APP - House Calls

Program Overview The Medical House Calls program is specifically tailored to support elderly patients in their desire to age comfortably at home, aiming to minimize hospital readmissions and overall healthcare costs.

This initiative is driven by an interdisciplinary team that delivers comprehensive primary care directly to patients in their homes or assisted living facilities.

Typically serving patients aged 65 and above who face challenges in attending traditional medical appointments, the program primarily assists individuals managing multiple chronic conditions, coping with changes in functional ability, handling polypharmacy, and dealing with frailty or debility.

The primary care services provided through this program involve intensive patient management and meticulous care coordination, with a particular focus on advance care planning.

To ensure optimal patient outcomes, the program team establishes robust partnerships with various healthcare entities, including inpatient teams, hospice agencies, skilled nursing facilities, physical therapy, occupational therapy, mental health services, and county support services.

The geographical coverage of Medical House Calls extends across approximately 48 zip codes in Northern Virginia.

Medical House Calls Inova Job Description Provides safe and effective care to ambulatory patients under the supervision of a collaborating physician.

Utilizes independent judgment in the assessment, diagnosis, treatment planning, and provision of ongoing care to ambulatory patients that is in accordance with nurse practitioner licensure regulations for the Commonwealth of Virginia and delineated in the written Scope of Practice/Protocol for Nurse Practitioner.

Teamwork/Coordination of Care: Demonstrates ability to communicate effectively and work collaboratively with others.

Exhibits respect for and understanding of other clinical disciplines and uses an integrated approach to achieve desired patient outcomes.

Evidence-Based Practice/Learning: Uses evidence-based standards, guidelines, and protocols to the delivery of patient care.

Incorporates new information and approaches, when appropriate, to continuously improve patient care and practice.

Professionalism / Professional Development: Ensures ongoing growth and development of clinical skills and knowledge by assuming responsibility for lifelong learning.

Provides direction and guidance to others regarding practice, also serves as a resource and mentor.

Demonstrates leadership skills through participation in program development.

Experience * Minimum 3 year as Nurse Practitioner Licensure, Education, and Certifications * State License * Valid DEA * Graduate from an accredited program