“The RPS believes that patients receiving homecare services must receive consistently high quality services so they can get the best outcomes from their medicines. Multiple agencies need to work together to ensure the seamless provision of this care. The Handbook for Homecare Services in England is designed to further support this aim, by sharing best practice and facilitating shared care for those involved in the provision of medicines.”
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Safety at Home: A Pan Canadian Home Care Study – Canadian Foundation for Healthcare Improvement – 26 June 2013
“One out of every six seniors receives home care services in Canada. As the aging population continues to grow there is a greater need to ensure the delivery of Home Care in Canada is safe.
The release today of The Safety at Home: A Pan Canadian Home Care Study is the first of its kind that examines adverse events in the home and includes recommendations on how to make care safer.
The Canadian Patient Safety Institute (CPSI) partnered with other sponsoring organizations for the study including, the Canadian Institutes of Health Research (CIHR), Institutes of Health Services and Policy Research (IHSPR), The Change Foundation, and the Canadian Foundation for Healthcare Improvement (CFHI). The study examined the reasons for harmful incidents, determined the impact on families and clients and made suggestions on how to make home care safer.”Read Full Post | Make a Comment ( Comments Off on Safety at Home: A Pan Canadian Home Care Study – Canadian Foundation for Healthcare Improvement – 26 June 2013 )
“As governments shift from episodic acute care to long-term chronic care, Portraits 2013 provides critical information to support the role of home care within this transformation. A valuable tool for health policy planners, researchers, administrators and service providers, it provides a straightforward source of essential home care facts and figures on:
· Home care legislation, evolution and priorities
· Access, eligibility and utilization
· Funding trends and delivery models
· Indicators, quality, research and technology
· Human resources and family caregivers
· Initiatives and challenges
Portraits 2013 is the third edition of the Portraits of Home Care in Canada series, which includes publications in 2003 and 2008. This edition builds on the previous ones to expand our picture of home care, with more comprehensive data and new information on service delivery models, quality and accountability, and the impact of technology on home care across Canada. Information sources for Portraits 2013 include key informants from provincial, territorial and federal governments, and published reports. It is not a research paper and intentionally does not contain recommendations to support any particular advocacy agenda.”Read Full Post | Make a Comment ( Comments Off on Portraits of home care in Canada 2013 – Canadian Home Care Association – 4 April 2013 )
Measuring the Success of Medical Homes: Recommendations from the PCMH Evaluators’ Collaborative – Commonwealth Fund – 18 May 2012
“There are currently more than 90 commercial health plans, 42 states, and three federal initiatives testing the patient-centered medical home (PCMH) model. Yet, while elements of the medical home have been shown to be associated with better quality and lower cost, there are only a few high-quality, published evaluations of the impact of the PCMH model as a whole. There is an urgent need for rigorous data to strengthen the evidence base of the medical home as well as to improve implementation. In an effort to harness and share lessons from the many disparate medical home pilots and evaluations under way, The Commonwealth Fund established the Patient-Centered Medical Home Evaluators’ Collaborative in 2009.
The objectives of the Evaluators’ Collaborative are to:”
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Recommended Core Measures for Evaluating the Patient-Centered Medical Home: Cost, Utilization, and Clinical Quality – The Commonwealth Fund – 16 May 2012
M. B. Rosenthal, M. K. Abrams, A. Bitton, and the Patient-Centered Medical Home Evaluators’ Collaborative, Recommended Core Measures for Evaluating the Patient-Centered Medical Home: Cost, Utilization, and Clinical Quality, The Commonwealth Fund, May 2012.
The patient-centered medical home has emerged as a promising solution to address the significant fragmentation, poor quality, and high costs that afflict the U.S. health care system. The medical home model includes core components of primary and patient-centered care, recent innovations in practice redesign and health information technology, and changes to the way practices and providers are paid. There are initiatives across the country testing the promise of the medical home model. However, to properly evaluate and compare results that will aid in the implementation of these and other initiatives, researchers need a standard set of core measures. This brief describes the process and recommendations of more than 75 researchers who came together to identify a core set of standardized measures to evaluate the patient-centered medical home. It focuses on two domains of medical home outcomes: cost/utilization and clinical quality.”
Early Evidence on Patient-Centered Medical Home – AHRQ – February 2012
AHRQ = Agency for Healthcare Research and Quality [US]
“The patient-centered medical home (PCMH, or medical home) aims to reinvigorate primary care and achieve the triple aim of better quality, lower costs, and improved experience of care. This study systematically reviews the early evidence on effectiveness of the PCMH.”Read Full Post | Make a Comment ( Comments Off on Early Evidence on Patient-Centered Medical Home – AHRQ – February 2012 )
Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes – Commonwealth Fund – 27 February 2012
A robust primary care sector is the foundation of a more effective and efficient health care system. However, achieving a robust primary care sector will require widespread practice transformation. A growing consensus supports the patient-centered medical home (PCMH) model, proposed as joint principles by the major primary care professional associations, as the blueprint for practice transformation. Under these principles, a PCMH would provide each person with a personal physician who leads a team that takes responsibility for ongoing care for all health issues and coordinates care with other service providers. Medical homes would also ensure the quality and safety of their care through performance measurement and continuous quality improvement and provide their patients with enhanced access. Finally, payment systems would reward the added value provided by medical homes. While these joint principles describe the general expectations of a PCMH, they do not make concrete suggestions for how primary care organizations can change their practices to become one.
