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The Chicago Forum for Justice in Health Policy: Improving Health by Reaching Patients in the Home

On Friday, August 28, 2015 at Loyola University, Health & Medicine Policy Research Group hosted a meeting of the Chicago Forum for Justice in Health Policy series focused on  Improving Health by Reaching Patients in the Home.

Many health reform initiatives in recent years have focused on helping people to live independently in their homes, reducing hospital readmissions, and providing care to an aging population.  Part of this focus has included moving provision of healthcare out of clinical settings directly into communities and homes for patients who need it.

As the population ages, demand will grow for doctors, nurse practitioners, social workers, and other providers to provide more services in homes of patients for whom traveling to a clinical setting may be difficult.

While the number of physicians providing such care remains small, the number of patients has grown in recent years. Also, some physicians and many in other provider groups, such as nursing, home care, and social work, have continued to provide this type of care, even as the popularity of home care medicine faded in recent decades. What policy changes may be needed to support the reemerging popularity of such models of care?  How does home healthcare provision fit into the broader array of health reforms and health services?

Forum Speakers, Presentations, and Resources:
  • Joe Feinglass, PhD, Research Professor in Medicine-General Internal Medicine and Geriatrics and Preventive Medicine, Northwestern University Feinberg School of Medicine; Board Member, Health & Medicine Policy Research Group (Moderator) - view the article, The Future of Home Health Care
  • Thomas Cornwell, MD, Chairman and Chief Medical Officer, Home Centered Care Institute; Northwestern Medicine Regional Medical Group; Founder, HomeCare Physicians - view the presentation and read the article, Home Care Medicine's Perfect Storm
  • Walter Rosenberg, LCSW, Manager of Transitional Care, Health and Aging, Rush University Medical Center - view the presentation
  • Fred Richardson, MD, FAAFP, Founder & Medical Director, Dr. Richardson's Neighborhood Family Practice in Oak Park, Illinois; Associate Professor and Associate Attending Physician of Family Medicine, Rosalind Franklin University of Medicine and Science, University of Illinois Hospital & Health Sciences System, and Rush University Medical Center in Chicago, Illinois - click here to watch a video about Dr. Richardson which was included in his presentation
  • Dr. Connie L. Zak, DNP, MBA, FNP-BC, Vice President of Healthcare Management, Community Care Alliance of Illinois - view the presentation
This forum included discussions around policy and practice issues related to both home visiting models and transitional care, exploring questions including:
  • How does home-based primary care work?  
  • How do we manage the costs of home-based primary care while getting the value of the services?
  • Does home care fit into the evolving MCO models of care?
  • When is home care medicine the appropriate model of care? 

About The Chicago Forum for Justice in Health Policy:
Each policy forum in The Chicago Forum for Justice in Health Policy series focuses on health reform efforts both in Illinois and in the Chicago area, including discussions of best practices from around the country. Previous events in the series include:

Health & Medicine wishes to thank the Searle Funds at the Chicago Community Trust for its support of this forum.