Hospitals improve their designs for reducing length-of-stay and costly admission and/or readmissions.
Our practice focuses on patients that office-based primary care providers (PCP) are unable to serve, because these complex patients are unable to make the exhaustive trip to the PCP office and use the ER instead. Many elderly patients who are discharged from hospitals are unable to comply with post-hospitalization follow-up with their PCP due to health or transportation, which often leads to re-hospitalization or progressive decline in health.
Our practice provides desperately needed in-home primary care to the sickest of patients, which helps keep them out of the hospital through secondary prevention. Home-based primary care decreases unnecessary ER visits and low-value admissions and/or readmissions as well as length of stays for those who do need admitted on occasion.
Home care medicine (house calls program) is a key cost-savings and care management initiative for Accountable Care Organizations (ACO) wishing to reduce readmissions and enhance outcomes for frail Medicare beneficiaries. House calls programs can also serve as the chief intervention of post-acute programs that reduce unnecessary 30-day readmissions and help hospitals avoid Medicare penalties. House calls medical program can also assist hospitals with managed care or capitated care contracts such as Medicare Advantage or other similar at-risk contracts to manage the care of their costliest patients.
Home health agencies achieve improved coordination of care and better outcomes for their patients. Patients receiving home health are classified as homebound, so leaving home to manage an office visit with their PCP can only be done with taxing effort. Consequently, many patients avoid exhaustive trips to their PCP and only achieve medical care through ER visits or hospitalization. It only makes sense that home health patients should receive their medical visits in the comfort of their home as well.
We are accustomed to processing 485's, orders for care, and DME documentation. Thus, agencies have less worries of chasing down orders & signatures. Home health nurses have direct access to our house-call providers, which decreases the number of contacts made to receive any new orders and improves overall home health organizational efficiency. Routine primary care home medical visits achieve enhanced medication management, improved coordination of care, and outstanding support for caregivers/family.
Studies show that house calls programs reduce hospital admissions.
Senior living facilities improve the quality of life for their residents.