Home Health Assessment 101

Home HealthAssessment

101 www.censeohealth.com

• Discover why information found inside the home is clinical gold

• How modern home health assessments are an extension of primary care

• Home assessments' influences on quality measures (Star rating, HEDIS, CAPHS, HOS)

• Next steps: advanced decision making

classnotes

What can Iexpect to learn?

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Why be in home? Why not just the doctor's office? Here's the 101:

• Gather information that's otherwise difficult to get; home visits are time consuming and logistically challenging for traditional primary care physicians

• Health plans and primary physicians learn so much about member's lifestyle: - Medication Adherence - Environment - Abuse - Case Management Opportunities - Undiagnosed diseases

• Understand the beneficiaries overall use of the health care system; Health plans have a new chance to impact the cost of care and impact use of care (monitor who us using too much or too little).

• A look outside the clinic walls - Information gathered in home can give insight into caregivers and the realities of independent living.

LESSON #1: Information is Clinical Gold

15% of members evaluated in home indicate the visit is their first physician visit of the year, despite the fact that CenseoHealth does the majority of its home assessments in the final three months of the calendar year.


By extending primary care into the home, you can nudge your members into the system and into the hands of a PCP. The use of trained clinicians ensures accurate information on care collection, so PCP can trust data reports.

• A new ability to ask questions of daily living can be a challenge for primary care physicians, especially for those with a long rapport with their patients.

• Keep patients using the health care system in a more "rational" way; In for preventative care, out of emergency rooms for acute instances.

• Create a solid list of medications for primary care physician, including scripts from all doctors, OTC and non-traditional treatments.

LESSON #2: Extension on Primary Care


80% of beneficiaries visited their PCP in the 90 days following the assessment ER visits decreased 6.2% over the same time periodInpatient admissions decreased for members that received a home health assessment

Home health assessments help health plans drive up positive quality improvement scores.

• Nearly a third of Star measures can be closed in home health assessments; More than half can be influenced.

• Home health assessments have shown a positive effect on Rx fill patterns

• Raise CMR completion rates

LESSON #3: Influences on Quality Measures


Create an actionable big data platform with information obtained in home health assessments to drive more informed decision making.

• Learn what financial investments will most benefit members

• Get information about what is happening and how you can propose a solution

• Gain the insight to be proactive rather than reactive to members

LESSON #4: Advanced Decision Making


Home Health Assessment 101

Health & Medicine

Transcript of Home Health Assessment 101