Homestead Health: A Proactive Approach to Patient Engagement
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Homestead Health: A Proactive Approach to Patient Engagement

Thomas Franks, President, Homestead HealthThomas Franks, President, Homestead Health Is a crisis brewing in home healthcare? The population of the baby boomers in the U.S. is on track to exceed the 71 million mark by 2030, and those 80 or older will increase to 19.5 million, as established by a research conducted by the U.S. Center for Medicare & Medicaid Services (CMS).

“It’s a freight train coming down the tracks,” says Thomas Franks, president of Homestead Health.

What the sheer number poses for the healthcare industry is a future liability of enormous proportions to accommodate all those needing healthcare. Medicare, Medicaid, and private insurance companies are already beginning to understand the urgency for innovation. And as innovative technologies compete, taking center stage is preventive telehealth.

“It is a move signaling the shift from a reactive healthcare environment to a more proactive approach to do whatever it takes to keep these seniors healthy at home longer and out of the hospital as much as possible,” says Franks.

Home health patients increasingly require medical and communication resources necessary to safely make their own lifestyle choices without putting an additional burden on hospitals and other healthcare agencies. This essentially translates to “being in charge of your health.”

“Homestead Health is excited to be a leader of this advancement in proactive patient engagement,” says Franks. “Because today, we have developed fundamental solutions that many home healthcare companies may not even realize are available,” says Franks.

"CareCaller™ is a simple device for home use, and it works much like the “nurse call buttons,” which have been used by hospitals for decades"

As opposed to the expensive solutions in the market that cost hundreds of thousands of dollars to a large healthcare company, Homestead Health brings forth a simple, low-cost yet profound value proposition anchored on “telecare.” The cornerstone of home health, telecare is proven to help patients be involved with their health, ultimately increasing patient engagement and drastically reducing avoidable readmissions.

“This set us thinking,” says Franks. “How can we effectively deliver medical and health assistance to the patients at home in a way that is not expensive, is easy for them to use and understand, and gets them the healthcare that they need before it becomes critical. CareCaller™, the first Proactive Telecare™ device was born,” states Franks.

Home healthcare providers need to sit up and take notice. Fact is, 27 percent of all 30-day hospital readmissions are avoidable. The average cost of readmission for a patient receiving Medicare is $13,800. CMS’ Hospital Readmission Reduction Program penalizes hospitals for 30-day readmissions. A staggering 81 percent of hospitals suffered penalties in 2018, which translated to $500 million or 0.3 percent of total Medicare payments to hospitals. This problem is inevitable. Even if CMS revamps its approach, the move to curtail healthcare costs will continue to penalize preventable readmissions.

In many cases, healthcare providers sign preferred provider agreements with home health agencies shouldering the responsibility of caring for the chronic patients who have a higher risk of readmissions.


CareCaller™ is based on a new, low-cost proactive telecare technology that increases patient engagement, reduces readmissions, and improves patient satisfaction ratings


However, there is a catch for home healthcare providers. They receive a flat amount per month, and if they are successful in keeping the patients happy and healthy at home, they can pocket the amount not spent. At the same time, if those patients are readmitted, the home health agency will have to bear the brunt of the expenses.

“If deploying relatively inexpensive telecare devices to high-risk patients can save a $13,800 readmission, it bears serious consideration as a strategy to help patients,” says Franks. The telecare solutions can measurably increase home-based patient engagement, compliance with treatment protocols, and in turn, reduce readmissions.

Leveling the playing field for home healthcare providers, Homestead Health ticks all these boxes with CareCaller™, which is proven to alleviate risks, avoid excessive cost, maintain profitability, and reduce readmissions.

The Genesis

Homestead Health is a wholly owned subsidiary of SafeGuardian, LLC which has innovated, developed, and distributed medical alarms to the general public for over fifteen years. About three years ago, Homestead Health collaborated with a large home healthcare client to deploy their technology into the patients’ homes to call visiting nurses. In partnership with the client, Homestead Health conducted a pilot program, which was the genesis of designing and implementing a product line specifically for home health providers.

