Mayo, Kaiser, Medically Home launch advocacy effort to extend hospital-at-home flexibilities


2021-10-15 14:50:00 medcitynews


Two major health systems and a hospital-at-home company have launched a coalition that will advocate for continuing the currently available hospital-level at-home care flexibilities beyond the Covid-19 pandemic. Founded by Rochester, Minnesota-based Mayo Clinic, Oakland, California-based Kaiser Permanente and Boston-based Medically Home, the Advanced Care at Home Coalition will also advocate for the creation of an advanced care-at-home delivery model at the Center for Medicare & Medicaid Innovation. googletag.cmd.push(function () { googletag.display("div-id-for-in-story-youtube-1x1"); }); Though interest in hospital-at-home programs has been growing steadily over the past decade, it accelerated amid the Covid-19 pandemic. Large providers like Kaiser, Mayo and Multicare, a Washington-based health system, launched programs of their own as they raced to care for both Covid and non-Covid patients. This was aided by regulatory flexibilities , including CMS’ Acute Hospital Care At Home program that enables treatment for more than 60 acute conditions to be provided at home. “At the end of the pandemic, without some sort of extension, the new model is at risk of going away or dramatically shrinking,” said Mara McDermott, executive director of the coalition, in an email. “Action by the federal government will ensure that this important and innovative source of care can continue.” The coalition will use a combination of advocacy, education and data collection and sharing to extend and expand the existing acute care-at-home waivers. “Providers have demonstrated that this model is of high value to patients — it is safe, effective, high-quality care and achieving high marks with patient satisfaction,” McDermott said. Eleven other provider organizations have joined the coalition: Adventist Health, ChristianaCare, Geisinger Health System, Integris, Johns Hopkins Medicine, Michigan Medicine, Novant Health, ProMedica, Sharp Rees-Stealy Medical Group, UNC Health and UnityPoint Health. Research has shown that the hospital-at-home model has significant clinical benefits and provides the added advantage of giving clinicians insight into potential socio-economic barriers to care for their patients. “Offering acute-level, hospital-quality care at home allows physicians and care teams to treat a whole person to meet their individualized care goals, while also helping address some of the social determinants of health,” said Dr. Stephen Parodi, executive vice president of The Permanente Federation, part of Kaiser Permanente. “This coalition supports a policy foundation for this more equitable future of healthcare.” Provider interest in hospital-at-home programs have already prompted large investments. In May, Mayo Clinic and Kaiser Permanente announced that they planned to invest approximately $100 million combined in Medically Home Group. Both organizations previously partnered with Medically Home for their own hospital-at-home programs. Photo: Willowpix, Getty Images Promoted Five barriers to unleashing clinical decision support, and how to overcome them Clinical decision support systems have been with us since the 1980s. It’s time they delivered on their full promise. David Nace, MD, Chief Medical Officer, Innovaccer Promoted In-home care positioned to play a key role in the consumerization of healthcare Eddie Peloke, CEO of Workpath, spoke to why in-home care can drive the next stage of this industry-wide movement Stephanie Baum Improving health in one of the most complex and costly chronic conditions Kidney care in the U.S. needs an overhaul. Changing today’s expensive, disconnected care model requires moving from volume to value. Misha Palecek, Chief Transformation Officer, DaVita Kidney Care In-home care positioned to play a key role in the consumerization of healthcare Eddie Peloke, CEO of Workpath, spoke to why in-home care can drive the next stage of this industry-wide movement Stephanie Baum
两大卫生系统和一家家庭医院公司发起了一个联盟,倡导在新冠肺炎疫情之后继续保持目前可用的医院级家庭护理灵活性。由总部位于明尼苏达州罗切斯特的梅奥诊所、总部位于加利福尼亚州奥克兰的凯泽永久医疗中心和总部位于波士顿的医疗之家成立的高级家庭护理联盟还将倡导在医疗保险和医疗补助创新中心创建高级家庭护理模式。push(function(){googletag.display(“div-id-for-in-story-youtube-1x1”);});尽管在过去十年里,人们对家庭医院项目的兴趣一直在稳步增长,但在新冠肺炎疫情期间,这种兴趣加快了。凯泽、梅奥和总部位于华盛顿的卫生系统Multicare等大型提供商推出了自己的项目,竞相护理Covid和非Covid患者。这得益于监管的灵活性,包括CMS的家庭急性医院护理计划,该计划使60多种急性疾病的治疗能够在家中提供。该联盟的执行董事玛拉·麦克德莫特(Mara McDermott)在一封电子邮件中表示:“在疫情结束时,如果没有某种程度的延长,新模式有消失或急剧萎缩的风险。”“联邦政府的行动将确保这一重要和创新的护理来源能够继续下去。”该联盟将结合宣传、教育以及数据收集和共享,扩大和扩大现有的紧急家庭护理豁免。麦克德莫特说:“提供商已经证明,这种模式对患者有很高的价值--它是安全、有效、高质量的护理,并在患者满意度方面获得高分。”其他11个提供商组织也加入了联盟:基督复临安息日会健康、基督教健康、盖辛格健康系统、Integris、约翰·霍普金斯医学、密歇根医学、诺凡特健康、ProMedica、夏普·里斯-斯蒂尔医疗集团、北卡罗来纳健康和联合点健康。研究表明,医院-家庭模式有显著的临床益处,并提供额外的优势,使临床医生洞察潜在的社会经济障碍,以照顾他们的病人。凯泽永久医疗联盟的执行副主席斯蒂芬·帕罗迪博士说:“在家里提供急性级别的医院质量护理,允许医生和护理团队治疗整个人,以实现他们的个性化护理目标,同时也有助于解决健康的一些社会决定因素。”“这个联盟支持为这一更公平的医疗保健未来建立政策基础。”提供者对家庭医院项目的兴趣已经引发了大量投资。今年5月,梅奥诊所和凯泽永久医疗公司宣布,他们计划向医疗之家集团投资约1亿美元。这两个组织以前都与医学之家合作开展自己的家庭医院项目。图片:Willowpix,Getty Images提出了释放临床决策支持的五个障碍,以及如何克服它们临床决策支持系统自20世纪80年代以来一直伴随着我们。是他们履行全部诺言的时候了。Innovaccer首席医疗官、医学博士大卫·纳斯(David Nace)推动了家庭护理,定位于在医疗保健消费中发挥关键作用。工作路径(Workpath)首席执行官埃迪·佩洛克(Eddie Peloke)谈到了为什么家庭护理可以推动这一全行业运动的下一阶段。斯蒂芬妮·鲍姆(Stephanie Baum)在美国最复杂、最昂贵的慢性病中改善健康。肾脏护理需要彻底改革。改变今天昂贵的、互不连接的护理模式需要从数量转向价值。DaVita肾脏护理首席转型官米沙·帕莱切克(Misha Palecek)定位于在医疗保健消费中发挥关键作用的家庭护理工作路径(Workpath)首席执行官埃迪·佩洛克(Eddie Peloke)谈到了为什么家庭护理可以推动这一全行业运动的下一阶段斯蒂芬妮·鲍姆(Stephanie Baum)