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Ankota: Ushering in the Next Generation of Homecare Blog

Report of EVV ‘Firestorm’ Draws Home Care Industry Pushback

Posted by Ken Accardi on Feb 21, 2018 5:39:35 AM

A post from Tim Mullaney reporting complaints related to rollout of EVV for home care in the state of Ohio. This post was first published on homehealthcarenews.com.

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Topics: EVV, electronic visit verfication

Mobile Medicine: a Glimpse at How New Technology Is Making Healthcare More Accessible

Posted by Ken Accardi on Feb 19, 2018 11:00:00 AM

Ankota provides mobile access to our SaaS (Software as a Service) platform as well  as multiple portals for referrals, patients, families and caregivers, etc.  These portals andour mobile app make it easier for home care agencies to deliver the best care possible.

Technology is also making it easier for consumers and healthcare practioners to get the information that they need, when they need it.  Here are a few:

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Topics: Future of Health Care, technology, mobile medicine

Achieving Affordable Population Health Management

Posted by Ken Accardi on Feb 12, 2018 11:00:00 AM

Population health is a goal that is being discussed more and more, but still seems to be the elusive third leg of "The Triple Aim."  This may be because we're going about it the wrong way. I read an interesting but somewhat disappointing article on openminds.com entitled How Do We Automate Population Management?  The reason that I found the article disappointing is that they really made no attempt to answer the question implied by the title. Instead the article should have been entitled "It's too hard for healthcare organizations to automate population health management because we only know one way to deliver care and it's not automated and requires us to do research and we can't find the data." More specifically, the article cites the age old problem of disparate and unstructured data in healthcare and shares the diagram below as an explanation of why nurses need to spend all of their time searching for data and thus have no time left to do anything about in. We generally try to stay upbeat in the Ankota blog, but I challenge you to read the article and come to any other conclusion.

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

Demystifying Consumer Directed Services (CDS) Models of Home Care

Posted by Ken Accardi on Feb 5, 2018 11:00:00 AM

Some states have authorize home care models where the care is directed by the consumer receiving services. These models are often referred to as Consumer Directed Services (CDS) and sometimes referred to as registry models or Employee of Record models. In many cases these programs are administered by home care agencies, but the caregivers are not employees of the home care agency.  For agencies who are not participating in these models of care it can be very confusing, and even agencies who do participate in these care delivery models often have trouble complying with their expectations.

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

Electronic Visit Verification and Rounding Rules

Posted by Ken Accardi on Jan 29, 2018 11:00:00 AM

Let's start today's blog post with a provocative statement:

"The adoption of Electronic Visit Verification (EVV) means that it will be the end of perfect time sheets"

How can this be?  Shouldn't EVV give us better time sheets?

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

Pennsylvania Institutes New Reimbursed Home Care Program

Posted by Ken Accardi on Jan 22, 2018 11:00:00 AM

There's a lot of discussion in the media about the defunding of Medicaid. We can't say that home care is exempt from this concern, but from what we're seeing most states are supporting and even enhancing their medicaid programs.

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

Decentralization of Home Care suggested by New England Journal of Medicine

Posted by Ken Accardi on Jan 15, 2018 11:00:00 AM

This blog frequently discusses the possibility of a health care system where hospitals aren't in the enter, but rather home and community based care take center stage. Our thesis is that when you avoid hospitalizations and especially emergency department visits, especially for the elderly, that we achieve higher satisfaction with the health system at lower cost...  As it turns out, the New England Journal of Medicine (NEJM) agrees.

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

Value of Home Healthcare Proven in Cleveland Clinic Study

Posted by Ken Accardi on Jan 8, 2018 11:00:00 AM

A study performed by the Cleveland Clinic has proven that discharging patients from hospitals to home healthcare saves a per patient average of $6,433 in the first year after discharge, and reduces readmissions by 18% and deaths by 20%.  The full report is entitled "Impact of Home Health Care on Healthcare Resource Utilization Following Hospital Discharge: a Cohort Study" and will be published in the American Journal of Medicine. 

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

Home Care Combined with Healthcare can be Transformative

Posted by Ken Accardi on Jan 1, 2018 11:00:00 AM

The landscape for the home care market has always been shaped by the available reimbursement for care. This won't change, but the care models of the future will evolve and will move to a model that requires the combination of skilled care services, with non-medical home care services and monitoring.

Why will Home Health and Home Care need to combine?

The value of the combination of home health and home care is significant. Here's why:

  • The health of populations is only 20% related to health care matters. The other 80% is related to shelter, food, companionship and activities of daily living (ADLs). Non-medical caregivers can focus on the 80%.
  • With the growth of the elderly population, there simply won't be enough care providers (on both the medical and non-medical side). Organizations that can provide both can identify synergies and reduce overall cost
  • In a combined organization, there is an opportunity to train non-medical caregivers to perform healthcare oriented tasks under the direction of skilled staff. This creates career paths and allows skilled resources to cover broader populations
  • Non-medical caregivers can observe patients/clients and escalate early warning signs of issues that can lead to hospitalizations. Read more here.

Bonus predictions:

Despite all of the great benefits described above, it still won't be enough to deal with the growing elderly population that is more than doubling in the next 20 years. Two additional measures will need to put in place to close the gap, as follows:

  • Affordable Patient Monitoring: We will need to check in with patients between visits, but telehealth is too expensive. The affordable way to do this is via automated phone calls and text messaging. Whereas telehealth generally costs over $100 per patient per month, new approaches (including Ankota's Foresight Care [tm]) can be deployed for under $10/month.
  • More Care will need to be delivered via phone: A home health nurse in an efficient home health organization sees up to 6 patients per day. By contrast, a nurse in a call center can outreach to 30 or more patients per day

Free Foresight Care Demo


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Topics: Home Care Best Practices, Home Care, Care Transitions, Home Health

An Evolving Profession: a Quick Look at the Modern Development of Nursing

Posted by Ken Accardi on Dec 18, 2017 11:00:00 AM

Over the past 150 years or so, the nursing profession has changed enormously. At one time it was a a limited vocation. It’s now a respected career for thousands of dedicated, trained and well-educated people of both genders. If you’re attracted to nursing as a career, take a few minutes to think about how it’s evolved, as well as some more current trends.

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Topics: Private Duty Agency Software, Home Care Best Practices, Care Transitions, April 2017 Newsletter

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About Ankota

Ankota provides software to improve the delivery of care outside the hospital, focusing on efficiency and care coordination. Ankota's primary focus is on Care Transitions for Reeadmisison avoidance and on management of Private Duty non-medical home care. To learn more, please visit www.ankota.com or contact Ankota.

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