Crossroads of Care: Managing Serious Illness in the Home (Session 2 of 4)-crossroads of care session #2

crossroads of care session #2

Pdf Summary

The "Crossroads of Care" session on managing serious illness in the home, held on September 14, 2023, in Schaumburg, Illinois, focused on the intersection of home-based primary care (HBPriC) and home-based palliative care (HBPalC). The event aimed to advance HBPriC to ensure that medically complex patients have access to high-quality care in their homes through education, consulting, research, and advocacy.<br /><br />The Home Centered Care Institute (HCCI) provides resources such as a hotline, webinars, tools, and tip sheets on various home-based medical care topics. The event also appreciated the support from the Elea Institute, which is dedicated to advancing care for people with serious illnesses.<br /><br />Key objectives of the session included examining the rise of HBPriC and HBPalC, exploring advanced payment models, and discussing case examples of how these care models can combine to manage serious illness and chronic diseases effectively.<br /><br />Dr. Paul Chiang and Rebecca Ramsay were notable speakers at the session. Dr. Chiang emphasized the comprehensive array of services offered under HBPriC, including geriatric syndromes, chronic disease management, medication management, and more. Ramsay focused on addressing social determinants of health (SDoH) faced by at-risk populations.<br /><br />The session discussed the benefits of integrating HBPriC and HBPalC, which include improved patient support, coordinated care, symptom management, and enhanced financial opportunities. Two models of combining these services were presented: the Co-Management or Consultation Model (separate providers) and the Fully Integrated Model (same provider).<br /><br />Case examples highlighted successful implementations of these integrated models, showcasing organizations that transitioned from traditional primary care to comprehensive models addressing both medical and palliative care needs.<br /><br />Future sessions will focus on optimizing house call operations and contracting with payers to demonstrate the value of home-centered care. Attendees were offered free online courses on topics related to home-based care, designated for AMA PRA Category 1 Credit.

Keywords

Crossroads of Care

home-based primary care

home-based palliative care

HBPriC

HBPalC

serious illness management

Home Centered Care Institute

social determinants of health

integrated care models

chronic disease management