The CAPC Payment Accelerator: A Joint Virtual Workshop for Home-Based Care Teams-HCCI Key Metrics for Demonstrating the Value of HBPC Programs

HCCI Key Metrics for Demonstrating the Value of HBPC Programs

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The document provides extensive guidelines for clinicians and practices to evaluate the performance of Home-Based Primary Care (HBPC) programs, focusing on operational efficiencies, productivity, and patient outcomes. Key metrics in various categories are suggested for selection to demonstrate the value of HBPC services. <br /><br />### Staffing and Productivity Metrics:<br />1. **Clinician-to-Patient Ratio** – Active panel size per clinician.<br />2. **Staff-to-Clinician Ratio** – Including FTE breakdown.<br />3. **Average Expenses** – Per clinician and staff member.<br />4. **Billing Trends** – By clinician and overall practice.<br />5. **Call and Visit Volume** – Daily calls and number of visits per clinician and practice.<br /><br />### Operational Metrics:<br />1. **Travel Miles** – Average daily miles driven.<br />2. **Expenses** – For equipment and supplies.<br />3. **After-hours Calls** – Volume of after-hours and on-call pages.<br />4. **Patient Census** – Active patients and new patient intakes per clinician.<br />5. **Employee Satisfaction** – Regular satisfaction surveys.<br /><br />### Utilization and Outcome Metrics:<br />1. **Immunization Rates** – For flu, pneumonia, COVID-19.<br />2. **Screenings** – Annual depression and cognitive assessments, fall risk, smoking cessation, and alcohol abuse.<br />3. **Hospital Metrics** – 30-day readmission rates, reduction in acute care utilization, ICU stays before death.<br /><br />### Clinical Quality Metrics:<br />Includes measures endorsed by the National Quality Forum focused on functional and cognitive assessments for home-based care patients.<br /><br />### Alternative Payment Models (APMs):<br />1. **Independence at Home** – Comprehensive care metrics like follow-up contacts and medication reconciliation.<br />2. **Primary Care First (PCF)** – Payment reforms measured on outcomes like advance care plans and total per capita cost.<br />3. **Medicare Shared Savings Program (MSSP)** – ACO formation and quality performance metrics for Medicare beneficiaries.<br />4. **Global & Professional Direct Contracting Model (GPDC)** – Measures like risk-standardized readmissions and timely follow-up for chronic conditions.<br /><br />The document also introduces the HCCIntelligence Resource Center, providing educational resources, webinars, and virtual office hours to support HBPC practices in implementing these metrics effectively. It emphasizes the importance of using reliable and up-to-date information, funded partly by the John A. Hartford Foundation, for improving care quality and operations in HBPC settings.

Keywords

Home-Based Primary Care

HBPC

clinician performance

operational efficiencies

patient outcomes

staffing metrics

productivity metrics

clinical quality

alternative payment models

HCCIntelligence Resource Center