CMSA Today - Issue 7, 2017 - 6

P R E S I D E N T 'S L E T T E R

The Many Options for Care in the Home
BY MARY MCLAUGHLIN-DAVIS, DNP, ACNS-BC, NEA-BC, CCM

ALEXANDER RATHS/SHUTTERSTOCK.COM

I

n 2014, about 3.4 million Medicare beneficiaries received home care, and Medicare spent about $17.7 billion on home
healthcare services. More than 12,400 agencies participated in the home care program
in 2014. Over 99 percent of beneficiaries live
in a zip code where Medicare Home Health
Agencies operate, and 82 percent of beneficiaries live in a zip code with five or more
Medicare Home Health Agencies. Medicare
Home Health Services consist of skilled nursing, physical therapy, occupational therapy,
speech therapy, aid services and medical
social work (Medpac.gov, 2016).
With the advent of advancing the triple
aim - improving the patient experience of
care, reducing the per capita cost of health
care and improving the health of populations
- home healthcare is an important aspect
of the emerging population health models.
Many of our patients are receiving care
at home today, which in the past may have
been reserved for an acute hospital stepdown unit or even an intensive care unit.
Skilled home respiratory services assist
patients to return home with oxygen, but

6

CMSA TODAY

Issue 7 * 2017 * DIGITAL

they also assist ventilator-dependent patients
to return and remain home. It is now possible
for our patients to return home earlier from
an acute care hospital or a skilled nursing
facility than in the recent past.
Medicare Home Health Care is accessible,
comprehensive and less expensive than an
acute care hospital. Our patients and our
families generally prefer to be in their own
home, as opposed to a hospital.
Skilled home healthcare is one aspect of
the many services that are available in the
home. There are many other non-skilled
services patients can use. These include, but
are not limited to, home health aides, home
companions and home case management.
Durable medical equipment providers can
move specialized wheel chairs, beds, mattresses, respiratory equipment and necessary
hospital equipment such as bedside tables
into the home.
It is incumbent on today's case managers
to familiarize themselves with the many
options for care in the home. It is our duty
to assist patients to experience the highest quality of life in the safest and most

cost-efficient manner possible. In fact, we
now have many case managers working in
home care and coordinating care from that
vantage point.
I hope you enjoy our home care issue.
We know if something seems impossible
for a patient, a case manager will make
it happen. ■
REFERENCE
Medpac.gov. 2016. http://www.medpac.gov/docs/
default-source/reports/chapter-8-home-healthcare-services-march-2016-report-.pdf?sfvrsn=0

Mary McLaughlinDavis, DNP,
ACNS-BC, NEA-BC,
CCM
President, CMSA
2016-2018
Dr. McLaughlin-Davis
is the president of CMSA.
She has been a certified case manager since 1993;
she is a clinical nurse specialist for adult health and the
senior director for care management for Cleveland
Clinic, Avon Hospital.


http://www.Medpac.gov

Table of Contents for the Digital Edition of CMSA Today - Issue 7, 2017

President's Letter
Association News
CMSA Corporate Partners
Care Transitions: Remember the Basics
Leveraging Family Caregivers, Clinical Protocols and Technology to Improve Person-Centered Care
Development and Implementation of Relational Building in the Virtual Work Environment
Patient and Provider Satisfaction
The Case Management Model Act: Professional Case Managers Transforming Health Care
Index of Advertisers
CMSA Today - Issue 7, 2017 - Intro
CMSA Today - Issue 7, 2017 - cover1
CMSA Today - Issue 7, 2017 - cover2
CMSA Today - Issue 7, 2017 - 3
CMSA Today - Issue 7, 2017 - 4
CMSA Today - Issue 7, 2017 - 5
CMSA Today - Issue 7, 2017 - President's Letter
CMSA Today - Issue 7, 2017 - 7
CMSA Today - Issue 7, 2017 - Association News
CMSA Today - Issue 7, 2017 - 9
CMSA Today - Issue 7, 2017 - CMSA Corporate Partners
CMSA Today - Issue 7, 2017 - 11
CMSA Today - Issue 7, 2017 - Care Transitions: Remember the Basics
CMSA Today - Issue 7, 2017 - 13
CMSA Today - Issue 7, 2017 - 14
CMSA Today - Issue 7, 2017 - Leveraging Family Caregivers, Clinical Protocols and Technology to Improve Person-Centered Care
CMSA Today - Issue 7, 2017 - 16
CMSA Today - Issue 7, 2017 - 17
CMSA Today - Issue 7, 2017 - Development and Implementation of Relational Building in the Virtual Work Environment
CMSA Today - Issue 7, 2017 - 19
CMSA Today - Issue 7, 2017 - Patient and Provider Satisfaction
CMSA Today - Issue 7, 2017 - 21
CMSA Today - Issue 7, 2017 - The Case Management Model Act: Professional Case Managers Transforming Health Care
CMSA Today - Issue 7, 2017 - 23
CMSA Today - Issue 7, 2017 - 24
CMSA Today - Issue 7, 2017 - 25
CMSA Today - Issue 7, 2017 - 26
CMSA Today - Issue 7, 2017 - 27
CMSA Today - Issue 7, 2017 - 28
CMSA Today - Issue 7, 2017 - 29
CMSA Today - Issue 7, 2017 - Index of Advertisers
CMSA Today - Issue 7, 2017 - cover3
CMSA Today - Issue 7, 2017 - cover4
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