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Innovations and Efficiencies in Home-Based Care: H ...
Day 2 Workshop Slides
Day 2 Workshop Slides
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<strong>Summary: Custom Workshop for NPHI Members – Innovations & Efficiencies in Home-Based Care</strong><br /><br /><strong>Dates:</strong> September 8-9, 2022 <br /><strong>Presented by:</strong> <br />- Melissa Singleton, M.Ed., Chief Learning Officer, HCCI <br />- Aaron Yao, PhD <br />- Paul Chiang, MD <br />- Brianna Plencner, CPC, CPMA<br /><br />---<br /><br />The workshop emphasizes innovations, efficiencies, and best practices in home-based care, focusing on data analytics, HCC coding, management of complex health conditions, and operational optimizations in house call programs.<br /><br /><strong>Key Sessions and Highlights:</strong><br /><br />1. <strong>Leveraging Data Analytics for Growth and Quality Improvement</strong> <br /> - Utilize data to improve care and operations, focusing on HBMC programs' patterns.<br /><br />2. <strong>HCC Coding and Risk Adjustment for House Calls</strong> <br /> - Accurately reflecting the severity of patients’ conditions ensures appropriate risk scores and billing.<br /><br />3. <strong>Managing Multi-Complex Conditions</strong> <br /> - Tackle challenges in treating homebound patients with multiple chronic diseases through effective management models.<br /><br />4. <strong>Optimizing Daily Operations</strong> <br /> - Strategies for efficient workflows include geographic scheduling, triage protocols, and safety measures for providers.<br /><br />5. <strong>Simulated House Calls</strong> <br /> - Practical simulations to apply learned concepts in real-world scenarios, emphasizing the importance of chart reviews, equipment preparedness, and coding.<br /><br /><strong>Operational Strategies:</strong><br />- Develop effective intake and triage protocols.<br />- Geographically optimized scheduling for efficient provider routes.<br />- Emphasize cross-functional team communication through IDT meetings and daily team huddles.<br />- Integrate technology tools to enhance route planning and workflow management.<br />- Promote safety through proper planning and emergency preparedness.<br /><br /><strong>Team Roles:</strong><br />- <strong>Front Office:</strong> Manage appointments, insurance verification, and administrative tasks.<br />- <strong>Back Office:</strong> Handle triage, medical equipment, referrals, and care coordination.<br />- <strong>Care Navigators (LPN/CNA) and RN:</strong> Provide care management and coordinate between community services and providers.<br /><br /><strong>Next Steps:</strong><br />Participants are encouraged to schedule one-hour sessions to:<br />1. Assess current needs, goals, and strategies.<br />2. Improve operational efficiencies and maximize revenue through effective coding and documentation.<br /><br /><strong>Evaluation and CME Credits:</strong><br />Participants are reminded to submit their learning plans, complete evaluations, and watch for instructions regarding CME credit claims. <br /><br /><strong>Conclusion:</strong><br />The workshop underscores the importance of robust data utilization, accurate coding, comprehensive care management, and efficient operational workflows to enhance home-based care efficacy.
Keywords
Home-Based Care
Data Analytics
HCC Coding
Risk Adjustment
Complex Health Conditions
Operational Optimization
House Call Programs
Simulated House Calls
Care Management
CME Credits
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