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  • Formaat: 168 pages
  • Ilmumisaeg: 04-Aug-2015
  • Kirjastus: National Academies Press
  • Keel: eng
  • ISBN-13: 9780309367561

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Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future health care system overall.



On September 30 and October 1, 2014, the Institute of Medicine and the National Research Council convened a public workshop on the future of home health care. The workshop brought together a spectrum of public and private stakeholders and thought leaders to improve understanding of the current role of Medicare home health care in supporting aging in place and in helping high-risk, chronically ill, and disabled Americans receive health care in their communities. Through presentations and discussion, participants explored the evolving role of Medicare home health care in caring for Americans in the future, including how to integrate Medicare home health care into new models for the delivery of care and the future health care marketplace. The workshop also considered the key policy reforms and investments in workforces, technologies, and research needed to leverage the value of home health care to support older Americans, and research priorities that can help clarify the value of home health care. This summary captures important points raised by the individual speakers and workshop participants.

Table of Contents



Front Matter 1 Introduction 2 Home Health Care: Today and Tomorrow 3 Toward Personal Health: Going Home and Beyond 4 Key Issues and Trends 5 The Home Health Care Workforce 6 Models of Care and Approaches to Payment 7 Innovations in Technology 8 Making Connections 9 Reflections and Reactions References Appendix A: Workshop Agenda Appendix B: Speaker and Moderator Biographical Sketches
1 Introduction
1(10)
Overview
4(2)
Personal Testimonies
6(1)
Organization of Workshop Summary
6(5)
2 Home Health Care: Today And Tomorrow
11(12)
Current State of Home Health Care
11(5)
Home Health Care 2024: The Ideal State
16(7)
3 Toward Personal Health: Going Home And Beyond
23(12)
Taking Control---At Home
23(2)
Lessons from Japan and China
25(2)
From Mainframe to Personal Health
27(3)
Pillars of Personal Health
30(2)
Principles for the Evolution of Health Care
32(1)
Questions and Comments
33(2)
4 Key Issues And Trends
35(14)
Trends in Population Health
35(5)
Trends in Public Policy
40(1)
Trends in the Real World
41(3)
Questions and Comments
44(5)
5 The Home Health Care Workforce
49(16)
The Value of Team-Based Care
49(7)
Supporting Families
56(1)
Direct Care Workers
57(4)
Care Coordination and the Consumer Voice
61(1)
Questions and Comments
62(3)
6 Models Of Care And Approaches To Payment
65(26)
Overview of the Range of Models and Approaches to Payment
65(7)
Experience of Sutter Health
72(2)
Experience of Atrius Health
74(3)
Experience of the Visiting Nurse Service of New York
77(2)
Experience of Humana At Home
79(3)
Experience of Optum Complex Population Management
82(2)
Experience of the CAPABLE Model
84(2)
Questions and Comments
86(5)
7 Innovations In Technology
91(14)
Evidence Base for Home Health Care Technologies
91(4)
Role of Telehealth
95(2)
Use and Development of Assistive Technology
97(3)
Questions and Comments
100(5)
8 Making Connections
105(12)
Connecting to the Larger Health Care Ecosystem
105(4)
MediCaring Accountable Care Communities: Connecting Health Care and Social Services
109(2)
Connecting the Data
111(4)
Questions and Comments
115(2)
9 Reflections And Reactions
117(12)
Reflections on Day One
117(4)
Final Reactors Panel
121(6)
Final Thoughts from Workshop Participants
127(2)
References
129(2)
Appenddies
A Workshop Agenda 131(6)
B Speaker And Moderator Biographical Sketches 137