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Home, the final frontier, these are the voyages of the modern day health system, to boldly go where no health system has gone before.

I know hospital at home has been around, but now it has been done at scale and is ready to scale even further.

FTA

Mayo Clinic and Kaiser Permanente are investing in Medically Home to expand access to its virtual and in-person care model.

- Medically Home is a virtual and physical delivery model that includes a 24/7 medical command center staffed by clinicians as well as integrations with patients' EHRs and software that supports communication, monitoring and safety system technologies in the home.

- Both Mayo and Kaiser already use Medically Home's care model.

- Adventist Health, ProMedica and UNC Health also use Medically Home's at-home care model.

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If this can be done at scale, why are we building new towers? The answer to how many beds a hospital has is tricky, within the four walls or the beds we manage in the home? I believe that will be a major KPI moving forward. Number of beds managed in the home.

This is exciting on so many levels. Same level of quality, safety and outcomes in the convenience of my home.

#healthcare #healthIT #cio #cmio #himss #CHIME

https://www.beckershospitalreview.com/digital-transformation/mayo-kaiser-strike-joint-investment-in-virtual-hospital-at-home-model-6-details.html

Transcript

This transcription is provided by artificial intelligence. We believe in technology but understand that even the most intelligent robots can sometimes get speech recognition wrong.

  Today in Health it, the story is High Acuity Medical Home explodes on the scene. My name is Bill Russell. I'm a former CIO for a 16 hospital system and creator of this week in Health IT at channel dedicated to keeping health IT staff current. I. And engaged today. No sponsor. Just wanna make you aware of a service we offer.

We do three full length shows on this week in health It every week interview shows new shows and the like. And you may not have time to listen to every show, but we developed clip notes to keep you informed. An email that goes out 24 hours after each show airs on the channel with a summary, bullet points, and two to four short video clips.

Subscribe on our website this week, health.com. Just click on the subscribe button in the upper right hand corner, or better yet, have your team subscribe so you can get the conversation started on the right foot. All right. Here is today's story. I'm gonna do two things. One is I have the actual press release and I have the synopsis, I guess is what you would call it.

What Becker does really well gives you the six details you need to know, and the title of it is Mayo Kaiser Strike Joint Investment in Virtual Hospital at Home Model. Here are the six details. Mayo and Kaiser are investing in medically home to expand access to its virtual in-person care models, so that other health systems and providers can adopt it.

The organization said in a May 13th news release. Medically home is a virtual and physical delivery model. That includes a 24 7 command center staffed by clinicians, as well as integrations with patients, EHRs, and software that supports communication, monitoring, safety systems, technologies in the home.

Number three, the collaboration lets Mayo and Kaiser better tailor care to meet patient specific needs. Mayo Clinic, CEO said. Patients expect and deserve high quality care and excellent outcomes in the convenience and comfortable setting, even when faced with complex medical challenges. And there's a bunch of these quotes, I'll share some of 'em later.

Number four, both Mayo and Kaiser already used medically homes care model. Mayo deployed its Advanced Care at Home program in partnership with Medically Home last July and August at Mayo Clinic, Florida. And Mayo Clinic Health System in Eau Claire, Wisconsin. Number five, Kaiser launched its hospital at home program with the tech services company last year in two regions, Northern California and Oregon Adventist Health, ProMedica and UNC Health also used medically homes at home care models.

So that's the synopsis from Becker's, the longer version of the press release. I'm gonna give you a couple of details from key features of medically homes for virtual and physical care delivery models. It has the command center staffed by an array of clinicians and the integrated care team in the community.

It's a turnkey purpose-Built care delivery chassis that integrates with the EHR provides elements that include the required protocols for high acuity care at the home, rapid response logistics systems and providers of care in the home, integrated communication, monitoring and safety system, technology in the home, and the necessary software platform for orchestrating high acuity care in patients' homes.

