HCCI Introduces New Resources for Patients, Families and Caregivers
HCCI has introduced two free resources for the public, which can be downloaded on HCCI’s homepage and accessed by providers and practices through the links below to share with their staffs – and with patients and their family members and caregivers.
Home-Based Primary Care: A Powerful Solution for Home-Limited, Medically Complex Patients – This resource describes home-based primary care (HBPC) and how it differs from other types of in-home care. It is intended to increase awareness among patients, caregivers, and the public about HBPC and how it can improve health outcomes, enhance the quality of life for patients and caregivers, and reduce the total cost of care by preventing unnecessary emergency room visits and hospitalizations.
Home-Based Primary Care for Caregivers − Developed in consultation with a long-time caregiver and member of the HCCI Practice Advisory Group, this resource aims to increase awareness of HBPC among caregivers, including “conversation starters” for talking with the patient’s primary care provider about obtaining HBPC, how it can help them manage their demanding responsibilities and take care of their own needs, and how to access community resources.
CMS Updates on Payment Models
The Centers for Medicare & Medicaid Services (CMS) is currently accepting applications for Cohort 2 of practices and payer partners interested in participating in the Primary Care First model. To be responsive to stakeholder's needs and allow more practices the opportunity to apply, CMS has extended the deadline for applications. The deadline for PCF practice applications has been extended to May 21, 2021, and the deadline for payer applications has been extended to June 18, 2021. This is for the Primary Care First general track; CMS is not currently soliciting applications for another PCF Seriously Ill Population (SIP) cohort currently.

PCF offers the opportunity for practices to begin transforming into a value-based care payment structure. Practices are reimbursed a capitated payment amount for their attributed population in addition to a flat visit fee and the opportunity for a quarterly performance-based adjustment bonus which can potentially be up to 50% more revenue than traditional Fee-for-Service (FFS). To learn more, review the valuable materials and past webinars available on the CMS PCF Model Options Webpage and apply here on the application portal.

The Center for Medicare and Medicaid Innovation (CMMI) recently announced that they would not be soliciting a second round of applications for the Global and Professional Direct Contracting Model (GPDC). CMMI reiterated the commitment to value-based care and is currently reviewing its portfolio and learnings from this model to inform next steps and strategies. There are still 53 organizations participating in the GPDC model for the performance year 2021, which started on April 1, 2021. CMS published the participant list for those organizations currently participating. We encourage practices to review participating organizations and payers in their region to explore any partnership opportunities.
HCCI names COO Julie Sacks president
and chief operating officer
Julie Sacks has been named president and chief operating officer (COO) at the Home Centered Care Institute (HCCI). Sacks most recently served as COO for HCCI. In her newly expanded role, Sacks will be responsible for further evaluating strategic opportunities and partnerships, developing relationships with donors and foundations, and serving as spokesperson. The announcement comes at an important time for the organization as, according to Sacks, “the need for home-based primary care has skyrocketed due to COVID-19 and interest in it has never been greater.”
Read the official announcement and more about Sacks’ perspective on recent changes in the HBPC landscape and her vision for the organization in these recent HealthLeaders and Hospice News articles.
HCCI and Co-Grantees from The John A. Hartford Foundation, One Year Later
The pandemic has significantly underscored the need for, and awareness of, home-based care models. Within this new landscape, recipients of The John A. Hartford Foundation (JAHF) three-year grant, Moving and Scaling Home-Based Primary Care Phase II: Quality, Training and Advocacy, have made significant progress toward their goal of improving care for the “invisible homebound” population of older adults and individuals with limited ability to leave their homes. In all, these efforts align with JAHF’s initiative to create age-friendly health systems.

Click here for highlights of the past year’s accomplishments by the grantees.
HCCIntelligence Update
We recognize the numerous challenges that can be encountered by
HBPC providers and practice staff and the value of having access to
knowledgeable experts and timely guidance.

We at HCCI are here to help in a variety of ways. 
Please visit the HCCIntelligence™ Resource Center to learn more.
HCCIntelligence Resource Center
Practice Management Tip:
HBPC Productivity and Panel Size Standards
In a home-based primary care practice (HBPC), many factors determine optimal productivity and panel size standards (i.e., the number of individual patients under the care of a specific provider). These include payment structure, practice model, outcome goals, geography/travel times, and more. While there is no one-size-fits-all solution, the following insights from data collected from HCCI’s national network may be useful when determining HBPC productivity and panel size standards.

