Variation in Value-Based Outcome Measures Among Assisted Living Communities Served by a Home-Based Primary Care Practice During COVID-19

2020 ◽  
Vol 33 (1) ◽  
pp. 45-48
Author(s):  
William R. Mills ◽  
Janet M. Buccola ◽  
Jamie Roosa ◽  
Lisa Lemin ◽  
Lynn Cappelli ◽  
...  
Keyword(s):  
Primary Care ◽  
Assisted Living ◽  
Primary Care Practice ◽  
Hospitalization Rate ◽  
Care Practice ◽  
Community Settings ◽  
Home Based Primary Care ◽  
Home Based ◽  
The Mean ◽  
At Home

We aimed to determine the hospitalization rate and average days spent at home in a population of assisted living (AL) residents served by a home-based primary care (HBPC) practice during the COVID-19 pandemic. We provided on-site HBPC to 1,699 AL residents and calculated hospitalization rate and days spent at home. The AL population had a mean age of 84 ± 10 years and 73% were female. The mean hospitalization rate was 449 admissions per 1,000 per year, and there was wide variation among AL communities. AL residents spent a mean of 358 days at home per year, and the average days spent at home varied during the COVID-19 pandemic. Use of these measures may help AL articulate its value proposition by enabling seniors with complex health needs to live in community settings for as many days as possible.

scholarly journals “At Home, with Care”: Lessons from New York City Home‐based Primary Care Practices Managing COVID ‐19

2020 ◽  
Author(s):  
Emily Franzosa ◽  
Ksenia Gorbenko ◽  
Abraham A. Brody ◽  
Bruce Leff ◽  
Christine S. Ritchie ◽  
...  
Keyword(s):  
Primary Care ◽  
New York ◽  
New York City ◽  
York City ◽  
Home Based Primary Care ◽  
Home Based ◽  
Care Practices ◽  
Primary Care Practices ◽  
At Home

Aging at Home: A Portrait of Home-Based Primary Care across Canada

2019 ◽  
Vol 22 (1) ◽  
pp. 30-35 ◽  
Author(s):  
Sabrina Akhtar ◽  
Mayura Loganathan ◽  
Mark Nowaczynski ◽  
Samir Sinha ◽  
Amanda Condon ◽  
...  
Keyword(s):  
Primary Care ◽  
Home Based Primary Care ◽  
Home Based ◽  
Aging At Home ◽  
At Home

Use of Pediatric Primary Care Telephone Advice by Families Whose Usual Language Spoken at Home Is Not English

2018 ◽  
Vol 58 (3) ◽  
pp. 343-348
Author(s):  
Delma-Jean Watts ◽  
Maurice Hajjar ◽  
Nizar Dowla ◽  
Priya Hirway ◽  
Shuba Kamath
Keyword(s):  
Primary Care ◽  
Emergency Department ◽  
Primary Care Practice ◽  
Pediatric Primary Care ◽  
Care Practice ◽  
Telephone Advice ◽  
After Hours ◽  
Affect Patient Care ◽  
Language Spoken At Home ◽  
At Home

Language barriers and access to telephone advice have been shown to affect patient care. Less is known about access to telephone advice for families whose usual language is not English. The objective was to characterize the use of pediatric primary care telephone advice by families based on usual language spoken at home. A total of 277 surveys were completed by families presenting for sick visits at an academic pediatric primary care practice. No meaningful differences in the use of telephone advice when a child was sick were found by language category. Overall, 80.5% reported calling the clinic first when the clinic was open, but 77.6% went to the emergency department when the clinic closed. In conclusion, use of telephone advice was similar among families regardless of usual language. Most families reported going to the emergency department when the clinic was closed. More research is needed to identify barriers to the use of telephone advice, particularly after hours.

scholarly journals Home-Based Primary Care Led-Outbreak Mitigation in Assisted Living Facilities in the First 100 Days of Coronavirus Disease 2019