One of the demonstrated positive results of the patient's hospital using medically home model have a lower need for recurring hospitalization at 30 and 90 days following a care episode, I. So one last thing from the press release. Mayo Clinic launched this in Florida and Eau Claire, Wisconsin. Some of the things they were delivering, infusion skilled nursing, medication delivery, laboratory and imaging services, behavioral health rehabilitation services care is delivered by a network of community paramedics and nurses and teams under Mayo Clinics.

Clinical direction. Uh, a couple of quotes. I promise you, rarely in the history of medicine do we see such a perfect alignment of policy, technology, and cultural transformation converging to produce a new care paradigm, like acute care at home says Dr. John Halamka, president of the Mayo Platform, another quote.

Increasingly, the future of healthcare will be outside the four walls of the hospital, treating patients in their homes, allowing physicians to treat the whole patient. We see there are individual needs and can integrate critical information such as diet, physical environment, and social determinants of health into the care plans, says Dr.

Steven Perotti, executive Vice President of the Permanente Foundation, and there's some additional quotes if you're interested to learn more, you can hit the press release. The press release actually has a video that goes along with it. It's about a 50 minute video with a bunch of the key players talking about the aspects of this in more detail.

As with every story, I get to do a So what? Why does this matter? Why is it important? This announcement is about provider-led decentralization of care. I. It is being driven by a handful of factors, tailwinds, provided by covid and health equities, technology advancements, regulatory relaxations, and funding and whole person care by taking into account social determinants of health.

This is the future. The future is happening right now. What does this look like practically on the ground command center in Florida? Hub in northwest Wisconsin. Teams in the field that bring the services to patients in their homes. Patients need to be within about 30 miles of the main facility, clinical review of the patient to determine if they're appropriate for the program.

Screening around the home itself isn't an appropriate and safe environment cared for from the command center with local doctors and nurses coming into their home as needed. So that's what it looks like physically and structurally. There's a lot of protocols around this. Things that are built into the EHR protocols around rapid response and care in the home.

This represents an investment in a model that has been tested and is ready to scale. Some 300 patients in Jacksonville, Florida have been through this program through Mayo and have received the same level of quality, safety, and outcomes as they would have at a Mayo facility, and that's according to Dr.

John Halamka. They were able to see the whole person. In the context of the home, which is arguably one of the most important care settings. We can finally see and answer the question of what is the support system for the patient? In one case, determining that they needed to actually feed the patient in order to truly care for the patient and to avoid a readmission.

Seeing the whole person in their home evaluating their surroundings and their support system leads to better outcomes, but also a higher level of patient satisfaction. Healthcare, 2030 people are going to be treated in their home. Start with that premise. It won't start with doctors and patients in cars.

It will start with technology. It won't just be primary care. It will go all the way through high acuity care. It won't be for everyone in every home, especially for high acuity care. The clinical and environment and valuation will probably yield somewhere between 30 and 50% of the high acuity population.

Here's a couple of thoughts on this. For healthcare strategy, I really wouldn't build another building until you start this pilot in your community. Determine the impact of this before you take on the debt required to build a new tower. The second thing. This is an interesting model for health systems that sit at second or third in terms of market share in a specific market.

Instead of rushing to put this in place in your primary markets, consider piloting these in those markets to gain market share. Increase your relevance in those communities. Third, consider non-traditional partnerships. This is a non-traditional partnership, but it is less non-traditional in a 2030 model.

Some people make investments that make sense in 2021 and others make investments that make sense in the future. I like institutions that are making investments in the future of care. Finally, I think this represents a potential for rural care that is still a ways off, but you could see it from here.

Mayo Clinic Care in rural America. I love this vision and I hope it comes sooner rather than later. That's all for today. If you know someone that might benefit from our channel, please forward them a note. They can subscribe on our website this week, health.com, or wherever you listen to podcast Apple, Google Overcast, Spotify, Stitcher.

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