A new era in home care.
Profound changes in policy and reimbursement are ushering in a new era in home care. The transition from fee-for-service reimbursement to prospective payment/managed care and the mandate for outcomes assessment provide opportunities to expand innovative home care models. The authors describe 3 such models: community-based long-term care (exemplified by PACE, Program of All-inclusive Care for the Elderly), home-based primary care (exemplified by the Veterans Administration Home-Based Primary Care program), and disease management programs (exemplified by Group Health Cooperative of Puget Sound). Professional qualifications for the new era, including certification and graduate education for advanced practice nursing, also are described.
Turk
L
L
Patient Care Services, Vanderbilt Home Care Services, Nashville, TN, USA.
Parmley
J
J
Ames
A
A
Schumacher
K L
KL
D018588:Fee-for-Service Plans; D006699:Home Care Services / Q000191:economics* / Q000458:organization & administration / Q000639:trends*; D018575:Home Care Services, Hospital-Based / Q000191:economics; D006801:Humans; D008134:Long-Term Care / Q000191:economics; D014481:United States