@Home Care Models: Key Highlights and Considerations

Contributing Authors:

• David Collins, MHA, CPHQ, FHIMSS, CLSSGB, Senior Manager Home & Community Services, VCU Health System
• Jennifer D’Angelo, General Manager and Senior Vice President Healthcare Division, New Jersey Innovation Institute (NJII)
• Richard Foor, CTO, Givens Communities
• Kim Suda, MBA, BSN, RN, CNRN, Manager of Network Performance Integration, Helion

Introduction

Although the concept of @home care models has been around for years, the industry’s use of these models has grown significantly since the COVID-19 pandemic as another means to leverage technology to expand access to care. Accelerated by the CMS “Hospital without Walls” initiative, healthcare providers have increased flexibility on where patients can be treated while also receiving similar reimbursement.

As a result, these models have continued to gain traction as healthcare organizations realize the benefits of such programs. Due to the emergence (and likely continued growth) of these models, the HIMSS LTPAC Committee created this guide to provide insight into a couple of home-based care models and their benefits. This resource will provide an overview of the importance, functionality, and impact of these models on various stakeholders.

While the authors acknowledge that the healthcare environment is evolving and new care models continue to emerge, this resource will specifically address the following @home models:  

• @Home Hospital: Acute hospital care delivered at home, including daily monitoring by a medical team and how this differs from home health.
• @HomeSNF: Skilled nursing facility (SNF) level of care provided in the home.

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