-Life Solutions in Convenient, Cost-Effective Bundles
Date: 4|28|2023 Are you a home-centered care medical provider running your own practice, while needing to sift through pages of Centers for Medicare & Medicaid Services (CMS) coding guidelines to address thousands of dollars in recent denials*? Or a practice manager looking to improve your geographic scheduling? Or maybe a nurse practitioner with a
Activate Your 14-Day Free Trial Now for New Confer Analytics™ Platform
Date: 4|11|2023 What would be your next step as the director of a home-centered care practice if you needed up-to-date, accurate business intelligence to help you expand and prepare for payer negotiations? Information about your market like how many people need and are getting house calls, which practices provide those house calls, are they involved
Federal Public Health Emergency for COVID-19 Expiration: CMS Waivers & Flexibilities Impacts
Date: 3|22|2023 Based on COVID-19 trends, the Department of Health and Human Services is planning for the federal Public Health Emergency for COVID-19 (PHE) to expire at the end of the day on May 11, 2023. During the PHE, emergency declarations, legislative actions by Congress, and regulatory actions across government, including by the Centers for
Illinois House Call Project Champion April Odom to Participate in Live Conversation about Future of Home Care
Date: 3|22|2023 HCCI’s Illinois House Call Project Champion April Odom, MSN, APRN-FPA, CRRN, FNP-BC, a family nurse practitioner with over 20 years of experience, and CEO of PhysicalsPlus, will participate in a free live, virtual event on March 24 at 1pm CT, titled Healing at Home: Pandemic Lessons and the Future of Home Care.
Independence at Home Demonstration Shows CMS Savings
Date: 2|28|2022 The recent Centers for Medicare & Medicaid Services’ Independence at Home (IAH) Demonstration results showed that the project has consistently saved CMS millions of dollars since launching in 2012. IAH was designed to test the effectiveness of employing comprehensive home-based primary care services and sought to reward providers who deliver quality care while
Successful House Call Provider Shares His Secrets to Practice Growth
Date: 1|26|2023 Since starting his house call practice in October 2021, Logan Andrews, MSN, APRN, FNP-BC, has grown his Trenton, Florida-based Andrews Healthcare Consulting to nearly 1,700 patients — adding nearly 600 new patients in the last three months alone. In a recent interview with HCCInsights, Andrews shared marketing strategies that helped fuel his success —
Home Centered Care Institute Names Prominent Industry Leaders to Board of Directors
Schaumburg, IL (January 26, 2023) — The Home Centered Care Institute (HCCI), a national nonprofit, has appointed three new members to its Board of Directors from diverse healthcare sectors such as primary medical care practice, technology, and entrepreneurship. The new board members are: Christopher (Chris) Dodd, MD, Chief Medical Officer of PopHealthCare and its value-based national medical
HBPC Providers Are Silver Lining for Patients During Crisis
Date: 12|8|2022 Mother Nature isn’t always a benevolent parent, delivering devastating earthquakes, killer storms, raging wildfires, and dangerous floods. Many brave souls respond to these natural crises—police, emergency workers, firefighters, and more. But we also need to add another role to this honorable list: home-based primary care providers. These physicians, nurse practitioners, physician assistants, and
Help Us Bring Healthcare Home—For You and Those You Care About
Date: 12|5|2022 A message from Julie Sacks, President and Chief Operating Officer, Home Centered Care Institute: Imagine a future where your home-bound neighbor, who is losing their vision and mobility, can receive routine medical care in the comfort of their living room. Imagine a future where a loving son, the primary caregiver for his aging
Advanced Applications of HBPC™ Workshop – Faculty Spotlight
Date: 11|30|2022 Paul Wallace, MD Medical Director and Primary Care Physician, Insight Home Physicians About Dr. Wallace After 16 years as a hospitalist in San Francisco, Dr. Wallace joined the University of Pennsylvania Hospital in Philadelphia, where he became a member of the emergency ultrasound division. In 2020, he founded Insight Home Physicians, a private
Advanced Applications of HBPC™ Workshop – Faculty Spotlight
Date: 11|30|2022 Michael Kingan, DNP, APRN-BC, CWOCN About Kingan Kingan is a nurse practitioner with Johns Hopkins Medicine in Baltimore providing home-based primary medical care to homebound and home-limited adults and seniors. With more than 20 years of nursing experience, he has served in a variety of nursing roles, including as a surgical trauma and cardiovascular
Like Mother, Like Son: An HBPC Physician Shares His Personal Story
Date: 11|17|2022 At the 2022 American Academy of Home Care Medicine (AAHCM) Annual Meeting last month, James Warda, HCCI’s Vice President of External Affairs and Business Development, presented Driving Practice Growth through Marketing, Media Relations, and Your Community. The course taught participants how to promote their practices to community stakeholders and media outlets through marketing. “One
New Online Course: Management of Mental Health Conditions in Homebound Patients
Date: 11|17|2022 Compared to the general population, homebound patients are more vulnerable to mental health conditions such as depression, anxiety, and cognitive impairment. In fact, one study found 40.5% of homebound elderly patients had a psychiatric disorder1. Another study of homebound adults receiving delivered meals said 12.2% reported clinically significant depression and 13.4% reported
Advanced Applications of HBPC™ Workshop – Faculty Spotlight
Date: 11|17|2022 Michael Helle, NRP/CCP/FP-C, MHA, MBA Director, Clinical Programs – Office of Population Health University of California, San Francisco About Helle Helle serves as Director, Clinical Programs for the Office of Population Health at UCSF. UCSF Health Accountable Care Organization is comprised of multiple commercial payers, a Medi-Cal alternative payment model with San Francisco
Advanced Applications of HBPC™ Workshop – Faculty Spotlight
Date: 11|17|2022 James Ellison, MD, MPH Director, Swank Center for Memory Care and Geriatric Consultation, ChristianaCare About Dr. Ellison A recognized clinician, researcher, and educator in geriatric and adult psychiatry, Dr. Ellison offers special expertise in geriatric mood and anxiety disorders and neurocognitive disorders. Dr. Ellison graduated from the University of California School of Medicine
Advanced Applications of HBPC™ Workshop – Faculty Spotlight
Date: 11|17|2022 Daniel J. Kim, MD About Dr. Kim As an internal medicine specialist and geriatrician at Temple University Hospital in Philadelphia, Dr. Kim provides both inpatient and outpatient consultations as well as transitional care home visits for high-risk patients to assess the home environment and ensure patients and their caregivers have access to the
Essential Elements of HBPC™ and Advanced Applications of HBPC™ Workshops – Faculty Spotlight
Date: 11|11|2022 Amanda Tufano, MHA, FACHE, FACMPE Chief Executive Officer, Genevive About Tufano As Chief Executive Officer of Genevive, Tufano leads a mission-driven healthcare company dedicated to meeting the complex care needs of Minnesota’s geriatric population. Since joining the organization as director of business operations in 2012, she has also served as COO and treasurer
How a Provider Grew His House Call Practice to Over a Thousand Patients in a Year
Date: 10|25|2022 When Logan Andrews, MSN, APRN, FNP-BC, launched his solo house calls practice Andrews Healthcare Consulting in Trenton, Florida, on October 1, 2021, he started with around 30 patients. A year later, his practice has grown exponentially—as of the date of this interview, Andrews cares for 1,115 patients, and the number keeps climbing. “While
Essential Elements of HBPC™ and Advanced Applications of HBPC™ Workshops – Faculty Spotlight
Date: 10|25|2022 Paul Chiang, MD Medical Director, Northwestern Medicine HomeCare Physicians Senior Medical and Practice Advisor, Home Centered Care Institute (HCCI) About Dr. Chiang At HCCI, Dr. Chiang focuses on developing curricula, teaching current and future providers, and presenting the value of home-based primary care locally and nationally. In addition, he serves as Medical Director for Northwestern
7 Steps to Promote Your House Call Practice through the Media
Date: 10|14|2022 One way to drive your home-based primary care practice’s growth is to promote it through the media. But for house call practices that don’t have a dedicated marketing or public relations person or team, this can be a challenge. “One of the things that tends to get bumped down on a practice’s ‘To
HCCI Hosts Custom Workshop for NPHI Members
Date: 10|14|2022 In collaboration with the National Partnership for Healthcare and Hospice Innovation (NPHI), HCCI recently hosted an exclusive two-day virtual workshop for learners representing NPHI member practices from across the country. This unique partnership aims to help NPHI members create sustainable, innovative house call programs that enhance the patient experience, improve health outcomes, and
