The focus of this program is to discuss a model of care that extends the reach of a healthcare system, on-demand and beyond the walls of hospitals, thereby adjusting to changing consumer preferences and achieving value-based goals.

In the Las Vegas market, UnitedHealthcare partnered with in-home acute care provider DispatchHealth to develop a new program addressing high emergency department and inpatient utilization among its commercial and Medicaid members. Named the “Plan Directed Visit Program,” it actively engaged with health plan members who have a history of ED utilization and chronic conditions through a zero out-of-pocket, multichannel approach that delivers whole-person, clinically integrated care to their homes. The program has completed 8,000 home visits since its implementation in April 2019. The value of this partnership proved particularly beneficial at the height of the COVID-19 pandemic. By extending home-based care, the program was able to prevent nearly 3,500 of Las Vegas’s most vulnerable population, who would have fared very poorly if infected with COVID-19, out of the hospital(s) where facility-acquired infection rates were of particular concern. This pool of ED diversions resulted in $3.2 million in cost savings while addressing emergency room congestion and reducing the burden on overwhelmed front-line workers. The program has also increased primary care engagement by 35% as remote caregivers educate members on the importance of developing a PCP relationship while they are in the home.

This model enables payers, providers, health systems, EMS, employer groups, and others to scale acute care services into the home quickly. By offering a home-based, complimentary service line, organizations lessen the burden of unnecessary ED visits, hospital stays, readmissions, skilled nursing facility stays, and maintain a focus on right-size care. ACHE Fellow Dave Dookeeram and Dr. Tibaldi will discuss the program’s genesis, governance, operations, and performance. They will touch on scalability and the financial sustainability of the model, along with the demonstrated achievement of the Quadruple Aim goals of lowering total cost of care while improving outcomes and elevating both the patient and the provider satisfaction.

Learning Objectives:

• Understand the patient-centered care model and how it relates to improving relationships between caregivers and patients, provision of care and system features.
• Name the four most important ways your buildings impact care delivery and when you need to discuss them with your architect.

Speakers:

Dave Dookeeram, FACHE, FHM
Executive Vice President/Chief of Staff, DispatchHealth

Laurine Tibaldi, MD, FACP
Chief Medical Officer, UnitedHealthcare

This session was originally presented at the 2022 Congress on Healthcare Leadership.

Continuing Education Credit

ACHE Qualifying Education Credit

This recording is eligible for 1 ACHE Qualifying Education credit.

ACHE Education credits will be automatically updated in your My ACHE account upon completion of the recording.

Interprofessional Continuing Education Credit

In support of improving patient care, the American College of Healthcare Executives is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the American Academy of PAs (AAPA) to provide continuing education for the healthcare team.

This activity was planned by and for the healthcare team, and learners will receive a maximum of 1 Interprofessional Continuing Education (IPCE) credit for learning and change. For further information about Joint Accreditation credits and certificates, please click here.

Physician Continuing Medical Education

The American College of Healthcare Executives (ACHE) designates this live activity for a maximum of 1 AMA PRA Category 1 Credits^™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Continuing Nursing Education

The American College of Healthcare Executives designates this live activity for a maximum of 1 contact hours of continuing nursing education.

Continuing Pharmacy Education

The American College of Healthcare Executives designates this knowledge-based activity for a maximum 1 contact hours of continuing pharmacy education credit. 

Continuing Social Work Education

The American College of Healthcare Executives designates this knowledge-based activity for a maximum 1 contact hours of continuing social work education credit.

Continuing Education for Dietitians

The American College of Healthcare Executives designates this knowledge-based activity for a maximum 1 contact hours of continuing education credit for Registered Dietitians and Dietetic Technicians, Registered. RDs and DTRs should enter activities offered by jointly accredited providers as type 102 on Professional Development Portfolio (PDP) activity logs. CPEUs awarded must be commensurate with participation in the activity.

Physician Associate/Physician Assistant Continuing Education

The American College of Healthcare Executives has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for a maximum of 1 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.