Physician
- You are the head coach and should be communicating with the team owner (the patient) as frequently as possible.
- A physician with the aid of a case manager generally refers the patient for Home Healthcare. Prior to referral the physician
- Makes the appropriate diagnoses
- Creates the preliminary treatment plan
- The physician’s role in home care is evolving.
- Intensive home care is now being heavily utilized in Australia, New Zealand, the United Kingdom and France. (See Perspective: Extreme Home Makeover N Engl J Med 2016; 375:1707-1709)
- These teams are led by physicians and require highly effective multidisciplinary teams.
- Diseases where this approach is found to be most effective include:
- Exacerbations of heart failure or chronic obstructive pulmonary disease
- Stable pulmonary embolism or deep-vein thrombosis
- Pneumonia
- Skin or soft-tissue infections such as cellulitis.
- Intensive home care is now being heavily utilized in Australia, New Zealand, the United Kingdom and France. (See Perspective: Extreme Home Makeover N Engl J Med 2016; 375:1707-1709)