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ACOs: What are transitions home visiting programs like?

With permission, [the home visitor will] look in the refrigerator, they’ll look to see that the patient has food or that the area that they’re living in is safe to get around in.  Are we dealing with a home that is infested?”

Use of transitions home visits by accountable care organizations (ACOs) for patients with complex needs was studied based on recent data from the National Survey of Healthcare Organizations and Systems.  The motivation for these visits was found to be:

  • Conducting needs assessment (the condition of the home and patient’s support system)
  • Checking on patients who have stopped making office visits
  • Building relationships

ACOs found to be more likely to have this type of program were those which are part of an integrated delivery system, to have a hospital member and to participate in risk-bearing contracts.

Source: ‘Eyes in the home’: ACOs use home visits to improve care management, identify needs, and reduce hospital use. Health Affairs, 38(6), 1021-1027. Click here for abstract:  https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2019.00003  Also described in a news release here:  https://tdi.dartmouth.edu/news-events/dartmouth-institute-study-reveals-how-acos-use-home-visits-improve-care-and-reduce-hospital-use  Posted by AHA Resource Center (312) 422-2050 rc@aha.org




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