Hospital pressures are improving quality of care for patients at home

completely new York resident Rodney Nelson said that will his 77-year-old mother, Dever Taylor, receives medical support through her one-bedroom apartment inside Upper West Side of Manhattan.

Under Taylor’s Medicare plan she is actually able to have a trained home aide come to visit her daily to help with tasks such as cooking as well as cleaning, Nelson said. The aide will also check in on Taylor as well as provide social support. Every three months, a registered nurse will visit Taylor to evaluate her health.

“If she feels she needs to see her nurse sooner, she can call her primary-care physician through her smartphone as well as that will may trigger an earlier evaluation,” Nelson told CNBC.

Nelson said the home accommodations, set up between him as well as his mother’s health-care providers, allow Taylor to maintain her independence while also getting the support she needs. He said his mother, who is actually currently retired, preferred to stay at home rather than in a hospital or a skilled nursing facility.

Taylor’s situation is actually one example of how health care looks for the elderly as well as disabled patients at home inside U.S., some of whom are reporting signs of increased quality of care.

A recent report through The Commonwealth Fund found the percentage of home-health patients who got better at walking or moving around, a key measure of quality of care, rose in every state through 2013 to 2016. The group, which tracks performance in health systems nationwide, also found that will hospital readmission rates for elderly Medicare beneficiaries continued to fall in nearly half the states through 2012 to 2015.

The improvement in care at home comes at a time when hospitals are forced to alter the way they deliver care, which can include providing more outpatient services or consulting patients online. Hospital admissions as well as length of stays have slumped inside U.S. in the past as more people are seeking cheaper alternatives or looking to fulfill their health-care needs more conveniently.

Additionally, the improvement in home-based care comes as incentives created under the 2010 Affordable Care Act, more commonly known as Obamacare, are encouraging cooperation among health-care providers, including hospitals, to reduce unnecessary health costs as well as keep people through being readmitted.

Under the Medicare Shared Savings Program, providers can form what is actually known as an Accountable Care Organization, or ACO. Under ACOs, health-care providers take on the responsibility for coordinating medical care for patients through the doctor’s office to home care, in an effort to improve health outcomes as well as reduce overall costs. ACOs that will successfully lower costs for their patient population are rewarded through bonuses.

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