decisionhealth Newsletters, Part B News - 2007 Issue 8 (August)
House Calls: Turn profits with a turn-of-the-century office practice; How to build a house calls program
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Article Overview
This article reviews how medical practices can build a house-calls program for patients with chronic and complex needs. It discusses the general structure of successful home-visit programs, including staffing models, availability expectations, coordination with hospitals and payers, and the use of electronic medical records and wireless tools to support care and documentation. The piece is aimed at physicians, practice leaders, and care-management teams evaluating whether home-based care is a fit for their organization.
Why This Topic Matters
Home-based care is increasingly relevant for aging patients with multiple chronic conditions, and practices considering this model need a high-level understanding of how such programs are organized and supported. The article helps readers assess operational requirements, team design, and technology needs before investing in a house-calls service.
Article Sections
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How to build a house calls program
Introduces the home-visit care model and explains why some practices are exploring it as a service option for medically complex patients.
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Reduced hospitalizations
Describes the care-management and utilization-reduction focus of house-calls programs, along with references to organizational experience and broader policy interest.
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Be available 24/7
Covers staffing patterns, coverage expectations, and differences between urban and rural program design for continuous patient access.
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Get an EMR
Discusses the role of electronic records and connected technology in supporting documentation, communication, and home-based patient monitoring.
What You Will Learn
- Why some practices are expanding into home-based care
- How house-calls programs are generally organized
- What staffing and availability considerations matter in a home-visit model
- How electronic records and wireless tools support home care workflows
- What broad operational factors influence program viability
Who Should Read This
- Physicians
- Family medicine and geriatrics practices
- Practice administrators
- Care coordination teams
- Home-based care program planners
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