enhanced home health presentation 4222020 · 2020-04-25 · unc health enhanced home health care...
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UNC Health
Enhanced Home Health CareEnhanced Home Health Care Available for Rex and UNC
UNC Home Health and Rex Home Service
Director/Administrator: Melissa Mahaney, MSN,RN,CCM
Effective April 27, 2020
01.31.2020
UNC Health2
Clinical Role People Department Contact InformationExecutive Sponsors Ian Buchanan and
Barbara KnottAmbulatory Services/
Continuing Care ServicesEnhanced Home Health/ Clinical
Oversight (SN, PT,OT,ST, HHA)Melissa Mahaney UNC/Rex Home Health
Home RN Case Management Melissa Mahaney UNC/Rex Home Health
Physician oversight/ Central Physician’s Group
Tom Warcup/ Rachel Hollifield
UNCPN
Home Infusion Pharmacy John Valgus/ Aretha Herron
UNC Home Care Specialist
Home Care Specialist (DME/Home Infusion)
Leroy Guay UNC Home Care Specialist
Central Intake/ Referral Mgmt Lisa Cadigan Continuing Care Services
Mobile Imaging Third Party Support
Laboratory Services Melissa Mahaney/
McClendon labs
UNC/Rex Home Health/ Resulting by McClendon
Labs
Enhanced Home Health Program Oversight
Enhanced Home Health UNC and Rex Home Services
UNC Health3
-Not anything new to what home health could have been doing
-A different way that home health and providers collaborate together using virtual technology and frontloading of touchpoints in the first 14 days of care.
Purpose:
v Decompress Hospital Beds and ED baysv Prevent Admission/ Readmission for observation
level and lower acuity inpatient level care.
v Increase confidence of providers to send patients
home with the support needed to be successful.
Enhanced Home Health UNC and Rex Home Services
Enhanced Home Health (Available for Crisis and Non-Crisis State)
Home Health RN Case Manager
Central Physician Group
HH Disciplines(Owned Entities)
Network Partners (Increase Capacity
by taking Traditional HH)
Home Care Specialist
(DME/Home Infusion/Oxygen)/
CAMP
Mobile Imaging/ EMS
PD (Carolina Dialysis)
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Referral Source Workflow (CM, Hospitalist, ED Providers, etc.
XX.XX.XXXX
ED Physician/ Hospitalist Workflow
Is the patient stable enough to go home with a visit
from nursing within 12-18 hours?
NO
Yes
Proceed with normal course of care (Obs, Inpt)
Does the patient live in Orange, Durham,
Alamance, Wake, Chatham Counties?
NO
Proceed with normal course of care (Obs, Inpt)
Is primary reason for visit CHF, COPD, Pneumonia, UTI, Wound/Cellulitis, COVID 19?
NO
Proceed with normal course of care (Obs, Inpt)
Yes
Yes
EHH Referral
UNC Health5
No less than 10 Touchpoints in the first 7 days (5-7 in home visits week 1 and 2 based on assessment of clinical needs)
Physician Virtual Visits may be required more often depending upon patient need. Including Adhoc visits.
Enhanced Home Health Patient Touch Points
Enhanced Home Health UNC and Rex Home Services
Services provided directly by home health: SN (Skilled and Care Management, PT, OT, ST, HHA, MSW)
UNC Health6
Ancillary Services (Not offered by Home Health but RN Case Manager Will Coordinate Services)
Coordinated Ancillary Services
Enhanced Home Health UNC and Rex Home Services
UNC Health7
Virtual Support for Enhanced Home Health CareVirtual Support for Enhanced Home Health Care
REMOTE PATIENT MONITORING
Placeholder (HRS or Medically Home—Decision forthcoming)
Enhanced Home Health UNC and Rex Home Services
UNC HealthModify with Insert > Header and Footer8
Enhanced Home Health Workflow
XX.XX.XXXX
UNC Health
Home Infusion Drugs
