Upload
jody-moore-mba-cem
View
205
Download
0
Tags:
Embed Size (px)
Citation preview
National Healthcare Coalition Conference
December 11, 2014
You’re doing what... At Home?!?Engaging Home Healthcare Providers in Preparedness
Joseph “Jody” Moore, MBA, CEM, NC EEMSenior DirectorAdvanced Home Care, High Point, NC
@HealthCare_EM
#HomeCarePrep
“Janice”
Road to our Goals
✤ Establish a baseline
✤ Whats occurring in the home care arena today?
✤ Discussing the opportunities
• Durable Medical Equipment / Respiratory Therapy
• Home Health & Infusion Services
✤ The future of home care and emergency preparedness
✤ Bringing partners to the table
Why Home Care?
✤ Vulnerable Populations
✤ The acuity of the patient population is increasing
✤ Growing segment of patient impact
✤ Staff are accustom to working in “non-traditional” care environments
In the Post-Acute/Non-Acute Space✤ Home Health - Skilled
✤ Home Infusion
✤ Durable Medical Equipment (DME)
✤ Respiratory Therapy
✤ Nutrition
✤ Personal Care Services*
✤ ACA has driven growth and change in the Non-Acute Segment
Day to Day Goals of Home Care Agencies
✤ Shorten Length of Stay
✤ Reduce Readmissions for Referral Sources
✤ Maintain patients at home at highest level of function
✤ Maximizing the efficacy of home health visits
✤ Increase number of Rental Days while decreasing number of deliveries.
✤ Develop and maintain positive relationships with referral sources
DME Overview
✤ The number of DME Providers is shrinking via consolidation and shuttering
✤ Increased demand of compliance
✤ Products Provided:
✤ Wheelchairs
✤ Oxygen*
✤ Bent metal (i.e. canes, walkers, bedside commodes)
✤ Hospital Beds, Hoyer Lifts
✤ Wound Care (Negative Pressure)
Respiratory Overview
✤ More than just oxygen
✤ Supply chain complexities
✤ Service Provided:
✤ Oxygen - Liquid, Compressed, and Concentrated
✤ Sleep Therapy (C-PAP)
✤ Ventilators (Invasive and Non-Invasive)
✤ Nebulizers
Home Health Overview
✤ Growing with some consolidations, driven business due to changes in ACA
✤ Services may include:
✤ Skilled Nursing
✤ Occupational Therapy
✤ Physical Therapy
✤ Speech Therapy
✤ Social Work
Infusion Overview
✤ Quickly growing and includes major players like CVS and Walgreens
✤ Dramatic impact on what can be done in the home.
✤ Services Provide:
✤ Antibiotics
✤ Inotropes
✤ TPN
Opportunities to bring value
Creating contractual relationships with a vendor
or
Engage them as a partner
Surge Capacity
✤ Home Health Agencies
✤ Decompress hospitals
✤ Prioritize patients at home
Alternative Care Sites
✤ DME Providers can be key partners:
✤ Provide equipment
✤ Labor to set-up
✤ Home Health
✤ Supportive Staffing
Parallel Capabilities
✤ Key equipment caches
✤ Ventilators
✤ Infusion Pumps
✤ Information on Vulnerable Populations
✤ Extension of Public Health Epidemiological Surveillance
“Janice”Continued...
Bringing the Leaders to the Table
What is in it for them and their organization?
What do Home Care Leaders need?
✤ Disaster Planning Assistance
✤ Accreditation agencies require disaster planning by most home care providers, but they are not necessarily required to be accredited
✤ Logistic Assistance
✤ Accessing patients are key to home care operations and sometimes that is the biggest challenge
What do Home Care Leaders need? (cont.)✤ Training
✤ Customized training to organizations
✤ Inter-agency communications
✤ Risk Assessment
✤ Exercises
✤ Realistic table tops
How does the new CMS CoPs affect Home Care agencies?
✤ Draft Conditions of Participation around Emergency Preparedness for 17 Healthcare Providers released in December 2013
✤ Addressed Home Health Providers among many others
✤ Home Health providers are eligible for Alternative Sanctions for conditional deficiencies and Immediate Jeopardy depending on severity
✤ Alternative Sanctions can be monetary fines
ACA Initiatives
✤ Integrated Care Partnerships
✤ Share risk (and reward) across various
✤ Patient Center Medical Homes
✤ Accountable Care Organizations
✤ Community Benefit
Vendor Relationships
✤ More appropriate with for-profit organizations
✤ Setting up contract opportunities with pre-established rates and service level agreements
✤ Could be done as a part of a preferred provider agreement
When you get home...
✤ Consider contacting national trade organizations
✤ VNAA
✤ State Organizations
✤ NC Association of Homecare & Hospice
✤ Talk with local hospitals to identify existing key partners
Summary
✤ Home care is growing
✤ Home care as a partner
✤ Home care needs us
@HealthCare_EM
Acknowledgements
✤ Advanced Home Care
✤ Guilford County Emergency Management
✤ NC Office of EMS Healthcare Preparedness, Response, & Recovery Program
✤ Triad Regional Advisory Committee
Thank [email protected]
@HealthCare_EM