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HCCI offers online courses for house call providers, staff, and practice leaders interested in expanding their knowledge and skills in home-based primary care. A wide range of topics is available, including Clinical, Practice Operations and Leadership, and Early Career; see the course descriptions below. Topics vary in length and depth, allowing you access to up-to-date guidance and recommended standards from experts in the field.

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Accreditation and Credit Designation Statements

Topics include:

Clinical

Practice Operations and Leadership

Early Career

Clinical


Palliative Care for HBPC Providers

In home-based primary care (HBPC), it’s essential to prioritize across settings of care what matters to the patient at all stages of life. Patients who receive care in their homes at the end-of-life report higher satisfaction with the medical services provided to them than those in other settings. HBPC providers caring for patients with serious, advanced illness must be competent and compassionate in applying palliative care principles when developing a treatment plan.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Procedures in Home-Based Primary Care Course Bundle 

15% savings on four clinical procedure courses with additional access to a clinical webinar recording for a total of 2.25 CME:

  • Gastrostomy Tube Replacement for HBPC Providers: 0.5 CME offered
  • Tracheostomy Tube Replacement for HBPC Providers: 0.5 CME offered
  • Knee Joint Aspiration and Injection for HBPC Providers: 0.5 CME offered
  • Wound Management for HBPC Providers: 0.75 CME offered
  • Webinar: HCCIntelligence™ Webinar Recording: Introduction to Point-of-Care Ultrasound (POCUS) for the Home Care Provider – November 2020

Enduring material, 2.25 AMA PRA Category 1 Credits™ | Cost $175 | Purchase


Gastrostomy Tube Replacement for HBPC Providers

Gastrostomy tubes are used on patients who have difficulty with oral intake and/or need the tube to vent air or drainage from the stomach. These tubes are placed by gastroenterologists in a hospital setting but may need to be replaced after the patient returns home. Home-based primary care providers can help patients and their caregivers by replacing PEG tubes in the home vs. sending the patient back to the hospital for a lengthy and costly replacement procedure.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Knee Joint Aspiration and Injection for HBPC Providers

Knee joint aspiration is a procedure that removes excess fluid from the joint, while injection delivers medication to relieve pain. This is a commonly performed medical procedure among elderly patients who are at a higher risk for arthritis. Home-based primary care providers can help these patients and their caregivers by performing this procedure during a home visit vs. sending the patient to an in-patient facility.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Tracheostomy Tube Replacement for HBPC Providers

Tracheostomy tubes are used on patients who have a need to be on ventilators for more than a couple of weeks or who have conditions that block their upper airways. These tubes are placed by doctors or emergency medical technicians in a hospital setting but may need to be replaced after the patient returns home. Home-based primary care providers can help these patients and their caregivers by replacing these tubes in the home vs. sending the patient back to the hospital for a lengthy and costly replacement procedure.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Wound careWound Management for HBPC Providers

Chronic wounds can be a challenge for home-based primary care (HBPC) patients and may result in increased hospital admissions, lengths of stay, and higher healthcare costs. Unfortunately, many HBPC practices do not have dedicated staff to assess and treat wounds in a consistent manner, often resulting in wound management challenges. In this on-demand course, you will learn valuable strategies that will help you determine the etiology of a wound, document it accurately, and initiate a comprehensive plan of care.

Enduring material, 0.75 AMA PRA Category 1 Credits™ | Cost $59 | Purchase


Multicomplexity in homebound patientManaging Multicomplexity in the Homebound Patient

The home-based primary care (HBPC) patient population often presents with multiple chronic diseases, producing treatment challenges for providers. In addition, psychiatric and functional issues can impact clinical care. Unfortunately, optimal guidelines for managing patients who are elderly, frail, and multi-complex do not exist, leaving providers with a lack of clear direction on how to approach treating these patients in the home. In this on-demand course, you will learn a model for treating these patients, as well as medication management considerations for four chronic diseases commonly present in homebound patients.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Medication managementMedication Management in Home-Based Primary Care

Nearly 20% of community-dwelling adults age 65 and older take ten or more different medications. HBPC providers face many challenges when managing the over- and under-prescribing of these medications. This on-demand course will describe the challenges faced by both HBPC providers and patients and explain the essential steps to manage medications in home-based patients.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Dementia and Neuropsychiatric Disturbances in HBPC

HBPC providers often deliver primary care services to patients with various stages of dementia. These patients often experience neuropsychiatric disturbances, making delivery of HBPC services challenging. This on-demand course will present strategies to effectively treat patients with dementia and neuropsychiatric disturbances and support their families and caregivers.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase


Infection controlInfection Control in Home-Based Primary Care

Each year 75,000 people die from healthcare-acquired infections. Many of us know infection control is the first directive for all providers, but what you may not realize is that home-based primary care presents some unique infection risks. Precautions must be taken to prevent putting patients, family members, caregivers, and providers at risk for infection. This on-demand course will identify the risks associated with home-based care and review strategies that can be implemented before, during, and after a home visit to minimize the risk of infection.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase

Practice Operations and Leadership


doctor and businessman shaking handsContracting with Payers: Demonstrating the Value of Home-Based Primary Care

