Enhanced Home Health Care Enhanced Home Health Care Available for - PowerPoint PPT Presentation

Enhanced Home Health Care Enhanced 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 Health

Enhanced Home Health Program Oversight Clinical Role People Department Contact Information Executive Sponsors Ian Buchanan and Ambulatory Services/ Barbara Knott Continuing Care Services Enhanced Home Health/ Clinical Melissa Mahaney UNC/Rex Home Health Oversight (SN, PT,OT,ST, HHA) Home RN Case Management Melissa Mahaney UNC/Rex Home Health Physician oversight/ Central Tom Warcup/ UNCPN Physician’s Group Rachel Hollifield Home Infusion Pharmacy John Valgus/ UNC Home Care Specialist Aretha Herron Home Care Specialist (DME/Home Leroy Guay UNC Home Care Specialist Infusion) Central Intake/ Referral Mgmt Lisa Cadigan Continuing Care Services Mobile Imaging Third Party Support Laboratory Services Melissa UNC/Rex Home Health/ Mahaney/ Resulting by McClendon McClendon labs Labs 2 Enhanced Home Health UNC and Rex Home Services UNC Health

Enhanced Home Health (Available for Crisis and Non-Crisis State) -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: Central Physician Group v Decompress Hospital Beds and ED bays PD (Carolina HH Disciplines v Prevent Admission/ Readmission for observation Dialysis) (Owned Entities) level and lower acuity inpatient level care. Home Health RN Case Manager v Increase confidence of providers to send patients Network Partners home with the support needed to be successful. Mobile Imaging/ (Increase Capacity EMS by taking Traditional HH) Home Care Specialist (DME/Home Infusion/Oxygen)/ CAMP 3 Enhanced Home Health UNC and Rex Home Services UNC Health

Referral Source Workflow (CM, Hospitalist, ED Providers, etc . ED Physician/ Hospitalist Workflow Is primary reason for visit Proceed with CHF, COPD, Pneumonia, UTI, normal course of Wound/Cellulitis, COVID 19? NO care (Obs, Inpt) Yes Does the patient live in Proceed with Orange, Durham, normal course of NO Alamance, Wake, Chatham care (Obs, Inpt) Counties? Yes Is the patient stable enough Proceed with to go home with a visit normal course of NO from nursing within 12-18 care (Obs, Inpt) hours? Yes EHH Referral 4 XX.XX.XXXX Modify with Insert > Header and Footer UNC Health

Enhanced Home Health Patient Touch Points 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. Services provided directly by home health: SN (Skilled and Care Management, PT, OT, ST, HHA, MSW) 5 Enhanced Home Health UNC and Rex Home Services UNC Health

Coordinated Ancillary Services Ancillary Services (Not offered by Home Health but RN Case Manager Will Coordinate Services) 6 Enhanced Home Health UNC and Rex Home Services UNC Health

Virtual Support for Enhanced Home Health Care Virtual Support for Enhanced Home Health Care REMOTE PATIENT MONITORING Placeholder (HRS or Medically Home—Decision forthcoming) 7 Enhanced Home Health UNC and Rex Home Services UNC Health

Enhanced Home Health Workflow 8 XX.XX.XXXX Modify with Insert > Header and Footer UNC Health

Home Infusion Drugs UNC Health

Effective April 27, 2020 Thank you Melissa Mahaney, MSN,RN,CCM Melissa.Mahaney@unchealth.unc.edu984-209-3350 UNC Health