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Home Based Primary Care offers primary health care services to Veterans at their place of residence. These Veterans are often diagnosed with chronic medical conditions and emotional health problems making it difficult for them to schedule and attend appointments in one of our facilities. Home health care is provided by members of a multi-disciplinary team including a doctor, nurse practitioner, nurse, social worker, psychologist, dietician, occupational therapist, physical therapist and pharmacist.
Care provided includes skilled medical and nursing care, health education, rehabilitation services, counseling and support, social work services, nutritional counseling and medication review and support. HBPC works closely with patients, family and caregivers, using a coordinated team approach.
HBPC Differs from Visiting Nurse Association
- Open only to Veterans
- HBPC is open Monday – Friday from 8:00 a.m. – 5:30 p.m.
- Visits are once a week at the most
- All Team members make home visits, including the HBPC doctor and nurse
- HBPC provides episodic and longitudinal care
Who is Eligible for HBPC
Veterans who are eligible for VA outpatient care and have an assigned primary care provider (PCP) within the VA Boston Healthcare System
Veterans living within a defined geographical area:
- Within 15 miles or 30 minutes drive from the VA in Jamaica Plain
- Within 30 miles or 30 minutes drive from the VA in Brockton
- Within 30 miles or 30 minutes drive from the VA in Worcester
Veterans who may potentially benefit from long-term, multidisciplinary, home-based health care, that is non-urgent, non-emergent
Veterans who are interested in participating in the HBPC program
Veterans residing in a home environment that is safe for the patient, caregiver and staff
Patient Aligned Care Team
Based on a complete assessment of patient needs and, in conjunction with the patient, family and/or caregiver, HBPC team members will help patients to develop a plan of care that works for them. As part of care, the HBPC Team will assess the care and support needs of any involved caregiver, as well as his or her ability to continue to provide care. Team members will provide education to the patient, family and/or the caregiver, as needed, and coordinate service delivery with other health care providers within and outside the VA.
Examples of Care
Nursing assessment and care for patients with chronic health conditions such as:
- Congestive Heart Failure
- Diabetes
- Chronic Obstructive Lung Disease
- Dementia
- Hypertension
Support and education for patients and family in self-management of these and other chronic health conditions
Teaching and education in achieving and/or maintaining a healthy lifestyle
Monitoring blood pressure, heart and breathing sounds
Assisting with organizing medications
Wound care
Help with social service needs
Psychological support
Nutritional counseling
Coordination of services
If you are interested in learning more about Home Based Primary Care, contact the HBPC office at 857-364-6772 or 774-826-1340.
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