College of Nursing and Health Professions
Informatics Opportunities in This Period of Reduced Reimbursement to Home Care Agencies
Abstract: For older people who transition from hospital to home, or live in the community with chronic conditions, home care is an increasingly effective and important way of managing chronic conditions with skilled nursing care in the home. Despite increased adoption of point-of-care home care electronic health record systems (EHR), the functionality and informatics capabilities of hospital EHRs tend to be lacking in home care EHRs. The reasons for this deficit are attributable to absence of incentives for EHR adoption in acute and ambulatory settings, as well reimbursement constraints. The result is home care EHRs designed for documentation of patient data required by the Centers for Medicaid and Medicare, with limited capability to access this data to support patient safety, care management, and population health. This panel of home care informatics experts will discuss current opportunities to apply established and emerging informatics methods to patient data trapped in home care EHRs. These methods include interoperability of transitions in care data, user interface design, data standards, and natural language processing.
Warren P. Hebert, Jr.
Home Care Association of Lousiana
School of Nursing, College of Nursing and Health,
Loyola University, New Orleans
Robust Vulnerability & Partnerships: Provider/Academic Relationships
Abstract: Risk! Vulnerability!! Potential for failure!!! Rapid, disruptive, and destructive forces across healthcare are advancing at lightning speed. The hospital-centric, physician focused, sick-care approach, is moving to proactive chronic disease management. Care at home, social determinants of health, and a populations health approach, are seeking dependable predictive data analytics. In spite of this paradigm shift and transformations in care, academia as a whole continues to educate healthcare professionals in acute care settings. How might home care leaders and academia build robust, risk-taking relationships to quickly alter healthcare education, the evidence-base for care at home, and resources to address the workforce shortage? Together academicians and industry leaders will explore steps to address the future of care at home.
Chair, Connected Health Institute
Vice President of Data, Research and Quality
VNA Health Group
Transformation of Home Health Care: Payment Reform, Technology and Research
Abstract: Home Health Care is going through a rapid transformation. Medicare payment reform in terms of PDGM, Value Based Purchasing and expansion of Advantage plans is changing how agencies function. Delivering high quality care at reasonable reimbursement rates is being challenged. However, opportunities abound with the availability of traditional and new forms of technology that can help improve care delivery, lower cost and keep people in their homes longer. Finally, there is expanding research evidence on effective interventions and an avenue for additional research that can help agencies improve their services. It is the right time to discuss where we are now and contemplate what the future might look like in home health care.