NDLI: House Calls for Seniors: Building and Sustaining a Model of Care for Homebound Seniors

Please wait, while we are loading the content...

Heart disease risk factors in midlife predict subclinical coronary atherosclerosis more than 25 years later in survivors without clinical heart disease: The Rancho Bernardo Study

Development of the Risk Appraisal Measure (RAM): A Brief Screen to Identify Risk Areas and Guide Interventions for Dementia Caregivers

House Calls for Seniors: Building and Sustaining a Model of Care for Homebound Seniors

Year: 2009, Volume: 57, Issue: 5

Year: 2009, Volume: 57, Issue: 4

Year: 2009, Volume: 57, Issue: 3

Year: 2009, Volume: 57, Issue: 2

Year: 2009, Volume: 57, Issue: 0 2

Year: 2009, Volume: 57, Issue: 1

Year: 2008, Volume: 56

Year: 2007, Volume: 55

Year: 2006, Volume: 54

Year: 2005, Volume: 53

Year: 2004, Volume: 52

Year: 2003, Volume: 51

Year: 2002, Volume: 50

Year: 2000, Volume: 48

House Calls for Seniors: Building and Sustaining a Model of Care for Homebound Seniors

Content Provider	PubMed Central
Author	Beck, Robin A. Arizmendi, Alejandro Purnell, Christianna Fultz, Bridget A. Callahan, Christopher M.
Copyright Year	2009
Abstract	Homebound seniors suffer from high levels of functional impairment and are high-cost users of acute medical services. This article describes a 7-year experience in building and sustaining a physician home visit program. The House Calls for Seniors program was established in 1999. The team includes a geriatrician, geriatrics nurse practitioner, and social worker. The program hosts trainees from multiple disciplines. The team provides care to 245 patients annually. In 2006, the healthcare system (62%), provider billing (36%), and philanthropy (2%) financed the annual program budget of $355,390. Over 7 years, the team has enrolled 468 older adults; the mean age was 80, 78% were women, and 64% were African American. One-third lived alone, and 39% were receiving Medicaid. Reflecting the disability of this cohort, 98% had impairment in at least one instrumental activity of daily living (mean 5.2), 71% had impairment in at least one activity of daily living (mean 2.6), 53% had a Mini-Mental State Examination score of 23 or less, 43% were receiving services from a home care agency, and 69% had at least one new geriatric syndrome diagnosed by the program. In the year after intake into the program, patients had an average of nine home visits; 21% were hospitalized, and 59% were seen in the emergency department. Consistent with the program goals, primary care, specialty care, and emergency department visits declined in the year after enrollment, whereas access and quality-of-care targets improved. An academic physician house calls program in partnership with a healthcare system can improve access to care for homebound frail older adults, improve quality of care and patient satisfaction, and provide a positive learning experience for trainees.
Related Links	http://dx.doi.org/10.1111/j.1532-5415.2009.02278.x
Ending Page	1109
Page Count	7
Starting Page	1103
File Format	PDF
ISSN	15325415
e-ISSN	15325415
Journal	Journal of the American Geriatrics Society
Issue Number	6
Volume Number	57
Language	English
Publisher Date	2009-06-01
Access Restriction	Open
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Virginia pharmacist makes house calls.

Melhor em casa? Um estudo sobre a atenção domiciliar

Bringing home the 'medical home' for older adults.

A feasible model for prevention of functional decline in older home-dwelling people--the GP role. A municipality-randomized intervention trial.

Visiting Patients at Home: Reasons and Efficiency of Dental House Calls

Operation and challenges of home-based medical practices in the US: findings from six aggregated case studies

Physicians’ perceptions of capacity building for managing chronic disease in seniors using integrated interprofessional care models

Home health care: house calls revisited.

Health care for seniors: a new and burgeoning market.

House Calls for Seniors: Building and Sustaining a Model of Care for Homebound Seniors

Similar Documents

Virginia pharmacist makes house calls.

Melhor em casa? Um estudo sobre a atenção domiciliar

Bringing home the 'medical home' for older adults.

A feasible model for prevention of functional decline in older home-dwelling people--the GP role. A municipality-randomized intervention trial.

Visiting Patients at Home: Reasons and Efficiency of Dental House Calls

Operation and challenges of home-based medical practices in the US: findings from six aggregated case studies

Physicians’ perceptions of capacity building for managing chronic disease in seniors using integrated interprofessional care models

Home health care: house calls revisited.

Health care for seniors: a new and burgeoning market.

House Calls for Seniors: Building and Sustaining a Model of Care for Homebound Seniors