Essential Elements of HBPC™ Workshop – Faculty Spotlight
Date: 10|14|2022 Ina Li, MD Director of Advanced Primary and Continuing Care, ChristianaCare® About Dr. Li Li has provided leadership for ChristianaCare’s Geriatrics, Supportive and Palliative Care, Home Health, and other post-acute initiatives since 2006. She developed and continues to help grow ChristianaCare’s House Call Program which encompasses 13 providers who deliver care to 900+
The Importance of Interdisciplinary Care for Homebound Patients
Date: 08|26|2022 Dr. Paul Chiang, the Home Centered Care Institute’s (HCCI) Senior Medical and Practice Advisor, and Medical Director of Northwestern Medicine HomeCare Physicians in suburban Chicago, finds a team mentality to be essential when it comes to house calls. “I tell my patients, ‘I am only a doctor,’” Chiang said. “There are many issues
Illinois Medical Practices Selected For Statewide “House Call” Project
ILLINOIS MEDICAL PRACTICES SELECTED FOR STATEWIDE “HOUSE CALL” PROJECT National nonprofit recognizes 17 medical practices providing home-based primary care - or looking to expand or add it - as part of new ‘Illinois House Call Project’ July 2022--In Illinois, nearly 200,000 residents who require home-based primary care (HBPC) are not receiving this critical medical service. To
The Power of Three, Building on Success: The John A. Hartford Foundation Grant Recipients Continue to Advance Home-Based Primary Care
Throughout the pandemic, recipients of The John A. Hartford Foundation (JAHF) three-year grant, Moving and Scaling Home-Based Primary Care Phase II: Quality, Training and Advocacy, have continued driving home their mission to improve and expand access to high-quality home-based primary care (HBPC) for the homebound population of aging adults and other individuals with limited ability to
Bringing a Home Care Solution to State’s Health Issues
By just about any standard, the Magnolia State is in need of medical intervention: It ranks 50th in health, 49th in preventable hospitalizations, and 48th in access to care. The causes of Mississippi’s malaise are obvious: It’s first in heart disease, second in Alzheimer’s, and second in diabetes, according to rankings by the U.S. Center
New Course Demonstrates Patient Assessments During House Calls
Get an inside look at a house call with the Home Centered Care Institute’s new Patient Assessment in Home-Based Primary Care (HBPC) online course. Through video vignettes, watch Dr. Paul Chiang, HCCI’s Senior Medical and Practice Advisor, who has made over 35,000 house calls, prepare for and conduct a simulated visit with a patient and
Five “P’s” to Prove the Case for Home-Based Primary Care
Date: 04|11|2022 Author: Dr. Paul Chiang, Senior Medical and Practice Advisor, HCCI The heart of medicine is about service. For many of us who became medical providers, one of the key drivers in choosing this profession is the desire to care for patients. For some of us, we felt the added call to care for
Wielding the Double-Edged Sword of Medications
Many Americans, especially older Americans, take a lot of medications. Not just prescriptions but over-the-counter (OTC) drugs as well. A double-edged sword in some ways since medications can obviously help, but too many together can cause unwanted side effects. Providers who practice home-based primary care (HBPC) can help address this issue, suggests Dr. Ina Li,
CMS Announces Direct Contracting Transition to ACO REACH Model
03/22/2022: Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI The Centers for Medicare & Medicaid Services (CMS) recently announced its decision to redesign and rename the Global and Professional Direct Contracting (GPDC) model to the ACO Realizing Equity, Access, and Community Health (ACO REACH) Model beginning in performance year (PY)
The Eight “C’s” of Success for Home-Based Primary Care
Dr. Paul Chiang, Senior Medical and Practice Advisor for the Home Centered Care Institute (HCCI), has made over 35,000 house calls. With that background, he recognizes that house call providers are – and should be – a different breed. That’s where his “Eight C’s” come in. They don’t address treatment options. They don’t even mention
Participants Find Real Value in Learning and Networking during HCCI Workshops
As mentioned in last month’s newsletter, in December, HCCI held an Essential Elements of Home-Based Primary Care workshop in Orlando, and followed that up the next week by offering Advanced Applications of Home-Based Primary Care at HCCI’s headquarters in Schaumburg, Illinois. Melissa Singleton, HCCI’s Chief Learning Officer, was pleased the organization was able to use
Practice Spotlight: Bergen Geriatric Care
Bergen Geriatric Care Odessa Hoinkis, MD, Owner https://www.bergengeriatriccare.com/ Background Bergen Geriatric Care is committed to providing patients with high-quality care in a variety of settings, including assisted living facilities and private residences. Based in Oradell, New Jersey, the practice delivers chronic and transitional care management, longitudinal home-based primary care (HBPC), advance care planning, and annual
Vaccine Mandate Update 01-14-22: What it Means for Employers
01/14/22: Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI On January 13, 2022, the U.S Supreme Court released two per Curiam opinions regarding CMS and OSHA's vaccination and testing requirements. U.S Supreme Court: Centers for Medicare & Medicaid Regulation U.S Supreme Court: OSHA ETS First, the Court decided to allow CMS
Home-Based Care in 2022: Payment & Policy Key Impacts
Date: 01/06/2022 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI Here we are in the new year. Many practices and providers want to know how to prepare for success as we all continue to navigate this challenging healthcare environment. If you joined us for December's HCCIntelligence
HCCI Mourns the Passing of Robert Sowislo
We here at the Home Centered Care Institute (HCCI) were saddened to hear of the sudden passing on Friday, December 17, 2021, of Robert “Bob” Sowislo, who played a key role in the healthcare industry and home-based primary care (HBPC). Sowislo was a former board member of HCCI and served on the board of the
Practice Spotlight: Nathan Adelson Hospice
Nathan Adelson Hospice Angela Collins, RN, MBA – Chief Operating Officer https://www.nah.org/ Background As Southern Nevada’s largest and only nonprofit hospice/community-based palliative care organization, Nathan Adelson Hospice (NAH) has been providing advanced illness care, including home-based primary care services, for more than 42 years. A member of the National Partnership for Healthcare and Hospice Innovation,
NNPEN’s New CEO Discusses Growing Role of NPs in Home-Based Care
About the Article: Lynn Rapsilber, DNP, co-founded the National Nurse Practitioner Entrepreneur Network (NNPEN) in 2017 to help nurse practitioners (NPs) launch sustainable businesses. And, now, she is pledging to do even more to assist her fellow NPs as the new CEO of the advocacy organization. HCCInsights talked with Rapsilber to find out her plans
Vaccine Mandates: What it Means for Employers
Update 01/14/22: On January 13, 2022, the U.S Supreme Court released two per Curiam opinions regarding CMS and OSHA's vaccination and testing requirements. U.S Supreme Court: Centers for Medicare & Medicaid Regulation U.S Supreme Court: OSHA ETS First, the Court decided to allow CMS to implement its vaccination and testing requirements as described below in
It’s Here! CMS Released the CY 2022 MPFS Final Rule
CY 2022 MPFS Final Rule Date: 11|04|2021 Approx. 5 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI It's November and the Centers for Medicare and Medicaid Services (CMS) released the annual Medicare Physician Fee Schedule (MPFS) final rule which outlines what policy and payment impacts healthcare professionals can expect
Concentration of Healthcare Expenditures in the U.S., 2019
Authors: Meng Chen, Research Associate, HCCI, and Aaron Yao, Research Director, HCCI Introduction Medical Expenditure Panel Survey (MEPS) data show that about 14% of the U.S. civilian, noninstitutionalized population had no personal healthcare expenditures in 2019. At the same time, only 5% of the population accounted for nearly half of healthcare spending (48.8%, Figure
Frontier Medicine
Alaskans like to call the rest of the country the “Lower 48.” That’s because it acknowledges things are different in Alaska. A decade ago, Aderonke Akindipe, FNP, discovered just how different when she moved to Anchorage from New York City. Akindipe is CEO of Akins Mobile Health & Clinical Consultants in Anchorage, the largest city
Public Health Emergency (PHE) Extended: Telehealth Waivers Remain in Place
Date: 10|21|2021 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI On October 15, 2021, Xavier Becerra, the Secretary of the U.S. Department of Health and Human Services (HHS), renewed the COVID-19 public health emergency (PHE), extending the many waivers that are in place until January 16, 2022.
