A new era in home care
Turk, L.; Parmley, J.; Ames, A.; Schumacher, K.L.
Seminars for Nurse Managers 8(3): 143-150
2000
ISSN/ISBN: 1066-3851 PMID: 12029749 Document Number: 515585
Profound changes in policy and reimbursement are ushering in a new era in home care. The transition from fee-for-service reimbursement to prospective payment/managed care and the mandate for outcomes assessment provide opportunities to expand innovative home care models. The authors describe 3 such models: community-based long-term care (exemplified by PACE, Program of All-inclusive Care for the Elderly), home-based primary care (exemplified by the Veterans Administration Home-Based Primary Care program), and disease management programs (exemplified by Group Health Cooperative of Puget Sound). Professional qualifications for the new era, including certification and graduate education for advanced practice nursing, also are described.