Advanced Applications of Home-Based Primary Care-Virtual Workshop-Workshop PowerPoint Slides-Day 1

Workshop PowerPoint Slides-Day 1
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 /><h3>Key Workshop Objectives:</h3><br />1. <strong>Care and Management Strategies</strong>:<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. <strong>Support and Efficiency</strong>:<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. <strong>Integrated Practices</strong>:<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 /><h3>Telehealth and Technology Integration:</h3><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 />- <strong>Telehealth Platforms</strong>: Evaluating long-term, HIPAA-compliant platforms for practical implementation.<br />- <strong>Workflow Adjustments</strong>: Training staff and patients, testing technology, and adapting schedules for telehealth integration.<br />- <strong>Documenting Telehealth Visits</strong>: Ensuring proper documentation and adherence to CMS guidelines for compliance and billing.<br /><br /><h3>Managing Complexity and Caregiver Support:</h3><br />- <strong>Polypharmacy and Deprescribing</strong>: Using Beers Criteria and STOPP/START tools to identify and reduce medications with the highest risks.<br />- <strong>Behavioral Management in Dementia</strong>: Employing both pharmacological and non-pharmacological interventions.<br />- <strong>Caregiver Burden</strong>: Assessing caregiver stress using tools like the Zarit Burden Interview and providing adequate support through resources and education.<br /><br /><h3>Self-Care and Burnout Prevention:</h3><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 />- <strong>Operational Efficiency</strong>: Streamlining processes to reduce stress, such as proper scheduling and clear policy development.<br />- <strong>Administrative Support</strong>: Building a supportive culture with proactive human resource policies and regular team meetings.<br /><br /><h3>Learning and Continuous Improvement:</h3><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