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Care for the Older Adult in the Emergency Department

Introduction The convergence of several forces is creating an opportunity to dramatically improve care for older adults in the emergency department (ED), which in turn has the potential to create benefits in the US health care system for everyone. These forces include demographic changes, a shift toward value-based health care, and the emergence of individual… Read more »

Providing Home- and Community-Based Nutrition Services to Low-Income Older Adults: Promising Health Plan Practices

This brief, made possible with support from the West Health Policy Center, highlights promising community-based nutrition practices for older adults used by Medicaid health plans, including: (1) investing in staff with nutrition expertise; (2) using assessment data to target nutrition-related interventions; (3) replicating best practices from other member populations; and (4) leveraging community-based resources.

Delirium as a predictor of mortality in US Medicare beneficiaries discharged from the emergency department: a national claims-level analysis up to 12 months

Delirium is common among seniors discharged from the emergency department (ED) and associated with increased risk of mortality. Prior research has addressed mortality associated with seniors discharged from the ED with delirium, however has generally relied on data from one or a small number of institutions and at single time points.

Operation and challenges of home-based medical practices in the US: findings from six aggregated case studies

Home-based primary care (HBPC) is a multidisciplinary, ongoing care strategy that can provide cost-effective, in-home treatment to meet the needs of the approximately four million homebound, medically complex seniors in the U.S. Because there is no single model of HBPC that can be adopted across all types of health organizations and U.S. geographic regions, we conducted a six-site HBPC practice assessment to better understand different operation structures, common challenges, and approaches to delivering HBPC.

Integrating Social Services and Home-Based Primary Care for High-Risk Patients

This review article describes the research evidence for developing a better system of care for high-cost, high-risk patients. It reviews the evidence that home-centered care and integration of health care with social services are the cornerstones of a more humane and efficient system.

Publications

Abstracts 2019 Norman, GJ, Kent, T, Kinosian, B, Kronick, R. (2019).  Feasibility of shared savings models for small home-based primary care practices.  Journal of the American Geriatrics Society, Vol 67 (Suppl S1), S171-172. Norman, GJ, Slaboda, JC. (2019). Family Caregivers’ Perceptions of How the Health System and Community Support Older Adults.  Aging in America, Annual… Read more »

Perspectives on Home-based Healthcare as an alternative to Hospital Admission After Emergency Treatment

The study objective was to explore emergency physicians’ (EP) awareness, willingness, and prior experience regarding transitioning patients to home-based healthcare following emergency department (ED) evaluation and treatment; and to explore patient selection criteria, processes, and services that would facilitate use of home-based healthcare as an alternative to hospitalization.

The Journal of Emergency Medicine publishes West Health and UCSD study on home health costs as an alternative to hospital care

West Health has recognized that home-centered care can be a focal point for seniors, offering the option for effective care provided within the safety and comfort of home. The study described in this paper was designed in collaboration with the UCSD Department of Emergency Medicine in order to explore the possibility of providing home-based acute care options.