How CCM Services Promotes Financial Sustainability
Date: 10|07|2021 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI One of the most common billing questions I receive is, “how can I get paid for all of my non-face-to-face time with patients and caregivers?”. An appropriate solution to this question is offering Chronic Care Management (CCM)
Getting Paid for Administering COVID-19 Vaccines at Home
Date: 09|15|2021 Approx. 2 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI The Centers for Medicare & Medicaid Services (CMS) announced on August 24th further action to expand payment flexibilities for administering COVID-19 vaccines at home. Overall, CMS is trying to do the right thing, and I appreciate and
Understanding the Key Impacts of the CY 2022 Medicare Physician Fee Schedule Proposed Rule (MPFS)
Date: 09|02|2021 Approx. 4 min. read Author: Brianna Plencner, CPC, CPMA Senior Consultant & Manager, Practice Development, HCCI The first thing to understand about the MPFS proposed rule is that it’s proposed. None of these policy or payment impacts are final until CMS confirms their final decisions in the MPFS final rule, which is typically
ACT Health Solutions - Ada Tapper, DNP, APRN, Owner
Background ACT Health Solutions is a house call practice based in Hillsborough County, FL, focused on delivering exceptional care to homebound patients. Founded in 2018 to provide transitional, chronic, and primary care services, ACT Health Solutions joined The Florida House Call Project as a Home-Centered Care Champion in 2020 and has participated in multiple specialized
CMS Boosts Payments for At-Home COVID-19 Vaccinations
The Centers for Medicare & Medicaid Services (CMS) recently passed a significant policy that helps remove barriers for homebound patients to receive COVID-19 vaccines. Recognizing the challenge of providing vaccines to medically-complex patients in their homes, CMS increased its payments for this service. Medicare will pay an additional $35 per dose for COVID-19 vaccine administration
HCCI Workshops Bring Ongoing Support and Will Be Offered In-Person and Virtually
One of the best parts of HCCI’s Essential Elements of Home-Based Primary Care and Advanced Applications of Home-Based Primary Care workshops isn’t on the syllabus. While participants in the two-day workshops get an in-depth education on how to start or improve their HBPC practices, they also gain access to a support system that lasts long
Cognitive Assessment and Care Plan Services
Did you know Medicare reimburses for a comprehensive Cognitive Assessment and Care Plan visit for patients who would benefit? A recently published CMS webpage offers additional guidance about the requirements. The Medicare Physician Fee Schedule increased the national payment amount for this service to $282 in 2021. Important considerations for what should be included in
Lightways Hospice and Serious Illness Care, Joliet, IL
Background Lightways Hospice and Serious Illness Care is an independent, nonprofit healthcare provider of serious illness care, hospice care, and grief support for adults and children. Founded in 1982 as Joliet Area Community Hospice, the organization recently went through a major rebrand to reflect its increased focus on palliative and serious illness care. In this
HCCI Survey Reveals Top Changes HBPC Practices are Implementing to Boost Productivity and Improve Outcomes
In a recent Impact and Needs Assessment Survey, the Home Centered Care Institute (HCCI) asked past learners to share actions they have taken—and how those actions have affected their practices—as a result of participating in HCCI program and service offerings. Below are snapshots of the responses from the 70+ survey respondents: 56%
Why At-Home Dental Care Is Vital For Homebound Patients
About the Article: Traveling dentists play a pivotal role in caring for homebound patients, and their services are in high demand. HCCInsights sat down with one such dentist, Dr. Joy Poskozim, whose grandmother unwittingly, but enthusiastically, shifted Poskozim’s career into at-home care. The founder of Joyful Dental Care in Chicago shared why an oral assessment
Biden Administration Continues Efforts to Increase Vaccinations By Bolstering Payments for At-Home COVID-19 Vaccinations for Medicare Beneficiaries
Jun 09, 2021 | CMS Press Release As part of President Biden’s commitment to increasing access to vaccinations, the Centers for Medicare & Medicaid Services (CMS) today announced an additional payment amount for administering in-home COVID-19 vaccinations to Medicare beneficiaries who have difficulty leaving their homes or are otherwise hard-to-reach. This announcement further demonstrates continued
Successful HCCI Pilot Provides Blueprint for HBPC Outreach Expansion
In the summer of 2020, with support from the RRF Foundation for Aging, the Home Centered Care Institute (HCCI) launched The Florida House Call Project. This initiative was designed to motivate and educate a new network of home-based primary care (HBPC) providers to spread awareness of the benefits of HBPC by preparing them to lead
HBPC Productivity and Panel Size Standards
In a home-based primary care practice (HBPC), many factors determine optimal productivity and panel size standards (i.e., the number of individual patients under the care of a specific provider). These include payment structure, practice model, outcome goals, geography/travel times, and more. While there is no one-size-fits-all solution, the following insights from data collected from HCCI’s
The Power of Three, One Year Later: The John A. Hartford Foundation Grant Recipients Continue to Advance Home-Based Primary Care
The pandemic has significantly underscored the need for, and awareness of, home-based care models. Within this new landscape, recipients of The John A. Hartford Foundation (JAHF) three-year grant, Moving and Scaling Home-Based Primary Care Phase II: Quality, Training and Advocacy, have made significant progress toward their goal of improving care for the “invisible homebound” population of older
CMS Updates on Payment Models
The Centers for Medicare & Medicaid Services (CMS) is currently accepting applications for Cohort 2 of practices and payer partners interested in participating in the Primary Care First model. To be responsive to stakeholder's needs and allow more practices the opportunity to apply, CMS has extended the deadline for applications. The deadline for PCF practice
In-Home Counseling for Patients, Families and Caregivers
About the Article: HCCInsights sat down with Cherish Reinwald, Executive Director, In-Home Counseling, to learn more about her organization, and how her network can support home-based primary care providers and practices in the Chicago area, Illinois, and across the country. HCCInsights: Would you provide some background on In-Home Counseling, including types of services provided,
Evaluation and Management (E/M) Documentation Changes: Important Clarification for House Call Providers
With many changes coming out recently from CMS, providers and practices can find it difficult to keep track. So, HCCI is providing the following clarifications about one set of changes that has been creating significant confusion among house call providers. The new CMS 2021 documentation guidelines for the office Place of Service (POS) allow Evaluation
COVID-19 Vaccine Resources
As the Public Health Emergency (PHE) continues, providers and practices are now challenged to receive, prepare, and administer vaccines to home-limited patients. Here is a list of reliable resources that practices can reference to stay informed on the most current guidelines: Clinical References CDC Vaccinating Homebound Persons with COVID-19 Vaccine CDC Vaccine Storage & Handling
Humana Teams Up with DispatchHealth to Deliver Hospital-Level Care in the Home
News from the field of home-based primary care as Humana partners with DispatchHealth to provide hospital-level care in the home to its members with multiple chronic conditions. Home Health Care News By Joyce Famakinwa | February 1, 2021 To better care for its members with multiple chronic conditions, health insurance giant Humana Inc. (NYSE: HUM)
Implications for Home-Based Care Providers in the CY 2021 Medicare Physician Fee Schedule (MPFS) Final Rule
