Professional Documents
Culture Documents
Shane Spotts Director, Indiana Division of Rehabilitation Services May 18, 2012
Triple Aim
Improving the individual experience of care; Improving the health of populations; and Reducing the per capita costs of care for populations.
DDRS Health Homes: The Why, What, Who, and How What are Health Homes
An evolution of the medical home model, health homes are intended for individuals with chronic conditions with care coordination efforts incorporating all the medical, behavioral health, and social supports and services needed by a beneficiary.
DDRS Health Homes: The Why, What, Who, and How What are Health Homes?
Additional emphasis is placed on the use of health information technology (HIT) to enhance care coordination efforts. States can elect to provide the health home option through a state plan amendment.
DDRS Health Homes: The Why, What, Who, and How Health Homes Services
Comprehensive care management; Care coordination and health promotion; Comprehensive transitional care from inpatient to other settings, including appropriate follow-up; Individual and family support, which includes authorized representatives; Referral to community and social support services