UCSF

Abstract Recent nationally representative data suggest that between 2 and 6 million Americans are homebound. They are often unable to access office-based primary care and are among the most costly patients in the US health care system, because of a powerful combination of multiple chronic conditions, functional impairment, frailty, and social stressors. Rendering the homebound visible to the health care system is critical to improving care delivery and health outcomes for this vulnerable population and population health efforts. Home-based primary care (HBPC) practices have developed effective approaches to address the clinical needs of this population. Appropriate metrics are lacking to measuring the quality of care delivered by HBPC to this frail population. This session will focus on 1) understanding the characteristics of the homebound population, and; 2) elucidating efforts to address gaps in quality measurement, including the development of quality measures, a national registry, and a learning collaborative for HBPC practices.