Long-Term and Post-Acute Care Providers Engaged in Health Information Exchange: Final Report. Eastern Maine HomeCare

10/29/2013

EMHC is an affiliate and the home care and hospice division of EMHS. In 2012, the EMHC covered nearly 1.37 million miles to make 68,323 home care, hospice, and telehealth visits to 3,300 patients.4 Lisa Harvey-McPherson, RN, MBA, MPPM is the President and CEO of EMHC and Vice President of Continuum of Care for EMHS. During interviews, EMHS CEO Michelle Hood, noted the importance of having a Vice President in the health system dedicated to integrating the continuum of care into the health system's strategies.

EMHC is comprised of three agencies with four different sites in northern, eastern, and central Maine serving urban, suburban and rural areas (see Figure J-1). The division was created as hospital systems merged resulting in one home care agency in 2006. The agencies/sites include:

  • Visiting Nurses of Aroostook
    • Caribou (home office for corporation); and
    • Houlton.
  • Hancock County HomeCare and Hospice
    • Ellsworth.
  • Bangor Area Visiting Nurses
    • Bangor.

FIGURE J-1. EMHC Service Areas

FIGURE J-1. EMHC Service Areas

The EMHC division has 230 staff and a multidisciplinary team professional team consisting of physicians, nurses, social workers, aids, care managers/coordinators, physical and occupation therapists and quality/performance improvement staff. They provide home care and hospice services primarily to older Medicare recipients for circulatory, respiratory, injuries, and cancer diagnoses. (Summarized in Table J-1.)

TABLE J-1. EMHC Summary -- Age, Diagnosis and Payers

  Average Age Top Diagnoses   Medicare     Medicaid     Blue Cross     Other Private Insurance  
Home Care   66% are 65 or older   Circulatory System
Respiratory System  
Injuries
62% 9% 8% 21%
Hospice 81% are 65 or older Neoplasms
Circulatory System
Signs & Symptoms
88% 4.5% 3% 4.3%

Telehealth

EMHC has delivered telehealth services for over 10 years and has integrated it into both home care and primary care with the Bangor Beacon Project. Due to the large geographic area covered by EMHC (approximately 6,000 square miles), telehealth has been an important technology in delivering care to individuals in both urban and rural areas. It is also an important strategy in the care delivery and payment projects that EMHS and the Bangor Beacon Community have deployed. To further understand the telehealth program at EMHC, this section discusses the costs, process and outcome measures tracked.


4. See http://easternmainehomecare.org/.

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