Hospital-based care may not always be best matched to the unique needs of senior patients. We’re researching how new, more effective ways of delivering care could safely replace, when appropriate, hospital-based care with home-based alternatives that are more patient-centered, and lower in cost.
We’re working with a diverse group of healthcare leaders on ways to improve care delivery for seniors, enabling them to safely be cared for at home, rather than be admitted to the hospital. We are expanding efforts to advance home and community-based acute care alternatives, especially within the context of risk-bearing provider and delivery systems, all of whom have embraced the imperative of shifting from a volume to value-based payment model. Taken together, we are committed to continue advancing innovative, person-centered, scalable and sustainable models to address the acute care needs for seniors in the ED, home, and community, ultimately tackling the pressing need to directly address the cost of healthcare.
Hospital at Home and Rehabilitation at Home services using existing Medicare-reimbursable services: Opportunities, Costs, Gaps and Contingencies
Policy & Advocacy
We’re collaborating with the Institute for Healthcare Improvement (IHI) and leveraging successful care models in the home and community to meet the unplanned acute care needs of seniors. In addition to the goal of providing timely, safe and effective acute care for seniors in their homes and community settings, there is also an opportunity to initiate health care services and community supports to address unmet needs.
West Health is partnering with Mt Sinai on an effort to study specially trained emergency medical technicians who are transporting older adults home from the ED. They are adding to their service two simple interventions – a home fall safety assessment and a discharge comprehension assessment. We are learning whether these interventions are feasible and effective in reducing falls and ED revisits.
The ED has evolved to become a significant portal to high-cost hospitalizations, with over 82% of unscheduled hospital admissions originating in the ED. Geisinger’s Mobile Health Paramedic program represents a new approach to unplanned acute care for seniors in that medical care and monitoring is provided in patients’ homes. West Health, in collaboration with Geisinger, is studying this new approach for the potential to show improved patient outcomes and reduced medical costs associated with ED visits, hospitalizations, and EMS transfers.
We’re working with the University of California, San Diego’s Department of Emergency Medicine to develop and implement innovative practice improvements to improve patient care in the emergency department (ED) and across the continuum of care. Our research study is focusing on the implementation of acute care at home program from the ED as an alternative to inpatient admission for a specific cohort of patients.
Today, emergency room physicians see too many patients who have delayed treatment for heart attacks, strokes, and other serious conditions because of COVID-19 fears. In some cases, the results are needlessly catastrophic. Decisions to activate emergency care for life-threatening episodes appear to be dominated by perceptions that our nation’s emergency care infrastructure is either overwhelmed or unable to safely manage a call for help.
The institute is collaborating with Geisinger Health System to study treatment at home options that would provide healthcare in a patient’s home as an alternative to hospitalization.
We’re collaborating with the Institute for Healthcare Improvement (IHI) and leveraging successful care models in the home and community to meet the unplanned acute care needs of seniors.
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