Hospital-Home Care Collaboration

Under a grant from the Mother Cabrini Health Foundation, the Home Care Association of New York State Education & Research (HCA E&R), the Healthcare Association of New York State (HANYS), and the Iroquois Healthcare Association (IHA) have developed a Statewide Hospital-Home Care Collaboration program.

The purpose of this program is to improve hospital-home care synchronization for front-end/pre-acute hospital care as well as far-end/post-hospital care, recovery, and long term support.

As part of this effort, HCA E&R, HANYS, and IHA have curated and hosted a series of webinars featuring prototypes of hospital and home care collaboration models that can be emulated by other providers statewide — working together, across settings.

This initiative also includes a library of online resources and tools to assist hospital-home care collaborative development, provide technical assistance, and further education on identified collaboration needs and issues.

WHY COLLABORATION

Hospitals and home care providers have long worked in a coordinated fashion. Pre-acute home care helps prevent avoidable hospitalizations, while post-acute home care helps in the recovery process.

Together these efforts ensure that patients do not end up admitted or readmitted to the hospital unnecessarily, so that hospitals can dedicate resources where they are most needed for emergency, critical, surgical, trauma and/or other specialty care.

This is especially important during medical surges, like in the COVID-19 pandemic, which has placed enormous stresses on hospital capacity, further necessitating strong mutual support partnerships across settings. 

WEBINARS & RELATED RESOURCES

WATCH Webinar: CROWN & CARES Program for Managing Acute and Chronic Needs of COVID Patients at Home | Northwell Health and Northwell Home Care | Related Resource:

WATCH Webinar: High Risk/High Need Patient Collaborative | Nathan Littauer Hospital, Community Health Care Center of St. Mary’s and Nathan Littauer Hospital

WATCH Webinar: Critical Illness Recovery Program | University of Rochester Medical Center, URMC Home Care 

WATCH Webinar: eMOLST Physician-Hospital-Home Care Collaborative | Dr. Patricia Bomba, NYU Hospital, Visiting Nurse Service of New York | Related Resources:

WATCH Webinar: Integrated Care and Care Management Collaborative | Gurwin Health Care System, Stony Brook Hospital, Stony Brook Physician Practice

WATCH Webinar: Pre-acute/Post-acute Collaborative | Mount Sinai South Nassau, South Nassau Home Care

WATCH Webinar: Population Health Collaborative and Analytics Partnership | Upstate Medical Center, Nascentia Health, Upstate Home Care

WATCH Webinar: Utilizing Strategic Design to Foster Homecare-Hospital Collaboration Initiatives | M.S. Hall & Associates 

GENERAL COLLABORATION RESOURCES

CLINICAL AREAS FOR COLLABORATION

The following conditions are among those that account for a high number of potentially avoidable hospitalizations.

Sepsis

Pressure Ulcers

LAWS, POLICIES GOVERNING COLLABORATION

TELEHEALTH & COLLABORATION

PERSON-CENTERED CARE FOR COLLABORATION