On December 1, The Centers for Medicare & Medicaid Services (CMS) released the long-awaited CY 2021 Medicare Physician Fee Schedule (MPFS) Final Rule. The MPFS Final Rule includes payment and policy changes that will significantly impact home-based care providers. Decreased Reimbursement for Home and Domiciliary Visits CMS is moving forward with revising documentation and coding
Coordinating Acute/Urgent Visits
Coordinating acute or urgent visit requests in an HBPC practice is essential to helping medically complex patients avoid hospitalizations and unnecessary emergency department (ED) visits. Consider these strategies for taking unexpected schedule changes in stride: Develop a clear system for triaging patients to ensure the appropriate clinical staff member is evaluating the patient’s needs and
Preparing for Flu Season
Flu season is always challenging and, with the current Public Health Emergency (PHE), advance planning will be even more important. Here are some tips to help you prepare: Order the appropriate quantity of flu shots. Review usage trends from past years, including how many were ordered versus how many were administered and/or not used. Contact
Improving HBPC Practice Efficiency
Efficiency is key to the well-being of your HBPC practice. Here are some strategies for boosting efficiency: Understand and document current workflows and processes to avoid task duplication Create an effective intake process that collects necessary information and forms, and introduces services, so providers can focus on patient care during visits Implement triage protocols that allow
HCCI Research Solutions for Growing Your HBPC Practice
About this Article: A growing evidence base shows that home-based primary care (HBPC) improves quality of care and promotes aging in place while reducing overall healthcare costs. Being able to access and use this information to demonstrate value to payers and other stakeholders is critical for HBPC practices looking to sustain and grow their house
COVID-19 Update: CMS Paying Providers for Counseling Services
On July 30th, 2020, the Centers for Medicare and Medicaid Services (CMS) announced that it will begin paying qualified healthcare professionals (i.e., MD, NP, PA, CNS, CNM) for counseling services provided to traditional Medicare beneficiaries when related to the administration of a COVID-19 test. Clinicians are advised to use the appropriate Evaluation and Management (E/M)
COVID-19 Update: New CMS Virtual Training
On July 21, 2020, the Centers for Medicare and Medicaid Services (CMS) announced a new 10-week, virtual peer-to-peer learning community entitled, HHS Telemedicine Hack. The training was developed by the U.S. Department of Health and Human Services (HHS), the Assistant Secretary for Preparedness Response (ASPR), and other partners to accelerate telemedicine implementation for ambulatory providers.
Medical Necessity Documentation 101
The medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT (Current Procedural Terminology) code. Documentation of medical necessity should do the following: Identify a specific medical reason or focus for the visit (e.g., worsening or new symptoms) Document the rationale for ordering tests or
Strategies for Telehealth Implementation
Telehealth is an important clinical delivery model, especially for home-based providers during the COVID-19 pandemic. Here are some practical implementation considerations: Practice Implementation Consider current and future COVID-related workflow needs when selecting a technology vendor Train staff by conducting mock virtual visits among team members Develop documentation templates and educate staff on documentation and consent
SURVEY: Understanding COVID-19 in home-based care practices
HCCI is sharing this request on behalf of our colleagues Drs. Christine Ritchie and Bruce Leff and the National Home-Based Primary Care Learning Network. Dear Colleague, We are researchers at Massachusetts General Hospital and Johns Hopkins University writing to alert you to a new research study supported by the National Home-Based Primary Care Learning Network.
Agendas for Interdisciplinary Team Meetings
Interdisciplinary team (IDT) meetings improve staff communication, encourage teamwork, and promote optimal patient care and outcomes within house call programs. During the COVID-19 pandemic, IDT meetings are especially important for maintaining team cohesiveness. Following a structured meeting agenda can help maximize IDT meeting effectiveness. In addition, brief staff huddles can serve to supplement IDT meetings and
CMS releases additional interim final rule, creating more telehealth flexibility and featuring significant regulatory changes
On April 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released a second Interim Final Rule with new flexibilities and changes relevant to home-based medical care providers. The changes in this most recent Interim Final Rule are effective immediately, with many modifications retroactively effective as of 3/01/2020. These include the following: CMS increased
COVID-19 Update 04/24/20 - More on Medicare Telehealth Services-related Changes
As providers and practices continue to determine the best way to safely care for their patients while navigating the ever-changing regulatory requirements related to COVID-19, HCCI is committed to continuing to provide accurate, clarifying and timely information. “Medicare telehealth services” refer to a certain list of services that would normally be provided in-person, but due
Infection Control in Home-Based Primary Care
As home-based primary care (HBPC) expands across the U.S., we’re reminded of how critical this model of care is, particularly during a Public Health Emergency like COVID-19. Because of this, and more than ever, HBPC providers must keep infection surveillance, prevention, and control efforts top-of-mind to protect patients, caregivers, household family members, and themselves. To
Help HCCI Combat COVID-19 and Participate in GivingTuesdayNOW
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 Update 04/08/20 – Additional Key Information and Flexibilities in the CMS Interim Final Rule
In addition to changes in the Centers for Medicare & Medicaid Services (CMS) Interim Final Rule discussed in our previous update, Providers and practices should be aware of the following additional information and waiver flexibilities in the rule: Home Health Agencies can now provide additional services to patients via telehealth if it’s part of the
COVID-19 HCCI Update: Week of 03/30/20
During HCCI's recent webinar, “The Impact of COVID-19 on Home-Based Providers, Practices, and Patients we encouraged practices to reach out to their local Medicare Administrator Contractors (MAC) for specific guidance on whether home-based primary care (HBPC) providers can bill for the home and domiciliary visit CPT code ranges under the 1135 telehealth waiver. New Centers
HCCIntelligence™ Update: COVID-19 Telehealth Billing Requirements
In our recent article, Providing Telephonic and Virtual Care Requirements as part of COVID-19 Precautions, available on HCCI's COVID-19 Information Hub, we highlighted the requirements of virtual visits. We also provided an overview of the 1135 Telehealth Waiver as part of the president’s emergency declaration during the country's current public health emergency. We realize this
Providing Telephonic and Virtual Care Requirements as part of COVID-19 Precautions
The Home Centered Care Institute (HCCI) understands that many Home-Based Practices and Providers are increasing the use of virtual and telephonic care as an alternative to face-to-face care, as appropriate, due to the current COVID-19 pandemic. Though a telehealth waiver is mentioned under recent legislation (H.R.6074 - Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020),
Keep Your Practice Financially Healthy
Revenue cycle management (RCM) encompasses all the administrative and clinical functions that contribute to the identification, capture and management of patient service revenue. A periodic review of RCM basics may uncover opportunities for process improvement within your organization. Points to consider: Do you have in-house support, or will you outsource RCM, billing and coding functions?
