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.