Engaging home care providers in emergency preparedness efforts can be challenging. These slides provide information on how to start engaging those providers. This presentation was shared at the National Health Care Coalition Conference on December 11, 2014, in Denver, CO.

1. You’re doing what... At Home?!?
Engaging Home Healthcare Providers in
Preparedness
Joseph “Jody” Moore, MBA, CEM, NC EEM
Senior Director
Advanced Home Care, High Point, NC
National Healthcare Coalition Conference
December 11, 2014
@HealthCare_EM
#HomeCarePrep

2. “Janice”

3. Road to our Goals
✤ Establish a baseline
✤ Whats occurring in the home care arena today?
✤ Discussing the opportunities
• Durable Medical Equipment / Respiratory Therapy
• Home Health & Infusion Services
✤ The future of home care and emergency preparedness
✤ Bringing partners to the table

4. Why Home Care?
✤ Vulnerable Populations
✤ The acuity of the patient population is increasing
✤ Growing segment of patient impact
✤ Staff are accustom to working in “non-traditional” care environments

5. In the Post-Acute/Non-Acute
Space
✤ Home Health - Skilled
✤ Home Infusion
✤ Durable Medical Equipment
(DME)
✤ Respiratory Therapy
✤ Nutrition
✤ Personal Care Services*
✤ ACA has driven growth and
change in the Non-Acute
Segment

6. Day to Day Goals of Home Care
Agencies
✤ Shorten Length of Stay
✤ Reduce Readmissions for Referral Sources
✤ Maintain patients at home at highest level of function
✤ Maximizing the efficacy of home health visits
✤ Increase number of Rental Days while decreasing number of
deliveries.
✤ Develop and maintain positive relationships with referral sources

7. DME Overview
✤ The number of DME Providers is shrinking via consolidation and
shuttering
✤ Increased demand of compliance
✤ Products Provided:
✤ Wheelchairs
✤ Oxygen*
✤ Bent metal (i.e. canes, walkers, bedside commodes)
✤ Hospital Beds, Hoyer Lifts
✤ Wound Care (Negative Pressure)

8. Respiratory Overview
✤ More than just oxygen
✤ Supply chain complexities
✤ Service Provided:
✤ Oxygen - Liquid, Compressed, and Concentrated
✤ Sleep Therapy (C-PAP)
✤ Ventilators (Invasive and Non-Invasive)
✤ Nebulizers

9. Home Health Overview
✤ Growing with some consolidations, driven business due to changes in
ACA
✤ Services may include:
✤ Skilled Nursing
✤ Occupational Therapy
✤ Physical Therapy
✤ Speech Therapy
✤ Social Work

10. Infusion Overview
✤ Quickly growing and includes major players like CVS and Walgreens
✤ Dramatic impact on what can be done in the home.
✤ Services Provide:
✤ Antibiotics
✤ Inotropes
✤ TPN

11. Opportunities to bring value
Creating contractual relationships with a vendor
or
Engage them as a partner

12. Surge Capacity
✤ Home Health Agencies
✤ Decompress hospitals
✤ Prioritize patients at home

13. Alternative Care Sites
✤ DME Providers can be key
partners:
✤ Provide equipment
✤ Labor to set-up
✤ Home Health
✤ Supportive Staffing

14. Parallel Capabilities
✤ Key equipment caches
✤ Ventilators
✤ Infusion Pumps
✤ Information on Vulnerable Populations
✤ Extension of Public Health Epidemiological Surveillance

15. “Janice”
Continued...

16. Bringing the Leaders to the Table
What is in it for them and their
organization?

17. What do Home Care Leaders
need?
✤ Disaster Planning Assistance
✤ Accreditation agencies require disaster planning by most home
care providers, but they are not necessarily required to be
accredited
✤ Logistic Assistance
✤ Accessing patients are key to home care operations and sometimes
that is the biggest challenge

18. What do Home Care Leaders
need? (cont.)
✤ Training
✤ Customized training to organizations
✤ Inter-agency communications
✤ Risk Assessment
✤ Exercises
✤ Realistic table tops

19. How does the new CMS CoPs
affect Home Care agencies?
✤ Draft Conditions of Participation around Emergency Preparedness for
17 Healthcare Providers released in December 2013
✤ Addressed Home Health Providers among many others
✤ Home Health providers are eligible for Alternative Sanctions for
conditional deficiencies and Immediate Jeopardy depending on
severity
✤ Alternative Sanctions can be monetary fines

20. ACA Initiatives
✤ Integrated Care Partnerships
✤ Share risk (and reward) across various
✤ Patient Center Medical Homes
✤ Accountable Care Organizations
✤ Community Benefit

21. Vendor Relationships
✤ More appropriate with for-profit organizations
✤ Setting up contract opportunities with pre-established rates and
service level agreements
✤ Could be done as a part of a preferred provider agreement

22. When you get home...
✤ Consider contacting national trade organizations
✤ VNAA
✤ State Organizations
✤ NC Association of Homecare & Hospice
✤ Talk with local hospitals to identify existing key partners

23. Summary
✤ Home care is growing
✤ Home care as a partner
✤ Home care needs us

24. Questions
Jody.Moore@advhomecare.org
@HealthCare_EM

25. Acknowledgements
✤ Advanced Home Care
✤ Guilford County Emergency Management
✤ NC Office of EMS Healthcare Preparedness, Response, & Recovery
Program
✤ Triad Regional Advisory Committee

26. Thank you
Jody.Moore@advhomecare.org
@HealthCare_EM