HCCI and NNPEN Conference: Different Strategies, Shared Vision
How can Nurse Practitioners (NPs) and others effectively start-up and/or expand a home-based primary care (HBPC) practice? Just ask the participants who attended the February 7- 8 joint conference hosted by the Home Centered Care Institute (HCCI) and the National Nurse Practitioner Entrepreneur Network (NNPEN) in Phoenix. With NPs being the fastest-growing segment of HBPC
Optimizing Front Office Operations
House Call programs can become more efficient, drive collaboration and enhance overall effectiveness by optimizing their daily operations. These operations can include managing phone calls, paperwork, record requests, and geographic scheduling; confirming appointments and verifying insurance, conducting patient intake and processing referrals, and assisting with practice billing and coding, among other areas. Here are several
Annual Chart Audits Can Greatly Benefit HBPC Providers and Practices
About this Article: Regular chart audits can significantly help home-based primary care (HBPC) practices improve their coding accuracy and the quality of their documentation, while also identifying lost revenue due to under-coding or missed billing. In this interview, HCCI’s Brianna Plencner discusses how chart audits can also uncover potential compliance issues and ensure documentation and
Family Caregivers’ Experiences With Health Care Workers in the Care of Older Adults With Activity Limitations
JAMA Article Original Investigation | Geriatrics January 24, 2020 Authors: Jennifer L. Wolff, PhD; Vicki A. Freedman, PhD; John F. Mulcahy, MSPH Key Points Question What are family and unpaid caregivers’ experiences with health care workers in the care of older adults with activity limitations? Findings In this national survey study, most caregivers reported that older adults’ health care workers always (70.6%)
Evaluating Your Staffing Model
Staffing costs are responsible for the largest share of a house call program’s expenses, so it is essential that staffing is appropriate to meet the needs of patients in the service area without sacrificing productivity. To enhance sustainability, a house call program should be evaluating its staffing on a regular basis. Some questions to consider:
New HCCI Online Course Helps Take the Mystery Out of Home-Based Primary Care
About the Article: Have you ever wondered what a career in home-based primary care would be like? According to Heather Hodge, Director of Education for the Home Centered Care Institute (HCCI), the organization’s new online course, House Calls 101: An Introduction to HBPC, is a great way to find out. Article: While home-based primary care
HHS and CMS Announce Brad Smith as CMMI Director, Senior Advisor for Value-Based Transformation
January 6, 2020 Press Release from the HHS.gov U.S. Department of Health & Human Services Today, the Department of Health and Human Services and the Centers for Medicare & Medicaid Services announced that Brad Smith will serve as Director of the Center for Medicare & Medicaid Innovation at CMS and Senior Advisor to Secretary Azar
HCCI House Call Practicum™ Helps Set Providers up for Success
About this Article: Learn more about the HCCI House Call Practicum™ from one of its recent participants. The program offers a unique two-day ridealong, an individualized educational experience offering learners the opportunity to shadow both direct clinical care and back-office practice support. Article: Home-Based Primary Care (HBPC) describes the field of providing quality medical care
How to Confidently Get Reimbursed for Prolonged Services (Non-Face-to-Face)
Since January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) has authorized payment for CPT codes 99358 – 99359 for prolonged services non-face-to-face (F2F). When used correctly, this is a significant reimbursement opportunity for Home-Based Primary Care (HBPC) providers. The CMS national payment rate for 99358 is $113.52 (the rate for 99359 is
Giving Begins at Home
“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
Home Centered Care Institute Awarded Grant to Bolster Home-Based Primary Care Workforce
The John A. Hartford Foundation grant to support education of providers and practices focuses on the most complex patients SCHAUMBURG, IL, November 11, 2019 — The Home Centered Care Institute (HCCI) has been awarded a $385,000 grant to continue educating home-based primary care providers and practices by The John A. Hartford Foundation (JAHF). This award
Physician and Researcher Recognized for Contribution to the Field of Home-Based Medical Care
American Academy of Home Care Medicine Presents Annual Awards: Paul Chiang, MD, named “House Call Physician of the Year” Aaron Yao, PhD, named “Researcher of the Year” SCHAUMBURG, IL, November 7, 2019 — The American Academy of Home Care Medicine (AAHCM) recognized a physician and researcher for their contributions to the field of home-based primary
CMS Announces Request for Applications for Primary Care First Model Options
CMS Announces Request for Applications for Primary Care First Model Options (Highlights for Consideration included below) CMS released the Request for Applications (RFA) for the Primary Care First (PCF) and Seriously Ill Population (SIP) models last Thursday, October 24. The practice application period also started that day while the deadline to apply via the live
HCCI participates in “special” C-TAC Summit on Advanced Care
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
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,
Chronic Care Management: One Way to Maximize Fee-for-Service Reimbursement
Would you like to maximize your reimbursements by up to $42 dollars per patient per month for the care being provided? Chronic Care Management (CCM) involves much of what you may already be doing to provide high-quality care for your patients: maintaining a comprehensive electronic care plan, managing transitions, and coordinating care with other professionals
Join HCCI at GSA 2019 Annual Scientific Meeting
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
HCCI at the C-TAC National Summit
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
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
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,
Community Paramedics Make House Calls and Change Lives
Ottawa Citizen.com | Elizabeth Payne | Aug 21, 2019 Maria Makkos greets Stephanie Rose at the front door of Makkos’s Arnprior apartment building. “You are here to see me?” she asks, grinning broadly as she leads the community paramedic to her tidy unit. Over her shoulder, Rose, the paramedic, carries a heavy black bag containing
Geographic Scheduling: Impact on Home-Based Primary Care Productivity
One of the unique challenges home-based primary care practices face is determining an effective geographic scheduling and route planning process. The ability to automate and/or optimize routing of patient visits is key to minimizing travel time for providers, boosting productivity and increasing face-to-face time with patients. Dedicating the time and thought into operationalizing the process
Slowly Getting Serious: The New CMS Primary Care Models And Implications For Serious Illness Care
July 31, 2019 | Health Affairs | Mark Japinga, Mathew Alexander, David Casarett, William K. Bleser, Mark B. McClellan, Robert S. Saunders In April, the Centers for Medicare and Medicaid Services (CMS) introduced five new payment models as part of its Primary Care First (PCF) and Direct Contracting (DC) programs. The models represent CMS’s latest
House Calls Are Reaching the Tipping Point — Now We Need the Workforce
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
AAHCM and HCCI present a webinar on new CMS Primary Cares Payment Models
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
Why is HCC Coding so Important for Home Care Medicine?
