2023 Hospital @ Home Leadership Summit Speaker Bio
Emily Downing, MD, System Clinical Officer for Population Health, Home Care Services, and Health Equity, Allina Health
Dr. Downing is a board-certified Internist and Geriatrician. She serves as the System Clinical Officer for population health, home care services, and health equity for Allina Health.
Dr Downing graduated from the University of Minnesota Medical School, and completed residency in Internal Medicine and Geriatrics Fellowship at the University of Colorado School of Medicine. She is passionate about population health, care of seniors, care transitions, end of life care, and delivering care in the home whenever possible. She has developed and implemented new models of care in skilled nursing facilities, assisted living facilities and in the home including home based primary care and home hospital care.
Home Hospital Care: Outcomes of Early Discharge, Post-acute Alternative Home Hospital Care
Care models to deliver home hospital care have evolved over the past five years to deliver care both through admission avoidance (completely replacing a hospital stay), and through completing a hospital stay at home while also replacing alternative post-acute services including skilled nursing facility stays and skilled home health. Models delineating home health criteria and home hospital care have gaps in delivering on both the care model, medical necessity criteria, and reimbursement, driven by ambiguity within the current level of care framework particular to this model of care and the affiliated patient population. Allina Health implemented both admission avoidance and early discharge/post-acute alternative home hospital care in May of 2020 and has served over 6,500 patients since inception - 5,000 patients independently and 1,500 in a partnership model. In this presentation, you will learn how early discharge post-acute alternative home hospital care has overall produced improved readmissions and mortality performance while reducing length of stay within comparable populations, while also offering patients a much-desired alternative of receiving care in their home instead of in a facility whenever possible.