Grand Rounds Report: Home-based Medical Care with Eric DeJonge, MD

by Academy of Clinical Excellence on October 28, 2009

At medical grand rounds, there was a homecoming of sorts in that Dr. Eric DeJonge returned to give the ‘Annual Mason F. Lord Lecture’. He began by telling the audience about the butterflies in his stomach that were associated with returning to this campus where he had trained for his residency and fellowship. At the outset and throughout the talk, he acknowledged how his approaches and practices continue to be influenced by the exceptional role models that he learned from while here.
His talk centered on the comprehensive ‘home based care program’ that he coordinates in the community surrounding his hospital in Washington DC. We were reminded that because 10% of Medicare patients account for 60% of costs, it is imperative that we figure out how to more effectively care for this cohort. His program that focuses on the highest risk, largely home bound, frail elderly has focused on providing value in the comprehensive care that they deliver - carefully considering quality together with the associated costs.

The passionate multidisciplinary team that cares for these vulnerable patients includes nurses, social workers, and physicians. Select tenets that have guided the program have included:
- Exceptional individualized care
- Efficient service
- Careful selection of specialist involvement
- Preventing crises
- Reliance on dependable health information technology
- Building trusting relationships with patients and caregivers based on accessibility, openness, and education.

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