EMA is now the majority owner of Capital Coordinated Medicine, an innovative house call practice that provides home-based healthcare for frail and elderly patients in Maryland, Washington, D.C., and Northern Virginia.
Amy Schiffman, MD, MHS, is the George Washington University-trained emergency physician who started the practice as Capital House Calls in May 2011. After working in Washington-area emergency departments for several years, she was eager to address some of the specific challenges that older, frail patients faced in accessing care.
“I really enjoyed geriatrics and wanted to help people who seemed like they were not being advocated for,” says Schiffman, who remains Capital Coordinated Medicine’s president. “I wanted to see if there were ways to keep these people out of the hospital.”
Schiffman began providing primary care to patients in their homes or assisted living facilities and soon had to hire additional physicians and advanced practice providers to keep up with demand and expand services to include palliative care and post-discharge transition care. Today, the practice has more than 600 patients. Their average age is 82 years old and most are Medicare fee-for-service beneficiaries who are home-bound and live with multiple chronic health issues.
Capital Coordinated Medicine is EMA’s first venture into outpatient medicine. As financial incentives and penalties for readmissions motivate hospitals to minimize unnecessary ED visits, EMA Business Development Consultant Zac Corrigan expects emergency medicine practices everywhere to seek opportunities to participate in the broader continuum of care.
“The emergency medicine landscape is changing so fast,” Corrigan says. “Dr. Schiffman has built a practice around managing these super high-risk users in the Medicare world. Her rate of admissions and her rate of ED utilization for her patients are radically lower than those people out in the community being managed by a doctor in an office. Capital Coordinated Medicine gives us this unbelievable tool that we can offer to our existing partners, and the ability to build partnerships and business relationships with potential new clients.”
The partnership with EMA, which began May 1, 2015, will bring Capital Coordinated Medicine much needed administrative support and resources for managing the rapidly growing business, Schiffman says. By the end of 2015, she anticipates that her staff will have grown from five providers to 22 in one year.
For more information about Capital Coordinated Medicine, visit www.capcoordinated.com.