Date of Award

2016

Document Type

Dissertation

Degree Name

Doctor of Health Administration

College

College of Health Professions

First Advisor

Walter J. Jones

Second Advisor

Kit N. Simpson

Third Advisor

J. Michael Benfield

Fourth Advisor

Lisa K. Saladin

Abstract

Home-based primary care (HBPC) has been shown to be an effective method of delivering primary care services to high-risk, high-utilizing patients. Federally-Qualified health centers (FQHCs) have historically provided, and continue to provide, comprehensive primary care for a majority of the medically underserved patients across the United States. Often times, the patients that access primary care from FQHCs may experience socioeconomic, behavioral, or physical factors that would make an elderly or home-bound patient eligible for a HBPC program. With increased focus on population health management and a much anticipated transition from fee-for-service to value-based payments, the implementation of this delivery model would seem to be an innovative method of removing barriers for medically underserved populations. The purpose of this research is to analyze the financial viability of implementing this model of primary care delivery in FQHC settings to help improve access to care and improve outcomes in a cost-effective manner.

Rights

All rights reserved. Copyright is held by the author.

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