2. Home Health is….
Community based healthcare for homebound patients
Home Health serves patients from hospitals, provider groups, post-acute care
and other ancillary providers
Home Visits provided by six disciplines:
 Nursing
 Physical Therapy
 Occupational Therapy
 Speech Language Pathology
 Medical Social Work
 Home Health Aides
67 Providers in Washington State (CON)

3. What Home Health does…
 Prevent
 Falls down stairs, trips on rugs, medication errors, continuation of poor habits
 Educate
 On their recovery or disease process
 i.e. What to and not to eat if you are recovering from an AMI
 Treat
 Would care
 i.e. Wound healing for diabetic patients
 Rehab
 Get patients back to their closest version of thriving
 i.e. Range of motion to get people moving post THR
 Organize and Clarify
 Medications (often over 25 current meds, in addition to expired)
 All of this leads to…
 Keeping people from unnecessarily being admitted to the hospital
 Better quality outcomes, lower cost, happier patients (Triple Aim)

4. EvergreenHealth Home Health…
 275 clinicians/staff
 11,000 patients/year
 120,000 visits/year
 890,000 miles driven
 Top 5 dx:
 Rehospitalization %: 11%
 Without HH, patients generally are rehospitalized 13.9% more often (25% total)
 Impact on our patients..
 1430 more hospital stays OR 6 days of a hospital being completely full
 Cost impact for hospitalization: $17.2M (based on avg. hospital charge of $12K)

5. Post Acute Care’s role: Balancing Act
Needs of patient #1
Financial impact to Post Acute Care providers
 Tight financial margins, difficult to do more with what could be
less
i.e. HH is 2%
Quality & Financial responsibility to parties within Bundle
Balance: Minimum amount of care that leads to greatest outcomes
Care pathways agreed upon by Surgeons and all other providers
through Rehabilitation journey