House Calls: Lessons Learned From A California Program For Homebound Patients

Glenn Melnick and coauthors studied House Calls, an in-home program managing care for high-risk, frail, and psychosocially compromised Medicare patients, to demonstrate how other in-home programs can learn from House Calls' structure. Although the program continues to evolve logistically, it persistently shows reductions in operating costs and hospital utilization per patient.
http://content.healthaffairs.org/content/35/1/28.abstract

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Challenges...
http://jamia.bmj.com/site/icons/amiajnl8946.pdf
  • patient safety should trump all other values; corporate concerns about liability and intellectual property ownership may be valid but should not over-ride all other considerations;
  • transparency and a commitment to patient safety should govern vendor contracts;
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  • vendors, system purchasers, and users should encourage and assist in each others’ efforts to adopt best practices.

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