VA Palo Alto Health Care System
Home Based Primary Care - FAQs
What is Home Based Primary Care?
Home Based Primary Care (HBPC) is a home care program that provides comprehensive, interdisciplinary, primary care for Veterans with complex medical, social, and behavioral conditions. Veterans appropriate for the program are limited in their ability to leave their homes due to chronic illness. The primary focus of HBPC is on longitudinal (continuous) care. The availability of HBPC is restricted to certain geographic areas in and around Palo Alto, San Jose, and Modesto.
What services are available?
- Primary Care Management;
- Interdisciplinary assessments and team treatment planning;
- Skilled nursing services include: monitoring and management of chronic illness, wound care, catheter care, lab tests, electrocardiograms, injections, medication management, promotion of health and wellness and independence.
- Emergency and long-term care planning;
- Health education for the Veteran and caregiver;
- Individual and family counseling to support coping and serious illness and loss;
- Nutritional education and diet consultation;
- Medication consultation and education;
- Occupational Therapy services include: home safety assessment, activities of daily living training, evaluation for adaptive equipment and home modification.
- Individualized rehabilitation instruction;
- Information and referrals to programs and agncies in the VA and community.
How often is care provided?
Home visits are made by different team members. How often visits are made depends on the Veteran's condition. On the average, new enrollees are seen at home about once per week. HBPC team members are available to the patient and/or family by telephone 24 hours a day and seven days a week to respond to problems that arise between visits. If necessary, home visits are made in response to new problems.
How long does HBPC last?
It depends on the Veteran's condition. Most enrolled Veterans continue to receive care as long as they have an ongoing need for home care and have adequate support to live independently at home.