November #HomeHealthChat: Celebrating National Family Caregivers Month with Home Health

The November #HomeHealthChat was co-hosted by Honor (@honor).

Honor provides personalized home care for people who want to continue to live in the homes they love—safely and happily—as they age.

The #HomeHealthChat focused on Celebrating National Family Caregivers Month with Home Health.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director, Policy Communications & Research Jen Schiller here.

Below are some of the highlights from the chat:

October #HomeHealthChat: Mobile Integrated Health (MIH)

The October #HomeHealthChat was co-hosted by Atrius Health (@AtriusNews) and Eliza Shulman, DO/MPH (@drpippa).

Atrius Health is a nonprofit healthcare organization delivering a system of connected care in eastern Massachusetts for more than 675,000 adult and pediatric patients. A  CMS Pioneer Accountable Care Organization, Atrius Health’s 30 medical practices work together with the home health and hospice services of its VNA Care subsidiary to establish a foundation of knowledge, understanding and trust with its patients in order to serve them well. Dr. Shulman is a DO, MPH with a specialty in geriatrics working at the Atrius Health Innovation Center to create new models of care that will better serve Atrius Health patients.

The #HomeHealthChat focused on Mobile Integrated Health (MIH).

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director, Policy Communications & Research Jen Schiller here.

Below are some of the highlights from the chat:

September #HomeHealthChat: Home Health and Physical Therapy

The September #HomeHealthChat was co-hosted by Home Health APTA (@HomeHealthAPTA).

Home Health APTA, the Home Health Section of the American Physical Therapy Association, is a professional association serving physical therapists, physical therapist assistants, and students dedicated to promoting physical therapy best practices in home care.

The #HomeHealthChat focused on Home Health and Physical Therapy.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director, Policy Communications & Research Jen Schiller here.

Below are some of the highlights from the chat:

August #HomeHealthChat: Home Health’s Role in Integrating Medical Services and LTSS

The August #HomeHealthChat was co-hosted by the Long-Term Quality Alliance (@LTQA).

The Long-Term Quality Alliance is a community of organizations aimed at improving outcomes and quality of life for persons and their families who are managing functional limitations due to chronic health conditions.

The #HomeHealthChat focused on Home Health’s Role in Integrating Medical Services and LTSS.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director, Policy Communications & Research Jen Schiller here.

Below are some of the highlights from the chat:

July #HomeHealthChat: Patient Access to Home Health Care

The July #HomeHealthChat was co-hosted by the Partnership for Quality Home Healthcare (@PQHH). The Partnership is a coalition working with government officials to ensure access to quality home healthcare services for all Americans.

The #HomeHealthChat focused on Patient Access to Home Health Care.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director of Communications and Events Jen Schiller here.

Below are some of the highlights from the chat:

Framing the Future of Home Health Care in America

On June 30th, the Alliance hosted “Framing the Future of Health Care in America,” which included the release of case studies and appendices that will inform the upcoming independent publication of the Future of Home Health paper.

Leading experts and stakeholders provided an overview of the report and shared an initial vision to support the transformation of home health and home-based care as an integral part of the overall health care delivery system. Our panel included Kathleen Gilmartin, CEO of Interim HealthCare, Sally Rodriguez, Director, Avalere, and Dr. Steven Landers, President and CEO of VNA Health Group.

Briefing materials, appendices, and a full video recap of the briefing are available here.

June #HomeHealthChat: The Future of Home Health Care

The June #HomeHealthChat was co-hosted by Avalere Health (@avalerehealth). Avalere Health is a strategic advisory services firm whose data, analysis and insights help clients across the healthcare industry drive better decisions.

The #HomeHealthChat focused on the Future of Home Health Care.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director of Communications and Events Jen Schiller here.

Below are some of the highlights from the chat:

May #HomeHealthChat: The Importance of Advance Care Planning

The May #HomeHealthChat was co-hosted by Lee Goldberg (@lmgoldberg). Lee Goldberg is the Project Director for The Pew Charitable Trusts’ Improving End of Life Care Project.

The #HomeHealthChat focused on the Importance of Advance Care Planning.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director of Communications and Events Jen Schiller here.

Below are some of the highlights from the chat:

Prioritizing Care From Hospital to Home

Last week, the Washington Post published the heartbreaking story of Joyce Oyler, a home health patient who passed away after receiving the wrong medication; an error which failed to be caught at all levels, including home health. Ms. Oyler’s story is a terrible reminder of the critical nature of care transitions from setting to setting.

Care transitions are a central area of both focus and improvement for the home health care community. Recognizing the importance of quality and safety issues in the transition from hospital to home, the Alliance developed the Home Health Model of Care Transitions. The model lays out an evidenced-based approach to successfully complete a transition and prevent rehospitalization. The model specifically emphasizes medication management as a core component of an effective care transition, and specifies that a home health agency identify the name of each drug prescribed, what it’s used for, dosage, and when and how often the patient should take each medication. Medication allergies and pharmacy name and phone number should also be listed.

Other organizations are also dedicated to putting care transitions at the forefront of emphasis. For instance, the Visiting Nurse Associations of America (VNAA) compiled the Blueprint for Excellence, which features a module of patient safety including medication reconciliation. The Blueprint defines medication reconciliation and adherence, outlines the impact it has one patient outcomes and safety, and identifies best practices for medication reconciliation and adherence in the home. You can access the VNAA Blueprint for Excellence guidelines and resources on medication reconciliation here.

Federal initiatives are further driving quality improvement and patient safety in home health. Just recently, the Centers for Medicare and Medicaid Services (CMS) began assigning Home Health Star Ratings for quality and patient experience, on top of the existing publicly reported quality measures on Home Health Compare.

Star ratings are one mechanism to help consumers access better quality and patient preferred outcomes in home health care, however a number of additional models are currently being implemented to drive home the idea of value over volume in care. The Home Health Value Based Purchasing Model is tying payment to performance, while bundled payment arrangements and accountable care organizations are using payment models that seek to incentivize efficiency.

At the end of the day, policymakers, home health agencies, hospitals, and patient advocates must work collaboratively on ways to best tackle gaps in care from hospital to home.

Preventing tragic deaths, such as Ms. Oyler’s, is so critically important. We simply need to do better for patients and their families. Federal policy initiatives are paving the way, and the work of the Alliance, VNAA, and others are helping by addressing, compiling, and disseminating evidence-based practices and tools.

Together we as an industry and community can work to prevent critical medication errors, hospital readmissions, and most importantly, unnecessary patient deaths.

April #HomeHealthChat: Palliative Care In The Home

The April #HomeHealthChat was co-hosted by the Home Care Alliance of Massachusetts (@ThinkHomeCare). The Home Care Alliance of Massachusetts is a non-profit trade association of home care agencies that promotes home care as an integral part of the health care delivery system

The April #HomeHealthChat focused on Palliative Care in the Home beginning with perceived definitions and moving through workforce challenges and considerations for quality of care.

The Alliance hosts a home health-focused Twitter chat on the fourth Tuesday of every month at 2 pm ET. Be sure to check here for updates on topics, co-hosts, and questions!

If you have topic ideas for future Twitter chats, or are interested in co-hosting a chat, please contact the Alliance’s Director of Communications and Events Jen Schiller here.

Below are some of the highlights from the chat: