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Guide to Home Visits for the Medically Complex
Guide to Home Visits for the Medically Complex
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To rein in readmission rates, healthcare organizations are deploying clinicians to homes of medically complex patients and health plan members in greater numbers.

A well-planned home visit to a high-risk patient may offset a potential readmission while posing an opportunity to clarify care plans, reconcile medications, assess the home environment for safety and support, and broach the delicate subject of end-of-life care.

Guide to Home Visits for the Medically Complex examines the industry's growing use of home visits for patients at high risk of readmission, presenting home-based initiatives from eight healthcare innovators that are helping to elevate the level of care and patient satisfaction while reducing 30-day readmissions for the medically complex and recently discharged.

This 120-page guide delivers the following:

  • A comprehensive set of 2013 benchmarks in home visit applications from 155 healthcare organizations;
  • Insight from two separate home visit interventions for heart failure patients that are helping to reduce hospital readmissions and emergency room visits while enhancing the patient experience;
  • An outline of an innovative home visit pilot for Medicaid and dually eligible patients that reduced unplanned hospital admission days by 71 percent in three months;
  • A look at Fallon Community Health Planís Home Run program for Medicare Advantage members at risk of high utilization, which keeps patients in their home and improves their functional living status.

Download the executive summary of the Guide to Home Visits for the Medically Complex.

Answers to dozens of critical FAQs on home visits, from prudent use of telehealth to the role of the pharmacist to going beyond the critical hospital-to-home transition and exploring SNF-to-home, ED-to-home, and other critical transitions in care.

Chapter 1: 2013 Healthcare Benchmarks in Home Visits
Chapter 2: New Horizons in Healthcare Home Visits
Chapter 3: Home Visit Handbook
Chapter 4: Home Visits for Medicare High Utilizers

There are dozens of tips, tactics and metrics contained in the Guide to Home Visits for the Medically Complex that organizations can model to establish a home visit program for vulnerable patients that can impact critical readmission benchmarks closely tracked by payors.

Publication Date: February 2014
Number of Pages: 120
ISBN 10: 1-939167-94-9 (Print version); 1-939167-95-7 (PDF version)
ISBN 13: 978-1-939167-94-1 (Print version); 978-1-939167-95-8 (PDF version)
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