doing what at home? engaging home healthcare providers in disaster preparedness

National Healthcare Coalition Conference

December 11, 2014

You’re doing what... At Home?!?Engaging Home Healthcare Providers in Preparedness

Joseph “Jody” Moore, MBA, CEM, NC EEMSenior DirectorAdvanced Home Care, High Point, NC

@HealthCare_EM

#HomeCarePrep

“Janice”

Road to our Goals

✤ Establish a baseline

✤ Whats occurring in the home care arena today?

✤ Discussing the opportunities

• Durable Medical Equipment / Respiratory Therapy

• Home Health & Infusion Services

✤ The future of home care and emergency preparedness

✤ Bringing partners to the table

Why Home Care?

✤ Vulnerable Populations

✤ The acuity of the patient population is increasing

✤ Growing segment of patient impact

✤ Staff are accustom to working in “non-traditional” care environments

In the Post-Acute/Non-Acute Space✤ Home Health - Skilled

✤ Home Infusion

✤ Durable Medical Equipment (DME)

✤ Respiratory Therapy

✤ Nutrition

✤ Personal Care Services*

✤ ACA has driven growth and change in the Non-Acute Segment

Day to Day Goals of Home Care Agencies

✤ Shorten Length of Stay

✤ Reduce Readmissions for Referral Sources

✤ Maintain patients at home at highest level of function

✤ Maximizing the efficacy of home health visits

✤ Increase number of Rental Days while decreasing number of deliveries.

✤ Develop and maintain positive relationships with referral sources

DME Overview

✤ The number of DME Providers is shrinking via consolidation and shuttering

✤ Increased demand of compliance

✤ Products Provided:

✤ Wheelchairs

✤ Oxygen*

✤ Bent metal (i.e. canes, walkers, bedside commodes)

✤ Hospital Beds, Hoyer Lifts

✤ Wound Care (Negative Pressure)

Respiratory Overview

✤ More than just oxygen

✤ Supply chain complexities

✤ Service Provided:

✤ Oxygen - Liquid, Compressed, and Concentrated

✤ Sleep Therapy (C-PAP)

✤ Ventilators (Invasive and Non-Invasive)

✤ Nebulizers

Home Health Overview

✤ Growing with some consolidations, driven business due to changes in ACA

✤ Services may include:

✤ Skilled Nursing

✤ Occupational Therapy

✤ Physical Therapy

✤ Speech Therapy

✤ Social Work

Infusion Overview

✤ Quickly growing and includes major players like CVS and Walgreens

✤ Dramatic impact on what can be done in the home.

✤ Services Provide:

✤ Antibiotics

✤ Inotropes

✤ TPN

Opportunities to bring value

Creating contractual relationships with a vendor

or

Engage them as a partner

Surge Capacity

✤ Home Health Agencies

✤ Decompress hospitals

✤ Prioritize patients at home

Alternative Care Sites

✤ DME Providers can be key partners:

✤ Provide equipment

✤ Labor to set-up

✤ Home Health

✤ Supportive Staffing

Parallel Capabilities

✤ Key equipment caches

✤ Ventilators

✤ Infusion Pumps

✤ Information on Vulnerable Populations

✤ Extension of Public Health Epidemiological Surveillance

“Janice”Continued...

Bringing the Leaders to the Table

What is in it for them and their organization?

What do Home Care Leaders need?

✤ Disaster Planning Assistance

✤ Accreditation agencies require disaster planning by most home care providers, but they are not necessarily required to be accredited

✤ Logistic Assistance

✤ Accessing patients are key to home care operations and sometimes that is the biggest challenge

What do Home Care Leaders need? (cont.)✤ Training

✤ Customized training to organizations

✤ Inter-agency communications

✤ Risk Assessment

✤ Exercises

✤ Realistic table tops

How does the new CMS CoPs affect Home Care agencies?

✤ Draft Conditions of Participation around Emergency Preparedness for 17 Healthcare Providers released in December 2013

✤ Addressed Home Health Providers among many others

✤ Home Health providers are eligible for Alternative Sanctions for conditional deficiencies and Immediate Jeopardy depending on severity

✤ Alternative Sanctions can be monetary fines

ACA Initiatives

✤ Integrated Care Partnerships

✤ Share risk (and reward) across various

✤ Patient Center Medical Homes

✤ Accountable Care Organizations

✤ Community Benefit

Vendor Relationships

✤ More appropriate with for-profit organizations

✤ Setting up contract opportunities with pre-established rates and service level agreements

✤ Could be done as a part of a preferred provider agreement

When you get home...

✤ Consider contacting national trade organizations

✤ VNAA

✤ State Organizations

✤ NC Association of Homecare & Hospice

✤ Talk with local hospitals to identify existing key partners

Summary

✤ Home care is growing

✤ Home care as a partner

✤ Home care needs us

QuestionsJody.Moore@advhomecare.org

@HealthCare_EM

Acknowledgements

✤ Advanced Home Care

✤ Guilford County Emergency Management

✤ NC Office of EMS Healthcare Preparedness, Response, & Recovery Program

✤ Triad Regional Advisory Committee

Thank youJody.Moore@advhomecare.org

@HealthCare_EM