Innovative Home Visit Models Associated with Reductions in Costs, Hospitalizations, and Emergency Department Use

Sarah Ruiz
Lynne Page Snyder
Christina Rotondo
Caitlin Cross-Barnet
Erin Murphy Colligan
Katherine Giuriceo
Peer-Reviewed Article
March 2017

This resource explores the value of five different home visit program models.

  •  Home visits offer a way to reach high-risk, high-needs patients before a higher level of care is needed, thereby reducing costs, emergency department (ED) use, and hospitalizations. Home visits can also help address issues such as lack of transportation or limited mobility.
  • These models use teams of registered nurses or lay health workers.
  • The home visit models provide support in six categories: care coordination, beneficiary or caregiver education, referrals to home and community-based services and supports, disease management, advance care planning, and improving the home safety environment.
  • Components associated with greater success included: targeting interventions to individuals most likely to benefit, recruiting experienced staff, using assistive technology, and providing on-call access to providers after hours and on weekends.
  • Four of the five home visit models were associated with significant reductions in measures of costs, hospitalizations, or ED use.
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