As you answer the questions below, assume there will be no incremental up front federal funding to pay the additional costs.
Do you now or could you expand within one year to take care of at least 200 IAH-type Medicare beneficiaries? IAH beneficiaries have at least two chronic illnesses, have had a hospitalization in the past year, PLUS use of post-acute care services (home health agency, inpatient rehab or nursing home) AND deficits in 2 or more ADLs.
Do you now have in place or could you expand within one year to be able to report electronically on a smart-phone or laptop simple quality measures (no more than 6) for your practice in addition to patient satisfaction surveys(specifications would be defined)?
Does your program staff/related contractors currently cover on-call after hours and weekends for your house call patients?
If no, could you expand to include housecalls 24/7 within one year with respect to IAH eligible patients?
Do you currently have an electronic health record?
Do you use point-of-care diagnostic technology?
Do you use remote monitoring?
If you answer is no to any of the three technology questions, could you expand within one year to be able to acquire these technologies with respect to eligible IAH patients?
Does your agency have experience with physician/NP directed house call teams providing services to chronically ill patients in their homes?
If the answer is no, could you acquire this experience within one year?
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