2020 ◽  
Vol 21 (7) ◽  
pp. 951-953 ◽  
Author(s):  
William R. Mills ◽  
Janet M. Buccola ◽  
Susan Sender ◽  
Joseph Lichtefeld ◽  
Nicholas Romano ◽  
...  
Keyword(s):  
Primary Care ◽  
Assisted Living ◽  
Assisted Living Facilities ◽  
Home Based Primary Care ◽  
Home Based

scholarly journals PROFESSIONAL STAFFING AND ROLES IN CARE TEAMS SERVING FRAIL ELDERS LIVING IN THE COMMUNITY: 22 SITE VISITS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S66-S67
Author(s):  
Barbara Roberge ◽  
Carie Michael ◽  
David I Auerbach ◽  
Peter Maramaldi ◽  
Karen Donelan
Keyword(s):  
Primary Care ◽  
New England ◽  
Assisted Living ◽  
Measure Development ◽  
Models Of Care ◽  
Frail Elders ◽  
Home Based Primary Care ◽  
Home Based ◽  
Care Models ◽  
National Measure

Abstract In 2017, as part of a study to understand the evolving roles of nurses, physicians and social workers in leading and working in teams, our interprofessional team explored 22 sites of care for frail elderly adults in five US regions (Chicago IL, Denver CO, Tampa/Orlando FL, San Diego CA, New England).. The purpose of these site visits was to understand the current range of models of care for frail elders living in community, the roles of health professionals within those care models, and to inform national measure development. We selected regions based on elder population density, scope of NP practice, and screened over 100 sites to identify physician, nurse and social work led teams. We included general primary care, PACE, academic geriatrics, home based primary care, assisted living, FQCHC, palliative care, mobile health. We interviewed 108 key informants. We found considerable variation in staffing/elders within each site type.

scholarly journals Providers’ Perceptions of Telehealth Barriers Among Homebound Adults in in a Home-Based Primary Care Practice

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 537-537
Author(s):  
Alex Kalicki ◽  
Peter Gliatto ◽  
Emily Franzosa ◽  
Katherine Ornstein ◽  
Kate Moody
Keyword(s):  
Primary Care ◽  
New York ◽  
Care Practice ◽  
Provider Perceptions ◽  
Targeted Interventions ◽  
Home Based Primary Care ◽  
Home Based ◽  
Dramatic Shift ◽  
Patients Experience ◽  
First Time

Abstract The COVID-19 pandemic resulted in a dramatic shift to video-based telehealth use in home-based primary care. We conducted an online 11-item survey exploring provider perceptions of patients’ experience with and barriers to telehealth in a large HBPC program in New York City. More than one-third (35%) of patients (mean age of 82.7; 46.6% with dementia; mean of 4 comorbidities/patient) engaged in first-time video-based telehealth encounters between April and June 2020. The majority (82%) required assistance from a family member and/or paid caregiver. Among patients who had not used telehealth, providers deemed 27% (n=153) “unable to interact over video” for reasons including cognitive or sensory ability. Fourteen percent lacked caregivers. Physicians were not knowledgeable about patients’ internet connectivity, ability to pay for cellular plans, and video-capable device access. These findings highlight the need for novel approaches to facilitating telehealth and systematic data collection before targeted interventions to increase video-based telehealth use.

Dedicated to the Mission: Strategies US Department of Veterans Affairs Home‐Based Primary Care Teams Apply to Keep Veterans at Home

2019 ◽  
Vol 67 (12) ◽  
pp. 2511-2518 ◽  
Author(s):  
Leah M. Haverhals ◽  
Chelsea Manheim ◽  
Carrie Gilman ◽  
Jurgis Karuza ◽  
Tobie Olsan ◽  
...  
Keyword(s):  
Primary Care ◽  
Veterans Affairs ◽  
Department Of Veterans Affairs ◽  
Home Based Primary Care ◽  
Home Based ◽  
Primary Care Teams ◽  
At Home
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