Monthly Archives: September 2013

An Overview of the Patient Centered Medical Home Model

On May 31, 2012, Missouri submitted for approval a Patient Centered Medical Home Model for duel eligible Medicare-Medicaid residents. If approved, this proposal would reduce some of the monetary burden that falls on both Medicaid and Medicare. This Blog will give a brief overview of this proposed model and discuss a few of the benefits to patients and family caregivers.

As discussed previously, Home Healthcare can reduce the number of unnecessary hospitalizations and long term, premature nursing home care. The question here is how will it do this? The Patient Centered Medical Home Model works with individuals, who are elderly or disabled, to provide a “care team”. This care team is comprised of various individuals, including; nurses, pharmacists, nutritionists, physicians, and physician’s assistants. In some cases, it can also include; social workers, psychiatrists, behavioral heath consultants, diabetes educators, and labs. By bringing this team of people together, the patient receives comprehensive care that may not always be available without this program. It also helps to diagnose acute issues that, without the team, could lead to larger problems and hospitalization.

So, how does it work? Each team is led by a care coordinator, normally the primary physician or advanced care nurse. This care coordinator works to provide the rest of the team with information about the beneficiary and keep everyone connected. They are responsible for connecting the beneficiary with the help they need from specialists, and removing some of the burden from the family caregiver. This also gives the patient the ability to have more face time with each person on the team, faster response time for medical issues, and an unlimited ability to contact the care coordinator by a preferred contact method. In most cases this by email or telephone. There are no stipulations on being in contact with a physician during office hours only. Simply put, there is much easier access to health care for the beneficiary, while also offering the ability to live life independently while still in the home.

The Patient Centered Medical Home Model not only helps give comprehensive care for beneficiaries, but it also increases the quality of their lives. It works to establish relationships and provide unique care for each individual person’s circumstances. That is something that is often overlooked when discussing healthcare for the elderly or disabled. It also provides a plan for chronic illness, and in some cases, can help to control some of the issues and reduce hospital visits.

Pyramid Home Health Services provides a vast array of home based health services and care coordination. Please visit our website for more information, or to see if we can be of any help to you or a family member.

Care Coordination: Home and Community-based Services

There’s so much to discuss when it comes to home healthcare! We’d first of all, like to thank you for exploring our Blog site and being one of our first guests. Welcome!

One of the many goals of this Blog, will be to keep you informed of the weekly “goings-on” not only here at Pyramid, but within the industry as a whole. We’ll have a monthly topic, which in we’ll discuss multiple issues, offer statistical data, and talk about the pros and cons of home health service.

This month, we’re discussing the use of home and community-based services to avoid unnecessary hospitalizations, nursing facility placement and ensuring the highest level of customer satisfaction.

Not only is home health care a nice option for the patient, but it can also be a relief on the “system”.  Many patients that don’t have home care will use the hospital as their only means of staying on top of an ailment. Certainly, there are times when the hospital is the only option, but for the majority of patients, they simply need to be educated on how a home health service provider can improve their daily lives. Trips back and forth to the hospital are not only putting the patient at risk, but they’re expensive.

Home Healthcare facilities emphasize that care at home is designed to prevent avoidable repeated hospital stays that are costly for patients as well as government health programs such as Medicare. Such programs could become the model for millions of baby boomers that will rely on Medicare during their final phase of life. Hospitals are expected to reduce patient readmissions or otherwise face reimbursement penalties from Medicare. With a move towards home health services, the burden of payment into these systems is greatly reduced and the patient avoids unnecessary multiple trips to the hospital. There are several different kinds of home health services that we’ll discuss in future posts, but overall, In-Home Services provide individuals with assistance with activities of daily living and their families with a respite from the often intense demands placed on a family caregiver. In-Home Services are designed to allow individuals to remain at home as long as possible by bringing the custodial and nursing services often associated with a nursing home into the individual’s home.

Pyramid Home Health Services provides a full array of home and community based health services, including long-term-care, pharmacy, home health and hospice services. More than 4,000 individuals in 110 Missouri counties receive some type of home delivered health service daily from one of our Pyramid Home Health Services companies. These companies include Tri-County Group XV, Pyramid Homemaker Services, Tri-County Home Health, Pyramid Home Healthcare, Pyramid Home Health, Pyramid Home Health Services- Jefferson City, Tri-County Hospice Services and Pyramid Pharmacy.