As part of The Commonwealth Fund’s Safety Net Medical Home Initiative (SNMHI), this report sought to develop a more detailed and concrete definition that describes the changes that most practices would need to make to become PCMHs. After reviewing the literature, the study team proposed eight characteristics of medical homes—called change concepts—which provide general directions for transforming a practice. We further identified more specific practice modifications called key changes for each change concept. A technical expert panel assembled for the SNMHI reviewed the change concepts and key changes and suggested alterations. A second panel, convened for another PCMH transformation project, also provided feedback.
Many, but not all, of the change concepts and key changes are supported by evidence of positive effects on important outcomes. Therefore, the following eight change concepts should be viewed as general guidance for transforming the practice as well as opportunities for innovation and adaptation.”Read Full Post | Make a Comment ( Comments Off on Guiding Transformation: How Medical Practices Can Become Patient-Centered Medical Homes – Commonwealth Fund – 27 February 2012 )
Research in ambulatory patient safety 2000–2010: A 10-year review – American Medical Association – 2011
Lorincz CY, Drazen E, Sokol PE, Neerukonda KV, Metzger J, Toepp MC, Maul L, Classen DC, Wynia MK.
Research in Ambulatory Patient Safety 2000–2010: A 10-Year Review. American Medical Association,
Chicago IL 2011.
Building Medical Homes: Lessons From Eight States with Emerging Programs – The Commonwealth Fund – 2 December 2011
Many states are strategically engaging public and private payers in the design of medical home programs as a means of achieving better health outcomes, increasing patient satisfaction, and lowering per capita health care costs. The eight states profiled in this report—Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia—are at different stages in the development and implementation of a medical home program and have relied on different strategies to encourage primary care providers to adopt the model, including developing state medical home qualification standards instead of adopting national standards. As a whole, their experiences demonstrate that states can play a critical role in convening stakeholders, helping practices improve performance, and addressing antitrust concerns that arise when multiple payers come together to create a medical home program.”
A Vision for Canada: Family Practice – The Patient’s Medical Home. Position Paper – College of Family Physicians of Canada – September 2011
“In October 2009, the College of Family Physicians of Canada (CFPC) presented its discussion paper Patient-Centred Primary Care in Canada: Bring it on Home. It described the pillars of a model of family practice focused on meeting patient needs.
Feedback from a broad cross-section of stakeholders including family physicians, other health professionals and their associations, governments, and the public provided important perspectives that are now incorporated into this vision paper describing family practices throughout Canada serving as Patients’ Medical Homes.”Read Full Post | Make a Comment ( None so far )
Living Well at Home [Report – UK] – July 2011
“The All Party Parliamentary Group on Housing and Care has produced a report from its Inquiry into ‘Living Well at Home’ . The report highlights the significant role played by the older person’s own home: a suitable place to live can mean independence for far longer; it can prevent the need for residential care; it can reduce requirements for care at home; it can mean fewer accidents and hospital admissions; and it can allow people to leave hospital much earlier, with less risk of immediate readmission.
Our report looks at the obstacles to getting assistance with basic home improvements, or domiciliary help unless care needs are absolutely critical. The report makes recommendations to overcome these difficulties and we hope it will stimulate greater interest in helping older people to live well for longer in their own homes.”
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The Role of Human Factors in Home Health Care: Workshop Summary – National Academies Press – 2010
The rapid growth of home health care has raised many unsolved issues and will have consequences that are far too broad for any one group to analyze in their entirety. Yet a major influence on the safety, quality, and effectiveness of home health care will be the set of issues encompassed by the field of human factors research–the discipline of applying what is known about human capabilities and limitations to the design of products, processes, systems, and work environments.
To address these challenges, the National Research Council began a multidisciplinary study to examine a diverse range of behavioral and human factors issues resulting from the increasing migration of medical devices, technologies, and care practices into the home. Its goal is to lay the groundwork for a thorough integration of human factors research with the design and implementation of home health care devices, technologies, and practices.
On October 1 and 2, 2009, a group of human factors and other experts met to consider a diverse range of behavioral and human factors issues associated with the increasing migration of medical devices, technologies, and care practices into the home. This book is a summary of that workshop, representing the culmination of the first phase of the study.Read Full Post | Make a Comment ( None so far )
Financing of home nursing in Belgium – 4 February 2010
Sermeus W, Pirson M, Paquay L, Pacolet J, Falez F, Stordeur S, Leys M. Financing of home nursing in Belgium. Health Services Research (HSR). Brussels: Belgian Health Care Knowledge Centre (KCE). 2010. KCE Reports 122C. D/2010/10.273/07Read Full Post | Make a Comment ( None so far )
Patient-Centred Primary Care in Canada: Bring it on Home – College of Family Physicians of Canada – Discussion Paper – October 2009
Patient-Centred Primary Care in Canada: Bring it on Home – College of Family Physicians of Canada – Discussion Paper – October 2009
“The College of Family Physicians of Canada (CFPC) recommends the introduction of the medical home concept for the people of Canada; incorporating the strengths of medical home models elsewhere in the world with the primary care renewal experiences currently unfolding across Canada.
A medical home is a patient-centred medical care setting where: 1) patients have a personal family physician who provides and directs their medical care; 2) care is for the patient as a whole; 3) care is coordinated, continuous and comprehensive with patients having access to an inter-professional team; 4) there is enhanced access for appointments; 5) the practice includes well-supported information technology, including an electronic medical record; 6) remuneration supports the model of care; and 7) quality improvement and patient safety are key objectives.”Read Full Post | Make a Comment ( None so far )