Designed for experienced home-based primary care (HBPC) providers and practice staff, this on-demand course will prepare and equip learners to succeed in value-based payment arrangements. Sessions present actionable strategies with a value-based lens in the following areas: required staffing, infrastructure, and data; patient identification; cost-effective management of medications and conditions commonly found in HBPC patients (e.g., dementia, CHF); quality measurement and reducing gaps in care; risk adjustment models, including Hierarchical Condition Category (HCC) coding; and demonstrating the value of HBPC when negotiating with payers.

The course includes 3 modules:

Module 1: Getting Started in Value-Based Care

• Home-Based Primary Care (HBPC): The Future of Value-Based Healthcare
• Quantifying the Value of HBPC
• Leveraging HCC Coding and Risk Adjustment in Home-Based Care
• What You Need to Know about the Current Advanced Payment Models
• Working with Specialists: When to Treat, When to Consult, When to Refer
• Demonstrating the Value of HBPC to Payers and Partners: Key Quality Metrics

Module 2: Managing Costs in Value-Based Care

• Congestive Heart Failure
• Medications
• COPD
• Wound Care
• Mental Health Conditions
• Dementia

Module 3: Ensuring Success in Value-Based Care

• Optimizing Value-Based Care for Homebound Patients
• Managing Care Transitions in a Value-Based World
• Evaluating Productivity and Staffing in the House Call Program
• Hiring Right and Supporting the House Call Program

Upon completion of this activity, learners will be able to:

• Discuss value-based payment opportunities currently available to HBPC programs, including strategies for patient identification, quality measurement, contract negotiation, and establishing key partnerships.
• Apply recommended practices for staffing and productivity, efficiency, telehealth, risk stratification, and coordination with other providers.
• Provide high-quality, cost-effective patient care and successfully manage conditions of specific concerns in value-based payment arrangements, including dementia, congestive heart failure, and polypharmacy.
• Manage transitions of care for homebound patients within the domains of accountability, communication, assessing needs and goals, medication management, and safety.

10 hours total, including 3 modules
In order to earn credit for participation in this activity, the learner must complete 3 post-tests, each with a passing score of 75% or better with unlimited attempts.

This activity is intended for physicians, advanced practice providers (NPs, PAs), nurses (RNs, LPNs), practice managers/administrators, social workers, residents/fellows, medical assistants, and other practice operations staff.

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of PeerPoint Medical Education Institute and the Home Centered Care Institute. PeerPoint Medical Education Institute is accredited by the ACCME to provide continuing medical education for physicians.

PeerPoint Medical Education Institute designates this enduring material for a maximum of 10.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Approved: November 15, 2023
Expiration: November 14, 2026

The following organizations accept certificates of participation for educational activities certified for AMA PRA Category 1 Credit™:
• Physician Assistants: American Academy of Physician Assistants (AAPA)
• Nurse Practitioners: American Academy of Nurse Practitioners Certification Program (AANPCP)
• Nurses: American Nurses Credentialing Center (ANCC)
• Practice Managers: Medical Group Management Association (MGMA)

The Home Centered Care Institute gratefully acknowledges support for this activity in the form of a grant from John A Hartford Foundation.

None of the planners, authors, or reviewers for this educational activity have relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.