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
The Doctor Will See You Now, In Your Home
The old-fashioned house call is back in a big way. Here's how it works. June, 2019 | Harvard Health Newsletter | It's hard to get to the doctor when you don't drive anymore or you're struggling with several chronic medical conditions. The result may be missed appointments and a lack of needed care. But a
‘Eyes In The Home’: ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use
June, 2019 | HealthAffairs.org Authors: Taressa K. Fraze, Laura B. Beidler, Adam D. M. Briggs, Carrie H. Colla Abstract Home visits are used for a variety of services and patient populations. We used national survey data from physician practices and accountable care organizations (ACOs), paired with qualitative interviews, to learn about home visiting programs. ACO
Blue Shield of California targets patients with complex needs in house call program
May 22, 2019 | by: Paige Minemyer | FierceHealthcare.com Blue Shield of California has teamed up with Landmark Health to offer more house calls to members with chronic conditions—at no additional cost. The insurer has enrolled 3,500 people in the program over the last year and has provided 15,000 in-home visits in that opening window, Blue
A Large-Scale Advanced Illness Intervention Informs Medicare’s New Serious Illness Payment Model
June 2019 Written by: Brad Stuart, Elizabeth Mahler and Praba Koomson Publication: HealthAffairs.org Abstract Patients with advanced illness receive fragmented, hospital-based care that is unaligned with their preferences near the end of life. We describe a team-based intervention that provides home-based, coordinated care to more than 2,000 seriously ill patients daily in nineteen urban, suburban, or
CMO Dr. William Shrank on Humana's physician strategy, 'Medicare for All' and home care as the Netflix of healthcare
Morgan Haefner | June 4, 2019 | Beckers Hospital Review Humana wants to do for healthcare what Netflix did for home entertainment. Humana's CMO William Shrank, MD, said the insurer's strategy for its 16 million members, most of whom are Medicare Advantage enrollees, is to meet patients where they are — at home. "If you
ACOs Commonly Use Home Visits for Complex Patients During Care Transitions
June 4, 2019 Authors: Taressa K. Fraze, Laura B. Beidler, Adam Briggs, and Carrie H. Colla commonwealthfund.org The Issue Years ago, it was not uncommon for physicians to make house calls. But in the past 50 years, care has largely transitioned to physicians’ offices. Office-based visits are more efficient, and reimbursement for home visits can be
York Hospital Increases Services for Older Adults
Anne M. Mozingo | yorkweekly@seacoastonline.com | 06/04/2019 YORK -- In order to increase services for elders in its coverage area, York Hospital has created the Center for Older Adults with geriatric specialists providing comprehensive care in its new clinic and house calls to those who cannot make the trip to see their primary care physician
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.
Ascension's Chief Community Impact Officer on Providing Care Outside the Hospital
Author: Samantha Liss | May 22, 2019 | HealthcareDive Tamarah Duperval-Brownlee is Ascension's first chief community impact officer, which means she is in charge of helping guide the hospital operator's new strategic vision to reimagine the best way to care for those in communities across the country. Duperval-Brownlee, a family physician, is responsible for helping
Providers Applaud CMS' Primary Care Initiative
The Primary Cares Initiative got a warm initial reception from key providers groups, but many still have questions about the details of the proposal. By John Commins | April 23, 2019 | healthleadermedia.com Provider associations are praising the Centers for Medicare & Medicaid Services' plans to launch five at-risk primary care models. "Providing adequate financial support
CMS’ new payment models aim to ease the transition to risk
Written by Maria Castellucci | April 27, 2019 | Modern Healthcare Providers and analysts are calling new value-based physician payment models announced last week by the CMS game-changers, potentially signaling a new era in which many providers are taking on downside risk and responsibility for total cost of care. The five new voluntary payment models,
House Calls Can Lead to Dramatically Better Health Outcomes Among the Elderly
Written by Alieza Durana | Pacific Standard | May 1, 2019 Research shows that house calls are an excellent way to deliver care, providing better outcomes and lowering costs. So why aren't we funding more of them? Dr. Eric De Jonge, a geriatrician at Medstar Health in Washington, D.C., is on his way to work—but
CMS details new primary care payment model with range of risk options
Author Shannon Muchmore | April 23, 2019 | healthcaredive.com CMS on Monday announced a new voluntary Medicare payment model for primary care providers. The two-pronged program has paths for small practices and large organizations and a range of options from partial shared risk to full downside risk. The agency projects as many as a quarter
New CMMI Models Announced to Support Primary Care for People with Complex Chronic Illness
4/24/19 | aahcm.org The American Academy of Home Care Medicine (AAHCM) is pleased to share initial details on two new Alternative Payment Models (APMs) that promote primary care of Medicare beneficiaries with complex, advanced illness. The high-level outlines of these new APMs were announced on April 22 by the Center for Medicare and Medicaid Innovation
HHS Secretary Azar Announces CMS Primary Cares - A Historic Turning Point In American Healthcare
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
CMS Announces New Primary Care Payment Models Aimed at Greater Shared Risk
Fierce Healthcare | Paige Minemyer | Apr 22, 2019 WASHINGTON D.C.—The Trump Administration is experimenting with several new primary care payment models, including one that would shift providers to global payments. Called the Primary Cares initiative, the aim is to push primary care providers to take on more risk, officials said. “This initiative will radically elevate the importance
Primary Care First: Foster Independence, Reward Outcomes
Apr 22, 2019 | cms.gov Primary Care First is a set of voluntary five-year payment model options that reward value and quality by offering innovative payment model structures to support delivery of advanced primary care. In response to input from primary care clinician stakeholders, Primary Care First is based on the underlying principles of the
CMS to launch new direct-contracting pay models in 2020
April 23, 2019 | Susannah Luthi | Modern Healthcare HHS on Monday launched an ambitious, double-pronged strategy to shift primary care from fee-for-service payments to a global fee model where clinicians and hospitals could assume varying amounts of risk. HHS Secretary Alex Azar told a crowd of stakeholders at the American Medical Association in Washington
HHS To Deliver Value-Based Transformation in Primary Care
Apr 22, 2019 | cms.gov The CMS Primary Cares Initiative to Empower Patients and Providers to Drive Better Value and Results Today, U.S. Department of Health and Human Services (HHS) Secretary Alex Azar and Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma are announcing the CMS Primary Cares Initiative, a new set of
How New Payment Models, Big Data Are Disrupting Home Health Care
By Robert Holly | April 15, 2019 While technology behemoths and up-and-coming startups are often cited as the industry’s top disruptors, it’s innovative payment models and big data that will likely have the greatest impact on home health care delivery over the next several years, experts predict. Additionally, as long as gaps exist throughout the
Visit HCCI at AGS19
If you're planning to attend the American Geriatrics Society 2019 Annual Scientific Meeting, May 2-4 in Portland, Oregon, make plans to stop by the Home Centered Care Institute (HCCI) exhibit booth #317. Staff from HCCI will be on hand to answer your questions about home-based primary care (house calls) and why the future of health
Amazon Prepares to Strategically Disrupt Healthcare Market
Thomasnet.com | Staff writer | April 10, 2019 Amazon has recently taken a series of significant steps to strategically position itself to disrupt the U.S. health sector. The retail giant has a number of advantages that will accelerate its entry into the complex health market and potentially cause existing members of the sector to re-evaluate
Rural emergency department visits jumped more than 50% in about a decade: study
Fierce Healthcare | by Jacqueline Renfrow | Apr 15, 2019 12:40pm Visits to the emergency department in rural areas jumped by more than 50% since 2005 even as the overall population in rural areas fell—a sign of increasing pressure on rural hospitals as safety-net providers, a recent study published in JAMA Network Open found. Looking
Report: U.S. economic burden of chronic diseases tops $3.8 trillion—and expected to double
Fierce Healthcare | by Tina Reed | Apr 16, 2019 The U.S. economic burden of chronic diseases such as Alzheimer's, diabetes, heart disease, obesity and cancer has reached about $3.8 trillion in direct and indirect costs—or nearly one-fifth of GDP, according to a new report from Fitch Solutions, which is a unit of Fitch Group.