Homestead Health is the first help alert company to develop a patient call button—CareCaller™—exclusively for home healthcare providers. CareCaller™ is a simple device for home use, and it works much like “nurse call buttons,” which has been used by hospitals for decades. The company started its innovative “Call-Us-First” program and is developing materials, videos, and guidelines to help the patients make the best use of the device when they get it.

CareCaller™ is based on a new, low-cost Proactive Telecare™ technology that increases patient engagement, reduces readmissions, and improves patient satisfaction ratings. “We developed CareCaller™ to help patients get involved with their health because data proves that increased patient engagement is the most effective way to reduce avoidable readmissions,” explains Franks.

What Makes CareCaller Unique?

Be it patients, hospitals, medical centers, nurses, managed care organizations, accountable care organizations, or home healthcare agencies; everyone can use CareCaller™.

How does CareCaller™ simplify the job for homebound patients? The following example can break it down.”White pill or the red?” is the confusion of a wounded patient who returned from a hospital a couple of hours ago. Doubtful about the pill he was supposed to take after dinner and unable to understand the instructions given by the doctor, he presses CareCaller™ button and speaks directly with his home health provider to answer his questions.

CareCaller™ technology is truly innovative, proactive, and completely customizable. It is not a device that can only be used by a particular group of patients in a specific situation, as mentioned above. The help alert device proves effective for any patient who has chronic health issues and is discharged from the hospital, and thereafter, a home health agency takes over the responsibility of their care. The agency assesses the patient’s healthcare needs and the risk they pose for readmissions.

Patients susceptible to high-risk readmissions are provided with a CareCaller™, and they are instructed and encouraged to use it.

“Given the positive impact that alert systems have on home health patients, it simply does not make sense to discharge even a single high-risk patient without giving them a CareCaller™ help alert device,” states Franks.

Simplicity is the key feature of CareCaller™. Patients simply press the SOS button to activate the wireless CareCaller™, which then calls and sends a text notification to everyone on the pre-set contact list. CareCaller™ has advanced communication features including a real-time GPS patient locator, fall detection technology, text messaging, and ability to make/receive calls. Depending on the patients’ need, they are immediately connected to their care team to ask questions about their medical conditions, confirm medications, schedule/reschedule follow-up appointments, or to request urgent nurse assistance.

“We aim to enable the patient to report medical complications or changes in condition before the patient requires advanced treatment. We give them a quick and easy way to get in touch with their caregivers,” explains Franks. CareCaller™ is the only Proactive Telecare™ device that directly calls and texts caregivers remotely and in a very cost-effective manner to address questions, concerns and urgent medical needs without the requirement for costly third-party monitoring.

When The Pilot Program Proved Successful?

It came as no surprise when Accessible Home Health Care teamed up with Homestead Health to improve operational workflows and patient experience. Accessible Home Health Care caters to patients who choose the comfort of home over institutionalized medical care. The healthcare company wanted to explore all avenues to improve communications between their staff and patients, increase CMS customer satisfaction rating, increase the number of provider referrals, and reduce unnecessary hospital readmissions.

A CareCaller™ pilot program was conducted at the Accessible Home Health Care Houston office to establish the benefits of increasing patient engagement by providing chronic home health patients with CareCaller™ devices. Six months after the implementation of the pilot program, the number of ‘missed visits’ dropped by 50 percent while their CMS rating increased by 20 percent to 4.5 stars. Additionally, readmission rates were significantly lower, and patient satisfaction improved dramatically.

With the success of the pilot program, CareCaller™ is now an integral part of Accessible Home Health Care, which has expanded the program to all their franchised home healthcare agencies nationwide.

An Inspired Approach to the Future

The not-so-distant future seems exciting for Homestead Health as they prepare the ground for next-generation wearables to provide patients with easier and healthier lives at home. The planned future wearables include Help Alert Pendants and Help Alert Watches, which are currently under development. The Help Alert Pendant will be retrofitted with components for 4G LTE, Bluetooth, and WiFi connectivity for better cellular services while Help Alert Watch will include built-in two-way voice, video calls, and vital signs monitoring features. “We are very excited about our next generation products that will have the ability to add additional home and health sensors to it and are currently under development,” reveals Franks.

The healthcare industry is on the cusp of employing new medical devices and equipment to keep patients healthy and safe.

