National Academies Press: OpenBook
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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The Future of
Home Health Care

WORKSHOP SUMMARY

Victoria Weisfeld and Tracy A. Lustig, Rapporteurs

Forum on Aging, Disability, and Independence

Board on Health Sciences Policy

Division of Behavioral and Social Sciences and Education

                INSTITUTE OF MEDICINE AND       
NATIONAL RESEARCH COUNCIL
                         OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
×

THE NATIONAL ACADEMIES PRESS    500 Fifth Street, NW    Washington, DC 20001

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This activity was supported by contracts between the National Academy of Sciences and the Alliance for Home Health Quality and Innovation, the American Academy of Home Care Medicine, the American Nurses Association, the American Physical Therapy Association, Axxess, the Community Health Accreditation Program, Home Instead Senior Care, the National Alliance for Caregiving, and Unity Point at Home. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

International Standard Book Number-13: 978-0-309-36753-0
International Standard Book Number-10: 0-309-36753-0

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2015 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine) and NRC (National Research Council). 2015. The future of home health care: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine

The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.

The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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PLANNING COMMITTEE FOR A WORKSHOP ON
THE FUTURE OF HOME HEALTH CARE1

BRUCE LEFF (Co-Chair), Professor of Medicine, Johns Hopkins University School of Medicine

ELIZABETH MADIGAN (Co-Chair), Associate Professor of Nursing, Frances Payne Bolton School of Nursing, Case Western Reserve University

CHRISTINE E. BISHOP, Atran Professor of Labor Economics and Director of the Ph.D. Program at the Heller School of Social Policy and Management, Brandeis University

BARBARA B. CITARELLA, Founder, RBC Limited

THOMAS E. EDES, Executive Director, Geriatrics and Extended Care, U.S. Department of Veterans Affairs

MARGHERITA C. LABSON, Executive Director, Home Care Program, The Joint Commission

TERESA L. LEE, Executive Director, Alliance for Home Health Quality and Innovation

ANNE MONTGOMERY, Senior Policy Analyst, Altarum Institute

IOM Staff

TRACY A. LUSTIG, Forum Director

Y. CRYSTI PARK, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy

______________

1 Institute of Medicine and National Research Council planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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IOM-NRC FORUM ON AGING, DISABILITY,
AND INDEPENDENCE1

ALAN M. JETTE (Co-Chair), Boston University School of Public Health, Boston, MA

JOHN W. ROWE (Co-Chair), Columbia University, New York, NY

KELLY BUCKLAND, National Council on Independent Living, Washington, DC

JOE CALDWELL, National Council on Aging, Washington, DC

MARGARET L. CAMPBELL, National Institute on Disability and Rehabilitation Research, Washington, DC

EILEEN M. CRIMMINS, University of Southern California, Los Angeles

PEGGYE DILWORTH-ANDERSON, Gillings School of Global Public Health, University of North Carolina at Chapel Hill

STEVEN C. EDELSTEIN, PHI, Bronx, NY

THOMAS E. EDES, U.S. Department of Veterans Affairs, Washington, DC

TERRY FULMER, Bouvé College of Health Sciences, Northeastern University, Boston, MA

NAOMI L. GERBER, Center for the Study of Chronic Illness and Disability, George Mason University, Fairfax, VA

ROBERT HORNYAK, Administration for Community Living, Washington, DC

LISA I. IEZZONI, Harvard Medical School, Boston, MA

JUDITH D. KASPER, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

KATHY KREPCIO, John J. Heldrich Center for Workforce Development, Rutgers, The State University of New Jersey, New Brunswick, NJ

NANCY LUNDEBJERG, American Geriatrics Society, New York, NY

RHONDA MEDOWS, United HealthCare, Washington, DC

LARRY MINNIX, LeadingAge, Washington, DC

ARI NE’EMAN, National Council on Disability, Washington, DC

RENÉ SEIDEL, The SCAN Foundation, Long Beach, CA

JACK W. SMITH, U.S. Department of Defense, Falls Church, VA

RICHARD SUZMAN, National Institute on Aging, Bethesda, MD

______________

1 Institute of Medicine and National Research Council forums do not issue, review, or approve individual documents. The responsibility for the published summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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IOM and NRC Staff

TRACY A. LUSTIG, Forum Director

GOOLOO WUNDERLICH, Senior Program Officer, Division of Behavioral and Social Sciences and Education, National Research Council

Y. CRYSTI PARK, Senior Program Assistant

ANDREW M. POPE, Director, Board on Health Sciences Policy, Institute of Medicine

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
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Reviewers

This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:

AMY BERMAN, The John A. Hartford Foundation

MARGARET CAMPBELL, National Institute on Disability and Rehabilitation Research

REBECCA CONANT, University of California, San Francisco, School of Medicine

LINDA DECHERRIE, Mount Sinai Hospital

WARREN HEBERT, HomeCare Association of Louisiana

MELISSA O’CONNOR, Villanova University

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary

Suggested Citation:"Front Matter." Institute of Medicine and National Research Council. 2015. The Future of Home Health Care: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/21662.
×

was overseen by RON ACKERMANN, Indiana University. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.

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Individuals with disabilities, chronic conditions, and functional impairments need a range of services and supports to keep living independently. However, there often is not a strong link between medical care provided in the home and the necessary social services and supports for independent living. Home health agencies and others are rising to the challenges of meeting the needs and demands of these populations to stay at home by exploring alternative models of care and payment approaches, the best use of their workforces, and technologies that can enhance independent living. All of these challenges and opportunities lead to the consideration of how home health care fits into the future health care system overall.

On September 30 and October 1, 2014, the Institute of Medicine and the National Research Council convened a public workshop on the future of home health care. The workshop brought together a spectrum of public and private stakeholders and thought leaders to improve understanding of the current role of Medicare home health care in supporting aging in place and in helping high-risk, chronically ill, and disabled Americans receive health care in their communities. Through presentations and discussion, participants explored the evolving role of Medicare home health care in caring for Americans in the future, including how to integrate Medicare home health care into new models for the delivery of care and the future health care marketplace. The workshop also considered the key policy reforms and investments in workforces, technologies, and research needed to leverage the value of home health care to support older Americans, and research priorities that can help clarify the value of home health care. This summary captures important points raised by the individual speakers and workshop participants.

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