Intensive Home-Based Primary Care
A unique part of the Atrius Health care network is our Intensive Home-Based Primary Care program which provides both short-term intensive care and longitudinal primary care for patients who have advancing illness, are at high risk of hospitalization, or need a multi-disciplinary home-based plan of care.
Home visits by nurse practitioners or physicians for short-term, long-term or a one-time visit include:
- Geriatric-focused physical exam including assessment of executive and cognitive functions
- Reconciliation of medications
- Documentation into the electronic medical record with coordination of care between the patient’s primary care team and other specialists
- Advance care planning, including completion of health care proxies and advance directives