Moving and Scaling Home-Based Primary Care Phase III: Leveraging Policy Reforms to Scale Home-Based Primary Care

Background

Over the past two decades, there has been a substantial shift to move care to home and community settings for people with complex health and social needs, particularly older adults and those with functional limitations. The COVID-19 pandemic accelerated this shift, as providers rapidly pivoted to delivering care outside of traditional clinical and institutional settings. However, the home setting remains unevenly used and underutilized. As we exit the acute phase of the COVID-19 public health emergency, there is significant opportunity to address the need for Age-Friendly Health Systems by shaping the policy and provider landscape to support home-based primary care.

Project Overview

This project serves to amplify evidence-based policy recommendations to health leaders and thereby strengthen policy efforts to scale home-based primary care. In particular, we plan to translate policy considerations to providers and provide practical guidance to policymakers to make payment and delivery models amendable to home-based primary care. This project builds upon previous home-based care work to address the ongoing need for home-based primary care to improve the health of older adults with complex needs.

For this project, the Center is collaborating with the National Home-Based Primary Care Learning Network, the Home Centered Care Institute (HCCI), and the American Academy of Home Care Medicine (AAHCM) to advance home-based primary care and age-friendly health systems as part of a broader grant, Moving and Scaling Home-Based Primary Care, Phase III: Quality, Training, Advocacy and Policy. The project is supported by The John A. Hartford Foundation, a private, nonpartisan, national philanthropy dedicated to improving the care of older adults. The leader in the field of aging and health, The John A. Hartford Foundation has three priority areas: creating age-friendly health systems, supporting family caregivers, and improving serious illness and end-of-life care. Learn more at www.JohnAHartford.org.

Project Co-Grantee Principle Investigators

**Creating a Culture of High-Quality Care: The National Home-based Primary Care Learning Network**
Bruce Leff, MD Director, The Center for Transformative Geriatric Research Professor of Medicine Johns Hopkins University School of Medicine	Christine Ritchie, MD, MSPH Geriatrician and Palliative Care Specialist Massachusetts General Hospital and Harvard Medical School, Mongan Institute Center for Aging and Serious Illness

**Building the Home-Based Primary Care Workforce: Achieving Scale through Education & Technical Assistance**
Thomas Cornwell, MD Executive Chairman Home Centered Care Institute	Julie Sacks, LCSW President and Chief Operating Officer Home Centered Care Institute

**Making the Connections to Bring Home-Based Primary Care into the Mainstream - Building a National Provider Directory**
Eric DeJonge, MD Chief of Geriatrics for Capital Caring Health American Academy of Home Care Medicine	Marc Arenas, MD Founder, NABR American Academy of Home Care Medicine
Sheridan Reiger Regional Associate Medical Director - Washington State ConcertoCare American Academy of Home Care Medicine	Shada Biabani American Academy of Home Care Medicine

**Moving and Scaling Home-based Primary Care: Leveraging Policy Reforms to Scale Home-Based Primary Care**
Robert Saunders, PhD Senior Research Director Duke-Margolis Center for Health Policy

Publications and Events

Publications: Bridging The Home-Based Primary Care Gap In Rural Areas

Past Events: Leveraging Policy Reforms to Scale Home-Based Primary Care (Virtual workshop) May 30, 2023
Discussion Guide
Workshop Summary

Leveraging Policy Reforms to Scale Home-Based Primary Care: Enhancing engagement in CMS models (Workshop) November 28, 2023
Discussion Guide
Workshop Summary

Bridging a Care Gap: Policy Opportunities for Improving Access to Home-Based Primary Care for Rural Populations (Webinar) December 5, 2023
Webinar Recording

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