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Axxess | 2013 1
The Future of Healthcare Delivery
is in the Home
C. Sam Smith
Vice President – Business Development
Axxess Technology Solutions
Dallas, TX USA
Debbie Cunningham
Support and Implementation Representative
Senior Faculty, Billing and Chronic Care
Management
Axxess Technology Solutions
Dallas, TX USA
Axxess | 2013 2
“If you had a choice between receiving
quality healthcare at your home or in the
hospital, which of these would you
choose?”
Axxess | 2013 3
Todays Learning Objectives
Axxess | 2013 4
There will be 73%
more 65+ year
olds in 2030
than there were in
2010.
That’s nearly 30
million boomers in
20 years!
Axxess | 2013 5
As Teresa Lee, CEO of the Alliance for Home Health
Quality and Innovation(AHHQI) puts it,
“Not only is home health the least expensive form
of healthcare delivery, home care is the patient’s
preference”.
Axxess | 2013 6
• Pre admittance counselling
• Improved discharge notes
• Care transitions management
• Care transitions coaching
• Telephonic monitoring post
discharge
• Case Management
• Self Management - education
All these are
workflow/education/and/
management issues
Axxess | 2013 7
The top five reasons for patient readmissions to the hospital
1) Patients not fully understanding what’s wrong with them
2)Patients being confused over which medications to take and when
3) Hospitals not providing patients or doctors with important information or
test results
4)Patients not scheduling follow-up appointments with their doctor
5) Family members lacking proper knowledge to provide adequate care
Axxess | 2013 8
A study by the Alliance for Home Health Quality and Innovation took
historical data to forecast potential savings of $10.3 billion over ten
years (2014-2023) by reducing regional hospital readmissions through
the use of home health as the first line to handle post-acute care
episodes.
Axxess | 2013 9
The cost driver for these
savings is the cost of a
patient/day in comparison.
Hospital stays cost 43X more
than home health care in terms
of patient days cost in dollars.
Not 43% (percent) more cost,
43.67 X (times) more costly!
Axxess | 2013 10
Technology is making a difference.
• Improved medical team communication and
coordination
• Improved communication with the patient
• Shift from “fee-for-service” treatment to holistic
Accountable Care Organization model
• Increased efficiency and competitiveness for even
the smallest home health agencies
Axxess | 2013 11
The ones who will survive are the tool
users.
The technology adapters are the ones who
will do more with less…and survive the
change that is coming.

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The Future of Healthcare Delivery is in the Home

  • 1. Axxess | 2013 1 The Future of Healthcare Delivery is in the Home C. Sam Smith Vice President – Business Development Axxess Technology Solutions Dallas, TX USA Debbie Cunningham Support and Implementation Representative Senior Faculty, Billing and Chronic Care Management Axxess Technology Solutions Dallas, TX USA
  • 2. Axxess | 2013 2 “If you had a choice between receiving quality healthcare at your home or in the hospital, which of these would you choose?”
  • 3. Axxess | 2013 3 Todays Learning Objectives
  • 4. Axxess | 2013 4 There will be 73% more 65+ year olds in 2030 than there were in 2010. That’s nearly 30 million boomers in 20 years!
  • 5. Axxess | 2013 5 As Teresa Lee, CEO of the Alliance for Home Health Quality and Innovation(AHHQI) puts it, “Not only is home health the least expensive form of healthcare delivery, home care is the patient’s preference”.
  • 6. Axxess | 2013 6 • Pre admittance counselling • Improved discharge notes • Care transitions management • Care transitions coaching • Telephonic monitoring post discharge • Case Management • Self Management - education All these are workflow/education/and/ management issues
  • 7. Axxess | 2013 7 The top five reasons for patient readmissions to the hospital 1) Patients not fully understanding what’s wrong with them 2)Patients being confused over which medications to take and when 3) Hospitals not providing patients or doctors with important information or test results 4)Patients not scheduling follow-up appointments with their doctor 5) Family members lacking proper knowledge to provide adequate care
  • 8. Axxess | 2013 8 A study by the Alliance for Home Health Quality and Innovation took historical data to forecast potential savings of $10.3 billion over ten years (2014-2023) by reducing regional hospital readmissions through the use of home health as the first line to handle post-acute care episodes.
  • 9. Axxess | 2013 9 The cost driver for these savings is the cost of a patient/day in comparison. Hospital stays cost 43X more than home health care in terms of patient days cost in dollars. Not 43% (percent) more cost, 43.67 X (times) more costly!
  • 10. Axxess | 2013 10 Technology is making a difference. • Improved medical team communication and coordination • Improved communication with the patient • Shift from “fee-for-service” treatment to holistic Accountable Care Organization model • Increased efficiency and competitiveness for even the smallest home health agencies
  • 11. Axxess | 2013 11 The ones who will survive are the tool users. The technology adapters are the ones who will do more with less…and survive the change that is coming.