Home Visits Work Better For Health Providers Than Phone Calls — School Parallel?

I’ve posted many times here about the importance of schools making home visits to families.

Here’s an interesting Washington Post article comparing the effectiveness of home visits related to health care with phone calls for the same purpose. Here are a few excerpts:

Health Quality Partners is all about going there. The program enrolls Medicare patients with at least one chronic illness and one hospitalization in the past year. It then sends a trained nurse to see them every week, or every month, whether they’re healthy or sick. It sounds simple and, in a way, it is. But simple things can be revolutionary.

Most care-management systems rely on nurses sitting in call centers, checking up on patients over the phone. That model has mostly been a failure. And while many health systems send a nurse regularly in the weeks or months after a serious hospitalization, few send one regularly to even seemingly healthy patients. This a radical redefinition of the health-care system’s role in the lives of the elderly. It redefines being old and chronically ill as a condition requiring professional medical management.

Health Quality Partners’ results have been extraordinary. According to an independent analysis by the consulting firm Mathematica, HQP has reduced hospitalizations by 33 percent and cut Medicare costs by 22 percent.

Others in the profession have taken notice. “It’s like they’ve discovered the fountain of youth in Doylestown, Pa.,” marvels Jeffrey Brenner, founder of the Camden Coalition of Healthcare Providers….

…..telephone calls — didn’t work. Program after program either failed to help patients, save money or both. “You’ll see some disease management programs out there led by MBAs or people who used to be doctors and are now businessmen,” Brown says. “They’re totally different kettles of fish. They tend to be telephonic, and the telephone centers might be in California or Missouri. They don’t work. We’ve shown it time and time again.”

Thanks to Alexander Russo for the tip.

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