Home Health Programs
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Home Health Care (HHC) agencies are at the forefront of providing in-home health support for at risk patients and in particular, helping those dealing with multiple chronic health concerns.
HHC providers are highly attuned to in-home treatment protocols. They have the closest and potentially most effective viewpoint of chronic health conditions, and a unique perspective on the value of expanded condition monitoring.
Recent developments in Remote Patient Monitoring (RPM) technology have added an attractive analogue for HHC providers, which can improve the health outcomes of their patients, as well as provide an opportunity for enhanced long-term revenue.
Aside from the potential incremental revenue, a major reason HHC agencies are beginning to adopt RPM on a broader basis include:
- Ability to collect expanded data to better understand their patient’s condition
- Rapid identification of variations in physical metrics which could indicate health deterioration
- Ability to more effectively integrate health recommendations and incent the prescribing physician to make necessary changes to the treatment plan
- Deployment of a common, cloud-based health communication platform to integrate all affected constituents (patient, family, HHC provider, and referring provider)
- Improvement in HHC agency efficiency, with the potential for reduction in unnecessary travel
- Establishment of a distinct marketing advantage vs. those agencies not deploying RPM
- Potential improvement in reportable quality health metrics, coupled with proactive protection from future introduction of readmission penalties at the HHC agency level
The proposed Remote Patient Monitoring program for Home Health Co. includes the following:
Monitoring Patients During Home Health Stay:
- Provide patient with cellular enabled device(s).
- Capture real-time information related to diagnosed chronic disease state.
- Allow healthcare provider(s) responsible for the patient’s care to view captured data.
- Soteria Health Care Center will be responsible for patient compliance with taking readings and coordinating device and supplies distribution and setting up notifications based on Home Health Co. needs.
- Home Health Co. is responsible for ordering devices, training the patient on the use on the devices and interventions with patients based on clinical protocols.
Transition of Patient From Home Health to PCP:
- Home Health Co. introduces patient’s PCP to Soteria Health. (See slide #6)
Process Flow - Home Health Stay
1
Home Health Co. identifies patients that are eligible for Remote Patient Monitoring program.
2
Home Health Co. sends information to Soteria Health. Cellular Device(s) is shipped to patient’s home for set-up and training.
3
Data transmitted directly into the Soteria Health platform for Home Health Co.
4
Home Health Co. has daily, real-time access to important health indicators that relate to patient under their care.
Patient and PCP Enrollment in Program
As a further incentive, Occum Health will provide the HHC agency with a distribution allowance equal to the following:
- $2 per month per patient engaged in RPM during term of HHC engagement.
- If the prescribing physician continues on the RPM regime post-HHC engagement, the HHC agency receives $1.5 per patient per month post engagement, as long as the patient remains on RPM with that physician.
- If the prescribing physician expands use of RPM for patients not initially engaged with the HHC agency following HHC provider recommendation, the HHC agency will receive $1 per patient per month for all expanded patients in this pathway (for as long as they remain patients of that referring physician and remain on RPM).
- Home Health Co. assists Soteria Health to transition patients into a Remote Patient Monitoring program provided by their PCP.
- HHC introduces Soteria Health to PCP to present our end-to-end Remote Patient Monitoring solution. This includes discussing the positive outcomes from the patient’s Home Health Co. Remote Patient Monitoring program experience.
- For assisting with the transition and continued enrollment in the Remote Patient Monitoring program, Home Health Co. can secure a marketing fee for a successful transition.