Innovations and Efficiencies in Home-Based Care: HCCI Solutions Suite for NPHI Members-Key Metrics for Demonstrating the Value of HBPC

Key Metrics for Demonstrating the Value of HBPC_HCCI

Pdf Summary

The document is a comprehensive resource designed to assist clinicians and healthcare practices in evaluating the operational efficiencies, productivity, and patient outcomes of Home-Based Primary Care (HBPC) programs. It suggests selecting key metrics from three primary categories: Staffing and Productivity, Operational, and Utilization and Outcome Metrics, to demonstrate the value of HBPC.<br /><br />### Staffing and Productivity Metrics:<br />- Clinician-to-Patient ratio<br />- Staff-to-Clinician ratio<br />- Average expenses per clinician and staff member<br />- Billing trends, daily call volume, and patient visits<br />- Message volume per clinician or care team<br /><br />These metrics help evaluate workload, guide strategic growth, and monitor performance.<br /><br />### Operational Metrics:<br />- Average travel miles per day<br />- Black bag expenses<br />- Volume of after-hours calls<br />- Metrics related to new patient intake, employee satisfaction, and patient census<br /><br />These metrics assist in monitoring day-to-day operations and ensuring resource efficiency.<br /><br />### Utilization and Outcome Metrics:<br />- Immunization, depression screening, fall risk assessment, and other preventive care metrics<br />- Hospital admission/readmission rates and acute care utilization<br />- ICU stays, hospice utilization, and days at home<br />- Patient and caregiver satisfaction<br /><br />These metrics aim to assess the quality of care and patient outcomes.<br /><br />### Clinical Quality Metrics for HBPC:<br />- Functional and cognitive assessments for patients<br />- Metrics from the National Home-Based Primary Care Learning Network<br />- Quality measures from CMS and endorsed by the National Quality Forum<br /><br />### Alternative Payment Models (APMs):<br />- Independence at Home Clinical Quality Metrics and Primary Care First (PCF)<br />- Metrics focusing on hospital admissions, follow-up care, medication reconciliation, and patient preferences<br />- Medicare Shared Savings Program (MSSP) and Global & Professional Direct Contracting Model (GPDC) metrics, involving cost reduction, quality improvement, and value-based care transition<br /><br />### Additional Resources:<br />- HCCIntelligence Resource Center provides tools, webinars, virtual office hours, and tip sheets to support HBPC providers. Funded by The John A. Hartford Foundation, the center offers a hotline and email support for inquiries.<br /><br />The document underscores the importance of using these metrics to continuously improve the operational and clinical quality of HBPC programs while adhering to evolving healthcare standards and regulations.

Keywords

Home-Based Primary Care

HBPC metrics

Staffing and Productivity

Operational Metrics

Utilization and Outcome Metrics

Clinical Quality Metrics

Alternative Payment Models

HCCIntelligence Resource Center

healthcare standards

patient outcomes