HCCI House Call Practicum™
An Over-the-Shoulder Look at HBPC
When you want to learn something new or improve how you already do it, wouldn’t it be great to look over an expert’s shoulder as they demonstrate it live and answer your questions?
Well, the HCCI House Call Practicum™ experience with the Cleveland Clinic Medical Care At Home Program, will provide you that unique, individualized learning opportunity. The session offers a ride-along day with a house call provider, a shadowing day with the back-office support team, and an optional third day observing the telemedicine program. The following 2020 dates are still available (2021 dates to be announced soon):

  • October 26-28, 2020
  • November 9-11, 2020

2021 dates are also available for the HCCI House Call Practicum™ and the Telemedicine Elective.

Hear from past Practicum participants:
“The program is very worthwhile no matter what stage of practice you are in – because the activity is very individualized. For example, if you are currently offering HBPC, it gives you an opportunity to improve. If providing home care is new to you, you can begin with strong principles and practices from day one.” -- Lynn Simpkins, Nurse Practitioner, Bon Secours Health System
Read a full interview with Lynn about her Practicum experience.
“My time [at Cleveland Clinic as part of the Practicum] and what I learned were over-the-top great and we are already discussing plans here to extend care teams into the home and to better manage patients in transition. Everyone in Cleveland was very generous with their time and with their knowledge. My sincere thanks!” - Philip Schaefer, FACHE, Vice President, Southern Illinois Healthcare

New Feature
We’ve been telling you a lot about us, but as with all good relationships, we want to know more about you. So, we’re introducing a new feature, “Getting to Know You,” where we’ll ask one question in each newsletter to learn more about what matters to you, what challenges you’re facing, what lessons you’ve learned, and so on – and then we’ll report back on what we discover.

Click below to answer this month's survey question: What is the most valuable lesson you’ve learned during COVID-19 ─ one that you believe will favorably impact your HBPC practice and/or patients?
Getting to Know You - October 2020
Upcoming HCCI Events
Virtual Preconferences Presented by HCCI
October 22, 2020 (Followed by AAHCM Annual Meeting)
This preconference will address dilemmas faced when caring for complex patients in the home and challenges related to HBPC practice operations, productivity, and reimbursement. Two half-day sessions are available.
October 27, 2020 (Followed by C-TAC National Summit on Advanced Illness Care)
This preconference will focus on how home-based primary care and home-based palliative care can work more closely together to provide the highest quality of care that reduces costs for a growing population of medically complex patients.
C-TAC is graciously offering a special Summit registration discount for those in the HCCI network of home-based primary care providers, practices and other professionals. Visit www.ctacsummit.org to register and use the discount code “HCCI” for a 50% discount on your registration fee for the full Summit meeting from Oct. 28-30 (excludes the Preconference day on Oct. 27).
HCCI Live Virtual Workshops
Special Offers
November 19-20, 2020
Essential Elements of Home-Based Primary Care™ 
Designed for learners considering, or relatively new to, offering HBPC services for patients with complex medical conditions. Enrollment fee is regularly $625. 

Special Offer
Take advantage of our Virtual Workshop Savings Rate of $525 (a $100 discount).
December 3-4, 2020
Advanced Applications of Home-Based Primary Care™ 
Designed for experienced HBPC providers and practice staff. Enrollment fee is regularly $625. 

Special Offer
Take advantage of our Virtual Workshop Savings Rate of $525 (a $100 discount).
Attend Both Workshops and Save More
Virtual Boot Camp in Home-Based Primary Care
Special Offer
Save over $350 by registering for our Virtual Boot Camp in Home-Based Primary Care, which includes both courses above. Enrollment includes a free post-workshop, one-hour consultation with our experts for you and your team.
HCCIntelligence Webinar
Wednesday, November 18, 2020, 4-5 pm CST
Introduction to Point-of-Care Ultrasound (POCUS) for the
Home Care Provider
  • Gain awareness of the highest yield POCUS modalities for the homebound patient.
  • Understand the indications for POCUS and the evidence behind it.
  • Understand the basic principles of POCUS and image interpretation.
  • Identify strategies and resources for ultrasound skill building.

  • Daniel Kim, MD – Geriatric Fellow, Hospital of the University of Pennsylvania
  • Paul Wallace, MD – Medical Director, Insight Home Physicians
HCCI Online Courses
Special Offer – Free Online Course
Managing Multicomplexity in the Homebound Patient
As we know, 2020 has been challenging for everyone, particularly health care providers. To thank the home-centered care community, HCCI is pleased to offer free enrollment in our Managing Multicomplexity in the Homebound Patient (0.50 credit) online course through the end of 2020. The course presents a model for treating patients with four of the more common chronic diseases found in homebound patients: diabetes, congestive heart failure, chronic obstructive pulmonary disease, and chronic kidney disease.