Mobile Medical Service Brings Healthcare to your Doorstep
By Brent Solomon | April 5, 2019 at 11:27 PM EDT RICHMOND, VA (WWBT) - A mobile medical service is taking off in the Richmond metro. DispatchHealth is unlike other on-demand service in our area. If you’re having a medical emergency, you can reach trained professionals by simply requesting a visit from an app. When
Home-based tools can help assess dementia risk and progression
Technologies may save time, money and make it easier for more people to participate in needed clinical trials ScienceDaily.com Date: March 29, 2019 Source: University of California - San Diego Summary: Researchers report on a novel four-year, randomized clinical trial evaluating different home-based methods to assess cognitive function and decline in participants over the
HCCI at AGS19, May 2-4, 2019 Portland Oregon
HCCI at AGS19 - Booth #317 Meet representatives from the Home Centered Care Institute (HCCI) May 2-4 in Portland, Oregon at the American Geriatrics Society 2019 Annual Scientific Meeting (AGS19). Learn why the future of health care is in the home. HCCI offers workshops, online courses and consulting opportunities for individuals or organizations interested in
House Call Training Offered June 13-14 in Schaumburg (Chicago), IL
HCCI Essential Elements of Home-Based Primary Care™ Presented June 13-14 in Schaumburg (Chicago), IL Course Description This two-day foundational workshop is designed for learners who are considering or who are relatively new to offering home-based primary care (HBPC) services for patients with complex medical conditions. Through this workshop, clinical providers, practice managers and operations staff
Rise in House Call Medicine in Australia Highlights International Resurgence of Medical Home Visits
LOS ANGELES, March 23, 2019 -- A March 1 article on Thrive Global reported on a survey done in Australia that found a rise in doctor home visits. The survey showed over a quarter of after-hour services were through house call doctors instead of patients visiting hospital clinics. The article discussed the advantages that medical
Independence At Home: Year 3 Results
Independence at Home Demonstration The IAH Demonstration tests a payment incentive and service delivery model for home-based primary care for Medicare fee-for-service (FFS) beneficiaries with multiple chronic illnesses. The demonstration tests whether home-based primary care that is designed to provide comprehensive, coordinated, continuous, and accessible care to high-need patients and to coordinate health care across
Join the Second Age-Friendly Health Systems Action Community
Health systems are invited to join the second Age-Friendly Health Systems Action Community. This free, seven-month learning community run by the Institute for Healthcare Improvement begins on April 1st. It succeeds the first Action Community of teams from more than 75 systems working together to rapidly test and scale the Age-Friendly Health Systems 4Ms Framework. For more
I Heart House Calls - K. Eric De Jonge, M.D.
“I Heart House Calls” is a web series produced by the Home Centered Care Institute that features stories told by the people of home-based primary care, those who provide house calls and those who have experienced their life-affirming impact. In this special two-part webisode, K. Eric De Jonge, M.D., Executive Director of MedStar House Call
I Heart House Calls - Tom Cornwell, M.D.
"I Heart House Calls" is a web series produced by the Home Centered Care Institute that features stories told by the people of home-based primary care, those who provide house calls and those who have experienced their life-affirming impact. In this webisode, Tom Cornwell, M.D., the CEO of HCCI and a house call doctor for
Unnecessary ED visits from chronically ill patients cost $8.3 billion
Unnecessary ED visits from chronically ill patients cost $8.3 billion By Maria Castellucci | Modern Healthcare | February 7, 2019 About 30% of emergency department visits among patients with common chronic conditions are potentially unnecessary, leading to $8.3 billion in additional costs for the industry, according to a new analysis. The report, released Thursday by
I Heart House Calls
February is Heart Month, and to celebrate, HCCI kicking off a new YouTube web video series aptly named "I Heart House Calls!" "I Heart House Calls" features stories told by the people of home-based primary care, those who provide house calls and those who have experienced it's life-affirming impact. In this webisode, click to see
VNA Health Group Pushing Home-Based Primary, Palliative Care with $2.5M Grant
By Robert Holly | Home Health Care News | February 6, 2019 One of the largest home care and community health organizations in the country has landed additional financial support to continue building out its home-based primary care and palliative medicine offerings. Holmdel, New Jersey-based Visiting Nurse Association Health Group announced in January that it
Why in-home healthcare is good news for plastics
Tim Jennings, President of Custom Case Group, a manufacturer of casings for the biotech industry among others, explains why the trend towards in-home healthcare is set to benefit the plastics industry. A hundred years ago, most doctor visits took place in the patient’s home. But by the 1940s, population growth in urban areas and advances
Knock-knock, It’s The Doctor
By: Sabrina Cupit January 27, 2019 There is a growing trend in health care that's kind of a "throw back", doctors making house calls. Insurance company Aetna announced it is teaming up with the Los Angeles-based startup Heal to offer doctor house calls to the Atlanta metro area. According to Heal's website, the service is
Value-based Care and Financing in Health Care
Value-based health care is a health care delivery model in which providers, including hospitals and physicians, are paid based on patient outcomes. Under value-based care agreements, providers are rewarded for helping patients improve their health, reduce the effects and incidence of chronic disease and live healthier lives in an evidence-based way. Value-based care differs from
Denver-based DispatchHealth Expands High-Acuity Home Care Service
The startup is focused on providing in-home care for mainly senior patients with high-acuity medical issues as a way to divert from costly emergency room visits and unnecessary hospitalizations. By Kevin Truong: Denver, Colorado-based DispatchHealth has launched its “ER-at-home” model into three new markets with the support of health system partners in Massachusetts, Washington and Texas.
Heal CEO Sees Doctor House Calls as the Future of Medicine
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)
Aetna, Heal Bring Doctor House Calls to Atlanta Market
Technology startup Heal is teaming up with insurance giant Aetna — now a CVS Health Corporation (NYSE: CVS) company — to bring doctor house calls to one of the United States’ largest markets. Already available throughout California, parts of Virginia and Washington, D.C., Los Angeles-based Heal announced Tuesday that it is expanding to the Atlanta
Why the Department of Veterans Affairs is the Tesla of At-Home Care
By Bailey Bryant | Health Care News | Jan 2, 2019 As the senior population booms, agencies and health care systems continue to look for cost effective ways to provide quality in-home care. But even before industry giants were targeting innovation, an unlikely pioneer — the Department of Veterans Affairs (VA) — was leading the
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
CMS finalizes ACO overhaul, shortening pathway for financial risk
Fierce Healthcare | by Evan Sweeney | Dec 21, 2018 The Centers for Medicare & Medicaid Services (CMS) finalized substantial changes to the Medicare Shared Savings Program (MSSP), an overhaul that will truncate the time that Accountable Care Organizations can remain in one-sided risk models. CMS said the highly-anticipated 957-page final rule (PDF) issued Friday morning "dramatically
7 Signs Your Family Could Benefit From a Healthcare Provider In the Home
Article: Women Fitness Magazine Whether you’re caring for an aging parent or an ailing spouse, there’s no denying that taking on the role of a caregiver can prove extremely demanding. As much as you care for your loved one, the emotional and physical strain can sometimes prove too much to bear. In fact, one third
Does Medicare Cover Doctor House Calls?
UNITED STATES—Toni: My 86-year-old mother with Alzheimer’s needs 24-hour care and lives in a local personal care home. She is enrolled in a Medicare Advantage HMO and taking her to the doctor is quite an ordeal. Friends have suggested that I dis-enroll my mother from this HMO and return her to Medicare, then use a
Honoring and Celebrating Caregivers
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.
