Patients Enrolled in Home-Based Primary Care: Expecting Advanced Frailty

Home based primary care (HBPC) has unique advantages for medically complex patients seeking access to primary care. While increasing patient access to care, it simultaneously decreases unnecessary care utilization. As a result, many prior investigations of HBPC have enrolled patients with evidence of recent acute care utilization. Beyond “high-utilizers”, the characteristics of patients who could benefit from HPBC has not been fully elucidated. Virginia at Home (VaH), a HBPC program with a strong outpatient referral base, offers the opportunity to examine patients who are referred from the ambulatory setting.