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A new era in home care
1Patient Care Services, Vanderbilt Home Care Services, Nashville, TN, USA.
Summary
New healthcare policies are driving innovative home care models. This includes community-based long-term care, home-based primary care, and disease management programs, alongside evolving professional qualifications.
Area of Science:
- Healthcare policy and management
- Geriatric care and home health services
- Nursing and advanced practice
Background:
- Healthcare policy shifts, including reimbursement changes from fee-for-service to prospective payment/managed care.
- Mandatory outcomes assessment in healthcare delivery.
- The evolving landscape of home care services.
Purpose of the Study:
- To describe innovative home care models emerging in response to policy changes.
- To highlight the opportunities for expanding home care services.
- To discuss necessary professional qualifications for advanced practice in home care.
Main Methods:
- Review and description of three distinct innovative home care models.
- Exemplification of each model with specific programs (PACE, VA Home-Based Primary Care, Group Health Cooperative).
- Discussion of professional qualifications, including certification and graduate education for advanced practice nursing.
Main Results:
- Identification of community-based long-term care, home-based primary care, and disease management as key innovative models.
- Demonstration of successful implementation through program examples.
- Emphasis on the need for advanced professional qualifications.
Conclusions:
- Policy and reimbursement changes create a favorable environment for innovative home care.
- Specific models like PACE and home-based primary care offer scalable solutions.
- Advanced education and certification are crucial for the future of home care professionals.