Essential Elements of Home-Based Primary Care Workshop-NonClinical Track Slides

NonClinical Track Slides
Pdf Summary
The document is a comprehensive guide on starting a Home-Based Primary Care (HBPC) practice, focusing on non-clinical considerations. Key points covered include:<br /><br /><strong>Starting Considerations:</strong><br />- <strong>Questions to Ask:</strong> Assess community needs, align with your skills, analyze the market, and define your practice model (e.g., primary care, palliative care).<br />- <strong>Business Model:</strong> Perform market research, determine target populations, and establish marketing goals. Define service lines and set key performance indicators.<br /><br /><strong>Target Patient Population:</strong><br />- Typically includes older, frail, or medically complex individuals who have difficulty leaving their homes and require assistance with activities of daily living (ADLs).<br /><br /><strong>Services Provided:</strong><br />- Medical visits at home, wound care, diagnostic services, immunizations, chronic disease management, care coordination, etc.<br /><br /><strong>Different Models:</strong><br />- Includes transitional, longitudinal primary care, HBPC, and palliative specialty care.<br /><br /><strong>Advanced Capabilities and Contracting Models:</strong><br />- Utilize CMS models like Primary Care First and Direct Contracting Model to define care capabilities and learn from successful complex care models.<br /><br /><strong>Team Structure:</strong><br />- A multidisciplinary team involving physicians, advanced practice providers, nurses, medical assistants, social workers, pharmacists, and more.<br /><br /><strong>Staffing Models:</strong><br />- Strategies for smaller vs. larger programs, including in-house vs. outsourced roles. Consider the roles and responsibilities of RN, LPNs, MAs, and administrative staff.<br /><br /><strong>Quality Improvement and Metrics:</strong><br />- Set standards, determine meaningful metrics, and maintain a culture of continuous improvement. Examples include MIPS, IAH Quality Metrics, SIP Quality Metrics, and alternatives like patient outcomes and satisfaction surveys.<br /><br /><strong>Budget and Expenses:</strong><br />- Account for both start-up and ongoing expenses, including technology, staffing, insurance, and marketing. Consider productivity standards and analyze cost vs. revenue.<br /><br /><strong>Marketing and Growth Considerations:</strong><br />- Develop a unique value proposition, create an elevator pitch, and identify target referral sources. Ensure your practice is prepared for growth by evaluating budget assumptions and patient volume preparedness.<br /><br /><strong>Contracting with Payers:</strong><br />- Define your product, understand costs, identify potential partners, and make a compelling pitch. Focus on how your HBPC model can reduce costs or improve outcomes for payers.<br /><br /><strong>Examples and Case Studies:</strong><br />- Offer insights into various successful HBPC models and examples from different states and programs, highlighting staffing ratios, patient demographics, and service offerings.<br /><br />In essence, the document provides a detailed roadmap for establishing and managing an effective HBPC practice, covering everything from initial planning and staffing to quality improvement and marketing strategies.
Keywords
Home-Based Primary Care
HBPC
non-clinical considerations
business model
target patient population
services provided
team structure
quality improvement
budget and expenses
marketing strategies