As a home-based primary care (HBPC) provider, if you’re working in a fee-for-service (FFS) model, you bill each time you provide a service without the opportunity to be paid on quality outcomes. Therefore, the financial resources to enhance your patients’ quality of life may be limited. Value-based payment arrangements are increasingly common in the care of homebound, medically complex patients, and the prevalence of payer contracts recognizing the value of HBPC has been a game changer. This on-demand course will help you demonstrate the value of HBPC when negotiating with payers to obtain necessary funding to be more supportive of your patients’ needs and to maintain financial sustainability for your practice.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Documentation for House Calls: Avoiding Negative Audit Outcomes

House call practices remain a focus of the Office of Inspector General and Centers for Medicare & Medicaid Services resulting in a higher likelihood of being audited. This on-demand course explains “medical necessity,” describes required documentation components, and reviews billing and coding best practices so you can avoid common documentation errors and achieve positive audit outcomes.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Advanced Coding and Billing: Beyond E/M for House Calls

House call practices face many challenges when trying to survive financially in our current fee-for-service world. Chances are, your practice may not be taking full advantage of being reimbursed for the hard work done by providers, including many services beyond the standard evaluation and management (E/M) codes. This on-demand course will review in detail the requirements for Transitional Care Management, Chronic Care Management, Advance Care Planning, and Prolonged Services so you can feel confident when billing for these services in your practice.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


HCC Coding for House Calls

Risk adjustment is becoming the payment structure of the future as more payers move towards this model of payment reform. HCC (Hierarchical Condition Category) is determined by demographics, health status, and the diagnosis options selected. Providers and billers must understand how critical it is to document and code to the highest level of specificity possible. This on-demand course explains risk score calculations and will help you develop a workflow to assign HCC codes accurately.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase


Palliative careThe Intersection of Home-Based Primary Care and Palliative Care

The 65-plus population is the fastest growing in the United States, with the 85-plus age group projected to quadruple from 2000 to 2050. Many of these older patients are somewhat or completely homebound as a result of serious illness or chronic medical conditions. As a result, the need for home-based primary care (HBPriC) and home-based palliative care (HBPalC) is on the rise. HBPriC generally provides longitudinal primary care to medically complex patients who have difficulty accessing office-based care, while HBPalC typically focuses on symptom management and goals of care for homebound patients facing serious illness. Traditionally, these two models have operated separately. However, there has been an increased interest in, and need for, them to work more closely together. In this on-demand course, you will learn different approaches and recommended strategies for bringing together HBPriC and HBPalC to meet the growing needs of homebound patients with advanced illness and/or chronic conditions.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase


Doctor and team

Building an Effective HBPC Team

Caring for homebound patients with multiple comorbidities has many challenges that go above and beyond the normal scope of practice. Not only is disease management more complicated, but patients have many psychosocial challenges that need attention. Having an interdisciplinary home-based primary care (HBPC) team (versus a multidisciplinary team) impacts the care and resources you’re able to provide. This on-demand course explains the characteristics of the different teams, as well as the pros and cons for each so that you can apply best practice team strategies within your program.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase


Stethescope, judge's mallet and legal booksLegal Compliance for Home-Based Primary Care

Understanding compliance guidelines governed by the Office of Inspector General is challenging, but understanding how to overcome compliance challenges for the medically homebound can be even more complex. This on-demand course describes how compliance applies to the field of home-based primary care (HBPC), identifies the unique challenges faced by HBPC providers, and gives you the tools needed to establish a compliance program and guidelines to utilize in your practice.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase


Provider SafetySafety Strategies for Home-Based Primary Care Providers

Providing care in a patient’s home presents a unique array of safety risks, unlike a traditional outpatient setting. Understanding risks such as pets, weapons, travel complications, and weather are essential to being able to employ effective strategies for keeping house call providers safe. This on-demand course will describe how to minimize risks before, during, and after a home visit.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25 | Purchase


Telehealth in Home-Based Primary Care

Telehealth is the integration of telecommunications into the practice of providing and promoting health However, many home-based primary care practices have not yet implemented telehealth due to barriers such as a lack of provider experience using the technology or questions about coding and billing for these services. Telehealth encompasses both remote clinical and non-clinical services such as surveillance, health promotion, and public health functions. This on-demand course will focus on two main areas of telehealth: Virtual Visits (typically referred to as Telemedicine) and Remote Patient Monitoring.

Enduring material, 0.25 AMA PRA Category 1 Credits™ | Cost $25| Purchase

Early Career


House Calls 101: Introduction to HBPC

Home-based primary care (HBPC)—or the modern-day house call—is a viable, innovative solution for high need/high-cost patients who are medically complex and homebound or home-limited. However, primary care providers who are considering HBPC as a career choice may not fully appreciate the value of practicing in a home-based setting, nor be familiar with proven strategies for success in this field. In this on-demand course, you will have the unique opportunity to follow an HBPC provider and her medical assistant on a simulated house call, helping you understand typical steps taken before, during, and after a home visit, as well as characteristics and personal qualities that can enhance a provider’s success in HBPC.

Enduring material, 0.50 AMA PRA Category 1 Credits™ | Cost $49 | Purchase


Accreditation and Credit Designation Statements

These activities have 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 for physicians.

PeerPoint Medical Education Institute, LLC designates these enduring material activities for the number of AMA PRA Category 1 Credits™ shown below. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved: February 1, 2021
Expiration: January 29, 2024

The following organizations accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit™:

  • Physician Assistants: American Academy of Physician Assistants (AAPA)
  • Nurse Practitioners: American Academy of Nurse Practitioners Certification Program (AANPCP)
  • Nurses: American Nurses Credentialing Center (ANCC)
  • Practice Managers: Medical Group Management Association (MGMA)