HHS Holds Listening Session on Accelerating Use of e-Care Plans for Delivery System Reform
May 4, 2015 11:25 AM
The US Department of Health and Human Services (HHS) held a Listening Session on Accelerating Use of e-Care Plans for Delivery System Reform on Monday, April 20. As part of the session, HHS called together health IT policy experts from across the continuum of care including: the National Association for Home Care & Hospice, The Society for Post-Acute and Long-Term Care Medicine, the American Nursing Association, VNA Care Network Foundation, the American College of Physicians, the National Partnership for Women and Families, the American Association of Medical Colleges, and others.
The focus of the listening session was to gain greater awareness of the need to include care plans and advanced care planning in new health care model design and value-based care. This means a greater focus on comprehensive, goal-oriented shared care plans that include dynamic tools to facilitate coordination, planning, and decision-making between all members of the care team. Technology will have an important role in collaboration and ensuring data is accessible and up-to-date. It will also require bringing the various public and private stakeholders into alignment with regards to standards, models and policies.
The session provided examples of providers that have been successfully adopting shared care planning through the use of technology. One example was Eastern Maine Healthcare Systems, a Pioneer ACO, which is participating in a pilot that waives the 3-midnight stay in an acute care facility requirement for SNF level care eligibility. Instead, patients can be admitted to the SNF after a 1-2 day stay in a hospital, as well as from the ER or from a primary care physician’s office. The care plan is crucial to determining whether or not it is appropriate to transition a patient to the SNF. Another example was Kindred Healthcare, a network of home health, nursing/rehab centers, and transitional care hospitals, which is using various electronic health care plans to serve as coordination tools between the three settings.
The groups participating in the session discussed various key strategic questions such as: What are the barriers to shared care planning? What are the necessary Health IT tools? What role should the government play in facilitating its adoption?
NAHC and the other stakeholders came together not only to show their solidarity and commitment toward the development of eCare Plans but to also discuss the barriers and complexities involved with supporting interoperability across the care continuum.
“It was a privilege to be part of the discussion on behalf of home care and hospice providers to emphasize the need for health information exchange and support for the home health plan of care standard,” said Richard Brennan, Vice President of Technology Policy and Government Affairs at NAHC. “We were pleased to provide HHS with our input and add to their conceptualization of eCare Plan development, which is vital to the care delivery system.”