Kristofer Smith, MD, talks HBPC, Better Outcomes, and a Financially Stable Model
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
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
20% Discount On All Remaining 2018 Educational Classroom Workshops
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
Doing Well While Doing Good - The Synergy Between Margin and Mission
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
The Exam Table Of The Future Has Throw Pillows
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
Nurse Practitioners Bring Back the House Call
Michael J. Kingan, DNP, AGPCNP-BC, CWOCN, an adult-geriatric nurse practitioner at MedStar Health and instructor with HCCI, penned an article in the current September/October issue of Today's Geriatric Medicine titled "Nurse Practitioners Bring Back the House Call". You can read the article here: http://bit.ly/todays_geriatric_medicine_article Michael has taught HCCI's Essential Elements to Home-Based Primary Care™ since
AAHCM Annual Meeting and Preconference
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
Home-Based Primary Care - Reducing Readmissions and Meeting Healthcare's Triple Aim
Tom Cornwell, MD, CEO of the Home Centered Care Institute, was recently interviewed by Readmissions News, a publication for hospital and health system executives. In the Q&A, Dr. Cornwell shares why house calls are important to the healthcare industry today. He goes on to explain how and why home-based primary care meets healthcare's "triple aim"
HCCI Fast Track Now Boarding
The new HCCI "Fast Track" Essential Elements of Home-Based Primary Care training is designed for physicians, APPs, and practice managers interested in the field of HBPC. “Fast Track” takes the content of HCCI’s Essential Elements 2-day workshop and presents it at a quicker pace, condensing the training into a 1-day course. Developed and taught by
Discover Why The Future of Healthcare Is In The Home
HCCI is preparing to hit the road for fall conference season. Plan to attend and learn more about the Home Centered Care Institute (HCCI) and home-based primary care (HBPC) at these upcoming conferences. Sept 19-22 - National Conference for Nurse Practitioners (NCNP) | Exhibiting at Booth #301 https://www.ncnpconference.com/ehome/index.php?eventid=309462& Sept 26-29 - Gerontological Advanced Practice Nurses
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
Advances in Technology Help Support Home-Based Medical Care
In the 1930's, it was common practice for physicians to visit patients in their homes if the patients were too sick or injured to seek care in the doctor's office or hospital. Nearly 40% of doctor-patient visits took place in the home. These "house calls" reduced stress on the patient and caregiver and gave the
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.
K Eric De Jonge, MD explains the Independence At Home Act
K. Eric De Jonge, MD, is the Director of Geriatrics at MedStar Washington Hospital Center and is an Assistant Professor of Medicine at Johns Hopkins University in Baltimore. Dr. De Jonge is an innovative physician leader with a vision and commitment to population-based, patient-centered health care delivery to the frail elderly patient population. Eric sat
HCCI Sponsoring C-TAC’s 5th Annual National Summit October 9-11
HCCI is proud to announce that we will be a Gold Sponsor at the C-TAC National Summit on Advanced Illness Care taking place October 9-11, 2018 at the Denver Hilton City Center. HCCI will be exhibiting as well as presenting a breakout/workshop session on Home-Based Primary Care (HBPC). The Summit brings together over 400 healthcare
Visit HCCI at GAPNA September 26-29, 2018
Are you a Nurse Practitioner interested in earning CME credit? Are you interested in exploring new career growth opportunities? Are you currently practicing or have you ever considered expanding your career into home-based medical care? If you answered yes to any of those questions, we hope you’ll visit the HCCI booth at the Gerontological Advanced
See HCCI at NCNP Sept 19-22 in Anaheim
Attending NCNP in September? Don't miss HCCI! Are you a Nurse Practitioner interested in earning CME credit? Are you interested in exploring new career growth opportunities? Are you currently practicing or have you ever considered expanding your career into home-based medical care? If you answered yes to any of those questions, we hope you'll visit
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
HCCI Releases Six New HBPC Online Training Courses
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.
Register Today for the 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 in-home primary care practice. Care of the Complex Patient in the Home: Staying Ahead of the Curve 2 sessions available. You may register for one
Fall/Winter 2018 Essential Elements Training Dates Announced
HCCI Essential Elements of Home-Based Primary Care™ training dates have been announced for fall/winter 2018. To sign up or for more information, locations and schedule, visit When Is Training.
HCCI's work featured in The John A. Hartford Foundation’s new, interactive Annual Report
HCCI's efforts to train clinicians in home-based primary care are featured in The John A. Hartford Foundation’s new, interactive Annual Report. Learn more about our work to advance #HBPC: https://bit.ly/2KNPGdT
Heard on the Conference Trail
Since early April, Home Centered Care Institute (HCCI) staff have attended and participated in many conferences and annual meetings, including AGS, AANP, NCNP, SGIM, STFM, and the inaugural IPCC Conference. We met with long-time colleagues, made wonderful connections and learned so much from those who share our passion for home-based primary care (HBPC). While there
Home-Based Primary Care - An innovative model of medical care for homebound adults - Dr. Bruce Leff
Dr. Bruce Leff is a professor of medicine at the Johns Hopkins University School of Medicine. He is an internationally recognized leader and researcher in the development, evaluation and dissemination of novel models of care for older adults, including the Hospital at Home, Guided Care, geriatric service line models and medical house call practices. In
5 Keys to Home-Based Primary Care Success
5 Keys to Home-Based Primary Care Success Ask the HBPC Experts: An interview with Tom Cornwell, MD and Paul Chiang, MD When thinking about potential medical career opportunities, it’s natural to visualize yourself in a practice setting. It can help determine if the position is a good fit. But when it comes to practicing as
Advanced-Practice Providers Are Key To America's Healthcare Future
March 2017 Guest commentary for Forbes offers insight into the potential role of nurse practitioners and physician assistants in shaping the future of health care. Advanced-Practice Providers Are Key To America's Healthcare Future
NP Practice Authority Grows
March 2017 Update With legislative sessions currently taking place in many states around the U.S., bills related to nurse practitioners and their nursing scope of practice have been in the news. Read the full story here: nurse.org/articles/nurse-practitioner-scope-of-practice-expands-mar17/
An Overview of Home-Based Primary Care: Learning from the Field
June 2017 Read how the Commonwealth Fund examines how home-based primary care affects outcomes and costs for Medicare and Medicaid beneficiaries with complex care needs. View the PDF
Independence At Home - House Committee Markup Discussion
Listen to United States House Committee discussion regarding the effectiveness of home-based primary care, including the efforts of HCCI and Dr. Thomas Cornwell. Independence At Home - House Committee Markup Discussion
Reps. Roskam, Burgess, Dingell, and Thompson Reintroduce Bill to Extend At-Home Medicare Program
July 19, 2017 Congressman Peter Roskam (IL-06) released a statement after the reintroduction of H.R. 3262, which he co-authored with other members of congress. The bill extends the Independence at Home Medical Practice Demonstration Program (IAH) from five to seven years. IAH has proven successful in cutting costs while providing valuable increases in benefits to
Inclusion of Innovative IAH Home-based Primary Care Medicare Program in CHRONIC Care Act
A May 18, 2017, press release from Senator Edward J. Markey announced the Senate Finance Committee approval of the CHRONIC Care package. Among changes were the extension and expansion of the Independence at Home (IAH) Demonstration program. Specifically, the changes to the IAH program would expand the beneficiary limit to 15,000 and extended the termination
Independence at Home Act 2016 Introduced
Senator Edward J. Markey (D-Mass.), John Cornyn (R-Texas), Michael Bennet (D-Colo.) and Rob Portman (R-Ohio) recently introduced legislation to convert the Independence at Home (IAH) demonstration into a permanent, national Medicare program. Called the Independence at Home Act 2016, this legislation has tremendous implications for everyone in the home based medical care community. If passed and signed
IAH Extended
Independence at Home (IAH), Medicare's most successful demonstration project to date, receives stellar support from Illinois State Representative Peter Roskam. He credits HCCI Chief Medical Officer, Dr. Thomas Cornwell, with inspiring him to advance this important legislation. In it's first year, IAH reported a remarkable 25 million dollar overall cost savings. Even greater savings are expected in the soon to be released second year data.