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Advanced Applications of Home-Based Primary Care-V ...
Workshop PowerPoint Slides-Day 1
Workshop PowerPoint Slides-Day 1
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Pdf Summary
The "Advanced Applications of Home-Based Primary Care" virtual workshop, held on December 3-4, 2020, covered a wide range of topics essential for optimizing home-based primary care (HBPC) for practitioners. The workshop aimed to enhance the quality of care for homebound patients through evidence-based practices and effective management strategies.<br /><br />### Key Workshop Objectives:<br />1. **Care and Management Strategies**:<br /> - Discussing challenging HBPC cases, including dementia and acute/urgent issues.<br /> - Emphasizing a structured approach for medication management and de-prescribing to combat polypharmacy.<br /> - Addressing care coordination during patient transitions and managing difficult conversations regarding advance care planning.<br /><br />2. **Support and Efficiency**:<br /> - Highlighting caregiver support, including the use of screening tools and external resources.<br /> - Identifying billing opportunities beyond standard E/M codes and improving daily workflow efficiency.<br /> - Detailing procedures common in HBPC, such as tracheostomy care and wound management.<br /><br />3. **Integrated Practices**:<br /> - Utilizing essential steps in transitions of care, leveraging caregiver support, and discussing the role of care coordinators.<br /> - Incorporating community resources and leveraging technology such as electronic health records (EHRs) to enhance practice efficiency.<br /><br />### Telehealth and Technology Integration:<br />The workshop also extensively explored the role of telehealth in HBPC, especially in the context of the COVID-19 pandemic. Key points included:<br />- **Telehealth Platforms**: Evaluating long-term, HIPAA-compliant platforms for practical implementation.<br />- **Workflow Adjustments**: Training staff and patients, testing technology, and adapting schedules for telehealth integration.<br />- **Documenting Telehealth Visits**: Ensuring proper documentation and adherence to CMS guidelines for compliance and billing.<br /><br />### Managing Complexity and Caregiver Support:<br />- **Polypharmacy and Deprescribing**: Using Beers Criteria and STOPP/START tools to identify and reduce medications with the highest risks.<br />- **Behavioral Management in Dementia**: Employing both pharmacological and non-pharmacological interventions.<br />- **Caregiver Burden**: Assessing caregiver stress using tools like the Zarit Burden Interview and providing adequate support through resources and education.<br /><br />### Self-Care and Burnout Prevention:<br />A session was dedicated to coping strategies for HBPC providers, emphasizing the importance of recognizing and addressing individual and systemic stressors. Key strategies included:<br />- **Operational Efficiency**: Streamlining processes to reduce stress, such as proper scheduling and clear policy development.<br />- **Administrative Support**: Building a supportive culture with proactive human resource policies and regular team meetings.<br /><br />### Learning and Continuous Improvement:<br />The workshop underscored the need for continuous learning and adaptation to new challenges and technologies, ensuring high-quality, compassionate care for homebound patients while maintaining provider well-being.<br /><br />In summary, the workshop provided extensive insights into enhancing HBPC through advanced care strategies, telehealth integration, caregiver support, and preventing practitioner burnout, all aiming for holistic and efficient home-based care.
Keywords
Home-Based Primary Care
Telehealth
Caregiver Support
Polypharmacy
Deprescribing
Dementia Management
Workflow Efficiency
Care Coordination
Burnout Prevention
Continuous Improvement
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