  • Productivity: The average number of HBPC visits per day per provider is 8 to 10. Practices that cover a large geography, or independent providers with limited support, average closer to 5 to 7 visits per provider. Practices with large facility-based patient populations may average 15 or more.

  • Panel Size: Determining the right case load and panel size affects provider satisfaction and clinical outcomes. HBPC panel sizes average around 200 patients per provider. Practices with more interdisciplinary team support may assign more patients per provider while practices under value-based payment structures may decrease caseloads to focus on more comprehensive care management.

Resources: Staffing ratio examples from six well-established HBPC programs can be referenced in the HCCIntelligence webinar: Improving Workflows: Front Office, Back Office and What It Means For Staffing. Additional information can be found in An Overview of Home-Based Primary Care: Learning from the Field from The Commonwealth Fund.
Upcoming Education Opportunities
HCCI Workshops
June 24-25, 2021
Live, Virtual Workshop

Designed for experienced HBPC providers and practice staff seeking to advance their knowledge, skills, and productivity in caring for patients with complex medical conditions.
Virtual Workshop Rate: $525 ($100 savings)

December 2-3, 2021
Live, In-person Workshop*
Orlando, FL

Designed for learners considering, or relatively new to, offering HBPC services for patients with complex medical conditions. Both clinical and practice operations topics are featured.
Workshop Rate: $625
December 9-10, 2021
Live, In-person Workshop*
Schaumburg, IL

Designed for experienced HBPC providers and practice staff seeking to advance their knowledge, skills, and productivity in caring for patients with complex medical conditions.
Workshop Rate: $625
*In-person delivery dependent on status of the pandemic
HCCI Online Courses
(0.75 AMA PRA Category 1 Credits™)
Chronic wounds can be a challenge for HBPC patients and providers and can result in increased hospital admissions, lengths of stay, and higher healthcare costs. Unfortunately, many HBPC practices do not have clinicians trained to assess and treat chronic and acute wounds, which limits their ability to provide high-quality, value-based care for medically-complex, home-limited patients. In this on-demand course, you will learn essential strategies that will help you determine the etiology of a wound, document it accurately, and initiate a comprehensive plan of care that is consistent with the patient’s goals.
HCCI is offering free enrollment through April in our online course, Advanced Coding and Billing: Beyond E/M for House Calls (0.50 AMA PRA Category 1 Credits™). This special offer is provided through the generous support of The John A Hartford Foundation.
HCCI In the News
From Our Key Partners
Remember to save the date for the 2021 Virtual Annual Meeting of the American Academy of Home Care Medicine. The meeting, entitled Home-Based Medical Care: Leadership Across the Landscape, will take place virtually on Friday, October 29 through Saturday, October 30, 2021. Registration opens July 1, with special rates for registering early. Learn more about the meeting here.
Advance Care Planning International (ACP-I) will host its first-ever international digital conference August 23 through 25. The program, made up of two half days and entitled ACP Upstream – activating communities, embracing conversations, preparing for crises, aims to engage people from around the world with impactful topics, dynamic speakers, and great opportunities for networking. will spotlight global efforts to push ACP upstream by activating communities and having ACP conversations before crises arise. You will hear about grassroots initiatives in community engagement, national campaigns to spark conversations, how ACP has impacted preparedness for crises as well as how ACP has supported different health systems during the pandemic. Learn more and register (registration fees for ACP-i members and non-members will be updated on the website) at https://www.acp-i.org/.

The Coalition to Transform Advanced Care (C-TAC) will host its C-TAC Policy Forum 2021, a free, virtual event, on May 12 from 11 to 4 PM Central Time. The forum will offer insider updates on federal serious illness care policies that can help you maximize your impact in the communities you serve. Updates will include a focus on advance care planning, payment reform, health equity, and the urgent need to support our workforce. According to C-TAC, participants will also be able to share their perspectives and lend their voice to the conversations that will shape the future of serious illness care policy. To learn more and register, click here.

In honor of National Healthcare Decisions Day on April 16 this month, Vital Decisions launched a campaign to draw attention to the importance of selecting a healthcare proxy who can be the most important part of an advance care plan. Vital Decisions will acknowledge everyone who designates a healthcare proxy using the free, public My Living Voice platform during April 2021 by planting a tree. Learn more at https://info.vitaldecisions.net/nhdd.
HCCI education and training initiatives including HCCIntelligence™
are funded in part by a grant from The John A. Hartford Foundation.
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 medically complex patients have access to high-quality care in their homes.
Home Centered Care Institute
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