HCCI is able to make the course available at no cost through the generous support of The John A Hartford Foundation.
Learn more about HCCI’s wide variety of online courses for HBPC professionals.
* REGISTRATION NOTE: New users of the HCCI Learning Hub will be asked to click “Create Account” to complete a one-time process to set up a learner profile before enrolling in activities or accessing resources and webinar replays.
Practice Management Tip of the Month:
Improving HBPC Practice Efficiency
Preparing for Flu Season
Flu season is always challenging and, with the current Public Health Emergency (PHE), advance planning will be even more important. Here are some tips to help you prepare:
  • Order the appropriate quantity of flu shots. Review usage trends from past years, including how many were ordered versus how many were administered and/or not used.
  • Contact facilities where you see patients—and communicate with home health and hospice agency partners—to determine if they will administer vaccinations.
  • Review the vaccine documentation process within your Electronic Health Record to ensure records are current and that National Drug Code (NDC) numbers are recorded for patient safety and billing.
  • Only carry the immunizations you need for the day, maintain them at the appropriate temperature throughout the day, and return remaining supplies to the appropriate refrigerator at the end of the day.
  • Prior to administering the vaccination, verify the patient has not already received a flu vaccine.
  • Provide Vaccine Information Sheets to patients and caregivers before administering the vaccine.
From a billing perspective (Medicare), the only acceptable flu vaccine administration code is HCPCS G0008. It must be billed and provided by a physician or qualified healthcare professional subject to state regulations. While the Medicare Benefit Policy Manual (page 79) states a provider order is not required, “incident to” rules apply when vaccines are administered by auxiliary personnel which is why many HBPC practices administer flu vaccines during regularly scheduled visits.
Under PHE waiver flexibilities, some temporary changes to direct supervision permit the virtual presence of the supervising provider via interactive telecommunications technology for services paid under the Physician Fee Schedule and for hospital outpatient services. This may offer flexibility for HBPC practices that are considering a modified flu season approach. Additional information on preparing for the flu season can be found at CDC FAQ for the 2019-2020 flu season.
Key Partner Announcement
Centene is conducting a Call for Volunteers to support their Minority and Rural Coronavirus Insights Study, as part of their broader Communities Together in Health initiative. The study, a collaborative effort between Centene, the National Minority Quality Forum, and Quest Diagnostics, is focused on testing for, and studying the impact of, COVID-19 in communities disproportionately affected. As part of the effort, PCR testing and antibody screening is being made available in several states across the country, including Illinois (Chicago), Ohio (Columbus) and Louisiana (St. Mary Parish).

The goal is to enroll 1,000 participants in the study in each of the selected states, and volunteers are needed to assist in testing and study enrollment at each location. Volunteers credentialed to administer a PCR test are particularly needed at the Chicago area sites and at St. Mary Parish (Franklin, Morgan City and Patterson) in Louisiana. Weekly volunteer orientation sessions are scheduled, so anyone wishing to volunteer can join at any time.

Anyone interested in volunteering or learning more about the initiative can reach out directly to Heather Sidwell Morris at heather.morris@wellcare.com. More information about the national research partnership can be found here.
Special Publication Note
Please note, beginning with this issue, the HCCI national newsletter will be published on a bi-monthly basis (every two months).You will continue to receive monthly HCCI Education/Consulting updates as well as any needed urgent updates around COVID-19 and other critical topics. To stay up-to-date on current news and information from HCCI, follow our social media pages on Facebook, LinkedIn, Twitter and YouTube, and also join over 160 of your colleagues in the Home Centered Care Institute COVID-19 LinkedIn group.
HCCIntelligence™ Resource Center
HCCI has developed a number of free and premium resources to help home-based primary care (HBPC) providers and practice staff through our HCCIntelligence™ Resource Center.

HCCIntelligence™ is for educational and informational purposes only and should not be relied upon as medical advice.
HCCI education and training initiatives including HCCIntelligence™
are funded in part by a grant from The John A. Hartford Foundation.
Home Centered Care Institute
This email is an advertisement for the Home Centered Care Institute (HCCI). HCCI is passionately committed to its vision of
transforming our nation’s healthcare system by creating universal access to best practice house calls programs,
to ensure that chronically ill, medically complex patients have access to high-quality care in their homes.
Connect with HCCI