Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Nov;28(4):262-278.
doi: 10.1177/1084822316666368. Epub 2016 Oct 5.

The Future of Home Health Care: A Strategic Framework for Optimizing Value

Steven Landers  1 , Elizabeth Madigan  2 , Bruce Leff  3 , Robert J Rosati  1 , Barbara A McCann  4 , Rodney Hornbake  5 , Richard MacMillan  6 , Kate Jones  7 , Kathryn Bowles  8 , Dawn Dowding  9 , Teresa Lee  10 , Tracey Moorhead  11 , Sally Rodriguez  12 , Erica Breese  12
Affiliations

The Future of Home Health Care: A Strategic Framework for Optimizing Value

Steven Landers et al. Home Health Care Manag Pract. 2016 Nov.

Abstract

The Future of Home Health project sought to support transformation of home health and home-based care to meet the needs of patients in the evolving U.S. health care system. Interviews with key thought leaders and stakeholders resulted in key themes about the future of home health care. By synthesizing this qualitative research, a literature review, case studies, and the themes from a 2014 Institute of Medicine and National Research Council workshop on "The Future of Home Health Care," the authors articulate a vision for home-based care and recommend a bold framework for the Medicare-certified home health agency of the future. The authors also identify challenges and recommendations for achievement of this framework.

Keywords: home health; home-based care; hospice; hospital at home; palliative care; quality; technology; workforce.

PubMed Disclaimer

Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Medicare value-based programs and authorizing legislation. Source. Avalere Health, 2016. Note. HHRP=Hospital Readmissions Reduction Program; HH-VBP = Home Health Value Based Purchasing model.
Figure 2.
Figure 2.
Medicare alternative payment models impact. Source. Avalere Health (2016). Note. ACO = accountable care organization; BPCI = Bundled Payments for Care Improvement Initiative; MSA = Metropolitan Statistical Area. aAvalere Analysis of BPCI participant list.
Figure 3.
Figure 3.
Strategy for innovation. Source. Eric Dishman, Intel Corporation (presented October 1, 2014, IOM-NRC Workshop on “The Future of Home Health Care”). Note. IOM = Institute of Medicine; NRC = National Research Council; ICU = intensive care unit.
Figure 4.
Figure 4.
Patients receiving home-based services and supports. Source. Bruce Leff and Elizabeth Madigan, 2014 (presented September 30, 2014, IOM-NRC Workshop on “The Future of Home Health Care”). Note. IOM = Institute of Medicine; NRC = National Research Council.
Figure 5.
Figure 5.
Spectrum of home-based services and supports. Source. Avalere Health, 2016.
Figure 6.
Figure 6.
The evolving role of Medicare home health. Source. Avalere Health, 2016. Note. APMs = alternative payment models; MA = Medicare Advantage; HH = Home Health Care.
Figure 7.
Figure 7.
Framework for home health of the future. Source. Avalere Health, 2016. Note. ACO = accountable care organization.
Figure 8.
Figure 8.
Capabilities of home health agencies for the future. Source. Avalere Health, 2016. Note. HIT = Health Information Technology.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Institute of Medicine. The Future of Home Health Care: Workshop Summary. Washington, DC: National Academies Press; 2015. http://www.nap.edu/catalog/21662. Accessed August 2, 2016. - PubMed
    1. Medicare Payment Advisory Commission. Health Care Spending and the Medicare Program: A Data Book. http://www.medpac.gov/documents/data-book/june-2016-data-book-health-car.... Published June 2016. Accessed August 2, 2016.
    1. Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States, current population reports, P25-1140. US Census Bureau; https://www.census.gov/prod/2014pubs/p25-1140.pdf. Published May 2014. Accessed August 1, 2016.
    1. Centers for Disease Control and Prevention, National Center for Health Statistics. Health, United States, 2015. http://www.cdc.gov/nchs/data/hus/hus15.pdf#058. Published May 2016. Accessed August 2, 2016.
    1. Bodenheimer T, Wagner EH, Grumbach K. Improving primary care for patients with chronic illness: the chronic care model, part 2. JAMA. 2002;288(15):1909-1914. doi:10.1001/jama.288.15.1909. - DOI - PubMed

LinkOut - more resources