House Calls: California Program For Homebound Patients Reduces Monthly Spending, Delivers Meaningful Care
| Autor: | Jeremy Rich, Lois Green, Glenn Melnick |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Frail Elderly Population Staffing California 03 medical and health sciences 0302 clinical medicine Cost Savings Outcome Assessment Health Care Health care House call medicine Humans Hospital utilization 030212 general & internal medicine Program Development education Aged Complex needs Aged 80 and over Chronic care education.field_of_study business.industry 030503 health policy & services Health Policy Health Care Costs Emergency department medicine.disease House Calls Female Homebound Persons Medical emergency Emergency Service Hospital 0305 other medical science business Delivery of Health Care |
| Zdroj: | Health Affairs. 35:28-35 |
| ISSN: | 1544-5208 0278-2715 |
| Popis: | In 2009 HealthCare Partners Affiliates Medical Group, based in Southern California, launched House Calls, an in-home program that provides, coordinates, and manages care primarily for recently discharged high-risk, frail, and psychosocially compromised patients. Its purpose is to reduce preventable emergency department visits and hospital readmissions. We present data over time from this well-established program to provide an example for other new programs that are being established across the United States to serve this population with complex needs. The findings show that the initial House Calls structure, staffing patterns, and processes differed across the geographic areas that it served, and that they also evolved over time in different ways. In the same time period, all areas experienced a reduction in operating costs per patient and showed substantial reductions in monthly per patient health care spending and hospital utilization after enrollment in the House Calls program, compared to the period before enrollment. Despite more than five years of experience, the program structure continues to evolve and adjust staffing and other features to accommodate the dynamic nature of this complex patient population. |
| Databáze: | OpenAIRE |
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