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Empowering Hospitals, ACO’s
and Payors

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Please feel welcome to contact our friendly reception staff with any general or medical enquiry call us.

Opening Hours

Monday – Friday            8.00 – 5:00 pm
Saturday                        Closed
Sunday                          Closed

Helping Hospital Systems & ACOs

We take post-inpatient care very seriously at HomeMD Housecall Services. According to CMS, the typical hospital stay for a medicare patient is $13,600. Still, this figure does not include any reimbursement for the subsequent rehab stay or the home health nursing services required to keep the patient out of the emergency room. We can spare Medicare readmission of $13,600 for the lost expense of just $250 if our transitional care and chronic care management teams can collaborate closely enough with hospitals, home health agencies, and other providers engaged in a patient’s care.

The reality is that home health care alone is insufficient since the registered nurses who provide it lack the prescription pads needed to modify clinical orders or drugs “on the fly.” In addition, a single home health registered nurse will unavoidably be interacting with 15 medical professionals, each of whom has a waiting room full of patients clamoring for their attention at that particular time and location. At HomeMD Housecall Services, we don’t have waiting rooms; instead, we deliver our treatment within living rooms, where we can take the time to communicate effectively with the patient’s family, home health nurses, and any other stakeholders.

We maximize the amount of money that Medicare currently spends on the patients’ post-hospital care. What about the time the hospital’s discharge planner spends making phone calls, then following up on those calls, and then making follow-up phone calls to those calls so that a patient’s primary care provider, whom they haven’t seen in months or sometimes even a year, can be contacted to coordinate something? Most of a hospital discharge planner’s day is spent attempting to plan for what will happen once a patient departs the confines of the inpatient institution.

When a patient is unable to follow up with a medical practitioner after discharge swiftly, all the phone calls, all the faxes, and all the work put into protecting the patient from the volatility of things the patient or their relatives may not know how to manage for can “go out the window.” Without the knowledge that a medical provider has seen the patient and is willing to cover their orders for treatment, the homecare company that the discharge planner has been working with is unable to evaluate or treat the patient in their home (i.e., nursing, physical & occupational therapy, home health aide services, etc.); at that point, their patients are at very high risk of re-hospitalization. Here’s where we step in.

We welcome discharge planners from all across Michigan to discover the HomeMD difference for themselves! For you to trust the system once more and know that your efforts will not go to waste, our transitional care team will work closely with you both during and after the inpatient stay. Within 48 hours, the following release, and in most situations sooner if necessary, we will visit our patient (or our new patient as per your recommendation). Whether this visit takes place in person or over the phone, it will be completed as soon as possible.

Then, to ensure continuity of treatment, we will work closely with the home care provider of your choice, or if you coordinate care for one of our patients, we will be pleased to let you know which home care provider the patient is most comfortable working with. Please allow us to do part of that work for you so that we can jointly defend your results!

All of our transitional care team members are registered nurses, and they coordinate post-hospitalization care to ensure that none of our patients ever fall through the healthcare gaps. Even when our patients are too ill, too preoccupied with their condition, or too distracted by their illness to notify us, we are automatically and seamlessly notified when they are admitted to your hospitals because our automated software systems “talk” to your hospital’s software systems.

Our transitional care team gets to work as soon as our systems are alerted. We get in touch with you and the rest of your discharge planning team immediately to ensure that your post-hospitalization care is seamless and well-coordinated. Generally, within 24-48 hours after the patient’s return home, our clinical staff contacts the patient or their family to arrange a post-hospitalization visit after release. For home healthcare to continue with their treatment regimens and control clinical volatility, we visit our patients shortly after discharge at HomeMD Housecall Services, on-site or by telephone. Look no farther than HomeMD Housecall Services when the patients you are discharging have demands that are challenging to handle from a clinic-based practice!

Other Advantages We Offer

While we are brainwashed to believe that "I'm all fixed" after a hospitalization, it is quite the contrary in most situations. The time after hospitalization is often the most turbulent time any patient or their family will face. The hospital system anticipates that home care nursing companies and primary care teams will work with patients and their families to pick up the baton the hospital is handing them to minimize the risk of the patient returning immediately to the inpatient setting. As a result, hospitals discharge patients much sooner than they did years ago. We don't simply take up the baton; at HomeMD Housecall Services, we run with it!
We know that following a hospital stay, you may have several visitors, such as nurses, physical therapists, social workers, and home health aides, come and go from your house. Patients and their families must juggle these appointments, inform other family members, arrange for new medications to be picked up or delivered, and somehow keep an eye out for declines and new medication side effects that they may not be informed about conditions that they are looking up on Google. To give our patients and their families the impression that they have a lamp to lead them through what would otherwise be a bewildering maze of a dark cave, our registered nurse case managers from our chronic care management team will assist you in arranging all of those things.
While we are brainwashed to believe that "I'm all fixed" after a hospitalization, it is quite the contrary in most situations. The time after hospitalization is often the most turbulent time any patient or their family will face. The hospital system anticipates that home care nursing companies and primary care teams will work with patients and their families to pick up the baton the hospital is handing them to minimize the risk of the patient returning immediately to the inpatient setting. As a result, hospitals discharge patients much sooner than they did years ago. We don't simply take up the baton; at HomeMD Housecall Services, we run with it!
We know that following a hospital stay, you may have several visitors, such as nurses, physical therapists, social workers, and home health aides, come and go from your house. Patients and their families must juggle these appointments, inform other family members, arrange for new medications to be picked up or delivered, and somehow keep an eye out for declines and new medication side effects that they may not be informed about conditions that they are looking up on Google. To give our patients and their families the impression that they have a lamp to lead them through what would otherwise be a bewildering maze of a dark cave, our registered nurse case managers from our chronic care management team will assist you in arranging all of those things.
Our team works hard to make every encounter with each patient friendly, concise, and straightforward. We also try to do the same with the systems of caregivers that help our patients, such as you, the home care agency. We promise to be there when you call so we can provide you with the orders you require. There will be no more phone tags, voicemails, or waiting. For your frequency orders and modifications, each provider has a dedicated office assistant who may act on the provider's behalf.
We promise you will never feel like you are chasing us down. We will be pleased to do telephone visits while you are at the homes of our common patients. Since all of our field providers are nurse practitioners, you will always speak to an advanced practice nurse when coordinating care because they have sufficient experience to understand how frustrating it can be to wait for clinic-based providers to respond while making numerous phone calls to complete your task. You already know what your patient needs; all we want to do is provide you with the resources you need to improve their condition.
We promise you will never feel like you are chasing us down. We will be pleased to do telephone visits while you are at the homes of our common patients. Since all of our field providers are nurse practitioners, you will always speak to an advanced practice nurse when coordinating care because they have sufficient experience to understand how frustrating it can be to wait for clinic-based providers to respond while making numerous phone calls to complete your task. You already know what your patient needs; all we want to do is provide you with the resources you need to improve their condition.
The project is entirely financed by cost reductions realized by participating house call practices. IAH generated millions of dollars in savings in its first four years, including $32.9 million in its fourth year (an average cut of $2,819 per recipient). Beneficiaries experienced fewer 30-day readmissions, hospital stays, and ER visits. All areas examined, including follow-up within 48 hours after admission, medication review, and documentation of advanced care preferences, showed an improvement in care quality.