Delivering Primary Care at Home

Monday, May 17th, 2010
This post was written by Patricia Donovan

It may have been Dorothy that said, “There’s no place like home,” but more healthcare organizations now view the home as an acceptable place to deliver primary care, particularly for elderly patients with multiple chronic conditions. In this week’s Healthcare Business Weekly Update, learn how the Veterans Health Administration’s Home-Based Primary Care model, which targets veterans with complex chronic disabling diseases, halved inpatient costs, reduced admissions by 28 percent and hospital days by 71 percent and delivered overall savings of $58 million over 12 months for the 9,400 elderly veterans in the study. This “hospital at home” model, established in 1972 and utilized in Europe for years, receives high marks from patients.

The pendulum has swung on the industry’s thinking surrounding home visits, agrees Jessica Simo of the Duke Division of Community Health, who discusses the motivation for home visits for the Medicaid population with Duke’s Dr. Larry Greenblatt in this week’s HealthSounds podcast.

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