“Our goal in the next few years is to spread awareness of Proactive Telecare™ and work with home healthcare companies, payers, and providers dedicated to offering patients a higher level of care,” points out Franks.

Homestead Health is spearheading this movement with its CareCaller™ technology anchored on the belief that it can change a patient’s life. Franks says, “When I sit back, I realize our technology is saving lives every day. That’s the biggest reward we can have in this business.”

- Joe Phillip
    May 21, 2019

Homestead Health News

How New Proactive Telecare™ Is Transforming Home Healthcare

CHEYANNE, Wyo- The facts are undisputed. The number of people needing healthcare is skyrocketing as the population of Americans aged 65 and older grows by over 10,000 per day - expected to exceed 71 million by 2030 according to the U.S. Centers for Disease Control.

As a result, the current healthcare system in the U.S. is facing massive cost increases to care for this onslaught of seniors while payors (Medicare, Medicaid, private insurance companies) struggle to keep costs down.

CareCaller 4GLTE Help Alert System

But there is good news. Following two years of pilot programs, initiatives and clinical trials, the next generation of Proactive Telecare™ technology is delivering impressive results. Yet many home health executives are not familiar with the new features, capabilities and financial/operational benefits. Technological advancements are offering dozens of new capabilities that can positively affect patient outcomes while providing impressive financial returns & cost savings.

Homestead Health has just released a new white paper titled "How Proactive Telecare™ Is Transforming Home Healthcare." It is written for industry leaders in the fields of home healthcare, medical providers, payors, home care agencies, MCO's, ACO's.

What is Proactive Telecare™? The white paper delves into the latest advancement of help alert communications technology. Originally developed and pioneered by Homestead Health, Proactive Telecare™ is a revolutionary technology designed to provide home health patients with a simple, one-button wearable device to call their call their visiting nurse, home health provider, or a 24/7 nurse assist hotline anytime they need medical assistance – just like the nurse call button at the hospital.

For example, a wireless call button – called a CareCaller™ - provides home health patients the ability to communicate immediately with their home health caregiver(s).
This may be to ask a question about their medical condition(s), confirm medications, schedule/reschedule follow-up appointments, report a worsening condition, or to request urgent nurse assistance. Additionally, the innovative Call-Us-First™ program only from Homestead Health helps educate patients on how and when to use their help alert button.

More importantly, the white paper explores all the broad range of benefits Proactive Telecare™ is proving to provide patients – and their healthcare providers. These include Preventing avoidable hospital re-admissions, reducing unnecessary emergency room visits, eliminating Center for Medicare & Medicaid Services andCMS readmission penalties, improving CMS home healthcare patient satisfaction ratings (HHCAHPS), maximizing patient engagement, and improved positive patient outcomes.

Chronic conditions including CHF, COPD and diabetes are among others are all major contributors to avoidable hospital admissions. The good news is that many such conditions exhibit early warning signs that, if identified and responded to immediately, can easily addressed by their home health agency and avoid unnecessary readmissions. The CareCaller™ is designed to alert a patient's home health provider to problems or situations before the patient involves an EMS dispatch, emergency department visit and resulting hospital admission.

Avoiding unplanned emergency room visits by addressing the medical issue(s) at the patient's home, home healthcare providers can also prevent the resulting costly hospital admissions. This can save healthcare providers more than $15,000 for each occurrence – making home health agencies who utilize this technology much more attractive to be the recipient of medical professionals, payors and health system client referrals.

Best of all, for less than fifty cents a day, most home health care agencies can easily afford to provide CareCallers™ to all their home health clients who suffer from multiple chronic conditions or who are classified as high re-admission risk clients due to its low cost and almost immediate return-on-investment.

At typical rates, if a home healthcare provider can reduce its 30-day hospital readmission rate by just 1.52 fewer readmissions per 100 high-risk patients, then the CareCaller™ Proactive Telecare™ solution pays for itself. Each additional avoided re-admission falls right to the bottom line.

Healthcare providers can obtain a free copy of the complete How Proactive Telecare Is Transforming Home Healthcarewhite paper plus the Accessible Home Health Care – Houston case study. The complete CareCaller™ information kit is available for viewing and download on the Homestead Health web site.