Axxess | 2013 1

The Future of Healthcare Delivery is in the Home

C. Sam SmithVice President – Business DevelopmentAxxess Technology SolutionsDallas, TX USA

Debbie CunninghamSupport and Implementation RepresentativeSenior Faculty, Billing and Chronic Care ManagementAxxess Technology SolutionsDallas, TX USA

Axxess | 2013 2

“If you had a choice between receiving quality healthcare at your home or in the hospital,

which of these would you choose?”

Axxess | 2013 3

Todays Learning Objectives

Understanding the dynamics of the healthcare industry

Hospital readmission rates and efficiencies

Cost comparison per patient day

Technology is making a difference

Axxess | 2013 4

There will be 73% more 65+ year olds in 2030than there were in 2010.

That’s nearly 30 million boomers in 20 years!

Axxess | 2013 5

As Teresa Lee, CEO of the Alliance for Home Health Quality and Innovation(AHHQI) puts it,

“Not only is home health the least expensive form of healthcare delivery, home care is the patient’s preference”.

Axxess | 2013 6

• Pre admittance counselling • Improved discharge notes • Care transitions

management• Care transitions coaching• Telephonic monitoring post

discharge• Case Management• Self Management -

education

All these are workflow/education/and/

management issues

Axxess | 2013 7

The top five reasons for patient readmissions to the hospital

1) Patients not fully understanding what’s wrong with them2)Patients being confused over which medications to

take and when3) Hospitals not providing patients or doctors with important information or

test results4)Patients not scheduling follow-up appointments with

their doctor5) Family members lacking proper knowledge to provide adequate care

Axxess | 2013 8

A study by the Alliance for Home Health Quality and Innovation took historical data to forecast potential savings of $10.3 billion over ten years (2014-2023) by reducing regional hospital readmissions through the use of home health as the first line to handle post-acute care episodes.

Axxess | 2013 9

The cost driver for these savings is the cost of a patient/day in comparison. Hospital stays cost 43X more than home health care in terms of patient days cost in dollars.

Not 43% (percent) more cost, 43.67 X (times) more costly!

Axxess | 2013 10

Technology is making a difference.

• Improved medical team communication and coordination

• Improved communication with the patient • Shift from “fee-for-service” treatment to

holistic Accountable Care Organization model

• Increased efficiency and competitiveness for even the smallest home health agencies

Axxess | 2013 11

The ones who will survive are the tool users. The technology adapters are the ones who will do more with less…and survive the change that is coming.