'Eyes In The Home': ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use

doi:10.1377/hlthaff.2019.00003

. 2019 Jun;38(6):1021-1027.

doi: 10.1377/hlthaff.2019.00003.

'Eyes In The Home': ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use

Taressa K Fraze¹, Laura B Beidler², Adam D M Briggs³, Carrie H Colla⁴

Affiliations

¹ Taressa K. Fraze ( taressa.fraze@dartmouth.edu ) is a research scientist at the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, in Lebanon, New Hampshire.
² Laura B. Beidler is a research coordinator at the Dartmouth Institute for Health Policy and Clinical Practice.
³ Adam D. M. Briggs is a visiting academic at the Centre on Population Approaches for Non-Communicable Disease Prevention, Nuffield Department of Population Health, University of Oxford, in England.
⁴ Carrie H. Colla is an associate professor of health policy at the Dartmouth Institute for Health Policy and Clinical Practice.

PMID: 31158021
PMCID: PMC7347295
DOI: 10.1377/hlthaff.2019.00003

'Eyes In The Home': ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use

Taressa K Fraze et al. Health Aff (Millwood). 2019 Jun.

. 2019 Jun;38(6):1021-1027.

doi: 10.1377/hlthaff.2019.00003.

Authors

Taressa K Fraze¹, Laura B Beidler², Adam D M Briggs³, Carrie H Colla⁴

Affiliations

¹ Taressa K. Fraze ( taressa.fraze@dartmouth.edu ) is a research scientist at the Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine, in Lebanon, New Hampshire.
² Laura B. Beidler is a research coordinator at the Dartmouth Institute for Health Policy and Clinical Practice.
³ Adam D. M. Briggs is a visiting academic at the Centre on Population Approaches for Non-Communicable Disease Prevention, Nuffield Department of Population Health, University of Oxford, in England.
⁴ Carrie H. Colla is an associate professor of health policy at the Dartmouth Institute for Health Policy and Clinical Practice.

PMID: 31158021
PMCID: PMC7347295
DOI: 10.1377/hlthaff.2019.00003

Abstract

Home visits are used for a variety of services and patient populations. We used national survey data from physician practices and accountable care organizations (ACOs), paired with qualitative interviews, to learn about home visiting programs. ACO practices were more likely to report using care transitions home visits than non-ACO practices were. Eighty percent of ACOs reported using home visits for some of their patients, with larger ACOs more commonly using home visits. Interviewed ACOs reported using home visits as part of care management and care transitions programs as well as to evaluate patients' home environments and identify needs. ACOs most often used nonphysician staff to conduct home visits. Home visit implementation for some types of patients can be challenging because of barriers related to reimbursement, staffing, and resources.

Keywords: Accountable Care Organizations; care management; care transitions; complex patients; home visits; home-based care; post-acute.

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References

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1. Mattke S, Han D, Wilks A, Sloss E. Medicare home visit program associated with fewer hospital and nursing home admissions, increased office visits. Health Aff (Millwood). 2015;34(12):2138–46. - PubMed

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[1] Cherry DK, Burt CW, Woodwell DA. National ambulatory medical care survey: 2001 summary. Adv Data. 2003;11(0147–3956 (Print)). - PubMed

[2] Cherry DK, Burt CW, Woodwell DA. National ambulatory medical care survey: 2001 summary. Adv Data. 2003;11(0147–3956 (Print)). - PubMed

[3] Sairenji T, Jetty A, Peterson LE. Shifting patterns of physician home visits. Journal of Primary Care & Community Health. 2016;7(2):71–5. - PMC - PubMed

[4] Sairenji T, Jetty A, Peterson LE. Shifting patterns of physician home visits. Journal of Primary Care & Community Health. 2016;7(2):71–5. - PMC - PubMed

[5] Stijnen MMN, Van Hoof MS, Wijnands-Hoekstra IYM, Guldemond-Hecker Y, Duimel-Peeters IGP, Vrijhoef HJM, et al. Detected health and well-being problems following comprehensive geriatric assessment during a home visit among community-dwelling older people: who benefits most? Fam Pract. 2014;31(3):333–40. - PubMed

[6] Stijnen MMN, Van Hoof MS, Wijnands-Hoekstra IYM, Guldemond-Hecker Y, Duimel-Peeters IGP, Vrijhoef HJM, et al. Detected health and well-being problems following comprehensive geriatric assessment during a home visit among community-dwelling older people: who benefits most? Fam Pract. 2014;31(3):333–40. - PubMed

[7] Jackson C, Kasper EW, Williams C, DuBard CA. Incremental benefit of a home visit following discharge for patients with multiple chronic conditions receiving transitional care. Popul Health Manag. 2016;19(3):163–70. - PMC - PubMed

[8] Jackson C, Kasper EW, Williams C, DuBard CA. Incremental benefit of a home visit following discharge for patients with multiple chronic conditions receiving transitional care. Popul Health Manag. 2016;19(3):163–70. - PMC - PubMed

[9] Mattke S, Han D, Wilks A, Sloss E. Medicare home visit program associated with fewer hospital and nursing home admissions, increased office visits. Health Aff (Millwood). 2015;34(12):2138–46. - PubMed

[10] Mattke S, Han D, Wilks A, Sloss E. Medicare home visit program associated with fewer hospital and nursing home admissions, increased office visits. Health Aff (Millwood). 2015;34(12):2138–46. - PubMed

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'Eyes In The Home': ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use

Affiliations

'Eyes In The Home': ACOs Use Home Visits To Improve Care Management, Identify Needs, And Reduce Hospital Use

Authors

Affiliations

Abstract

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