Know the Issues



Back to the Future: Independence at Home

The Affordable Care Act (PPACA) calls for the implementation of Independence at Home demonstration projects for the highest-cost Medicare beneficiaries who have multiple chronic conditions — a model of care that uses interdisciplinary teams to bring coordinated primary care to older adults in their homes.

play webinarIn the webinar we:

  • Describe the importance and evidence base for providing home-based primary care to older adults
  • Provide an overview of the model itself
  • Highlight key elements through case presentations
  • Address key issues important to effective implementation


Read the full summary of the webinar here.

Supporting materials:


Individual Speaker Presentations (these are included, with audio, in the full recording):





Importance of Home-Based Primary Care: Why Older Adults Need It
Bruce Leff, MD, Co-Director, Elder House Call Program, Professor, Johns Hopkins University School of Medicine




Overview of the Independence at Home (IAH) Act
George Taler, MD, Director, Long-Term Care, Washington Hospital Center, Professor, Clinical Medicine, Geriatrics, Georgetown University

Case Studies:




How the Independence At Home House Call Model Works
K. Eric De Jonge, MD, Director of Geriatrics, Washington Hospital Center

ElderPAC: Sewing a "Program of All-Inclusive Care for the Elderly" Quilt from Community-Based Patches
Jean Yudin, MSN, RN, CS, Director & Nurse Practitioner, Truman Schnabel In-Home Program, Division of Geriatric Medicine, Adjunct Clinical Professor, School of Nursing, University of Pennsylvania Health System; and
Jeannette Gallagher, MSW, Social Worker, Ralston-Penn Center, Geriatric Clinical Practice, Division of Geriatric Medicine, University of Pennsylvania Health System