Community-Based Interprofessional Home Care of the Older Adult

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The need to reduce the costs of care for the chronically ill has led to the exploration of ways to provide increasingly more complex care in the home, rather than extending hospital stays or institutionalization. Studies indicate that interprofessional home care teams are able to provide comprehensive patient-centered care to community dwelling medically complex older adults with comparable or better clinical outcomes. Participate in this module to learn about the range of interprofessional home care services available to older adults and the criteria for patients to qualify and be certified for skilled home care.

Author Information

Katya Y. Cruz Madrid, MD, FACP
Assistant Professor of Clinical Medicine,
Geriatrics Clinical Physician
Division of Internal Medicine and Geriatrics
Co-Investigator, ENGAGE-IL
University of Illinois at Chicago

Valerie Gruss PhD, APN, CNP-BC
Associate Professor
College of Nursing
Director, ENGAGE-IL
University of Illinois at Chicago

Authors’ Bios
Dr. Cruz Madrid is an Assistant Professor of Medicine in the Division of Academic Internal Medicine and Geriatrics and is Board Certified in Internal Medicine and Geriatrics. Her clinical practice focuses in the care of elderly patients, diagnosis and treatment of dementia, frailty, falls, mood disorders, incontinence, hearing problems and other chronic diseases. Dr. Cruz-Madrid practices at UIC, as well as, Jesse Brown VA Medical Center, where she is involved with the Home Based Primary Care Program.

Dr. Valerie Gruss is Associate Professor in the UIC College of Nursing. She is a board-certified Nurse Practitioner with a broad range of clinical expertise and research experience working in primary care and with multidisciplinary teams in a variety of settings. Dr. Gruss’ position at UIC blends her roles as researcher, clinician and educator.

In 2015, Dr. Gruss was awarded a $2.5 million three year grant through the HRSA Geriatrics Workforce Enhancement Program (GWEP), to create an interprofessional education program for improving the care of older adults. Additionally, $100,000 per year was awarded to Dr. Gruss’ research in Alzheimer’s and associated dementias. She and her team have launched a free mobile app, Dementia Guide Expert for families, available on iOS and Android. In 2016, Dr. Gruss was awarded the GAPNA “Excellence in Research Award”.

Dr. Gruss is clinical consultant/research collaborator on a Federal Demonstration Project for the State of Illinois, “Money Follows the Person”, which transitions eligible seniors out of nursing homes and back to the community. She was awarded the UIC College of Nursing’s ‘2010 Faculty Practice Award’ and was honored with the “Best Care Practices in the Geriatrics Continuum” award by the American Medical Directors Association, 2008.

Dr. Gruss teaches in the UIC College of Nursing graduate nursing program. In pursuit of changing current nursing education to a more interdisciplinary model, she jointly founded the “Collaborative for Excellence in Interprofessional Education”(CEIPE). This group of volunteer faculty represents over 10 disciplines, providing students with interprofessional immersion experiences. Dr. Gruss serves on the UIC Vice Chancellors’ IPE Steering Committee to move the UIC IPE strategic plan forward. In 2016 Dr. Gruss was awarded the UIC “Teaching Recognition Program Award”.

Expert Interviewee

Expert’s Bio
Dr. Cornwell founded HomeCare Physicians in 1997 and has made over 32,000 house calls. His innovative care has received numerous awards including the first ever “House Call Doctor of the Year,” and the “Pride in the Profession” award given by the American Medical Association to four “heroes in health care in America bringing pride to the medical profession.” The American Geriatric Society presented Dr. Cornwell with the 2015 “Arnold P. Gold Humanism in Medicine” award. Dr. Cornwell has received extensive local and national media attention including features in the NY Times, TIME Magazine and PBS. Dr. Cornwell is the past-president of the American Academy of Home Care Medicine. In 2012 Dr. Cornwell received a large philanthropic gift to create the Home Centered Care Institute, a national education and research organization whose mission is to spread house call programs nationally. He has mentored hundreds of medical students, residents, nurse practitioners and physician assistants. Dr. Cornwell graduated with honors from University of Illinois at Chicago Medical School and was selected the outstanding graduate of his class. He did his family practice residency at Lutheran General Hospital.

Memoona Hasnain MD, MHPE, PhD
Professor and Associate Department Head,
Faculty Development & Research
College of Medicine,
Department of Family Medicine
Co-Director, ENGAGE-IL
University of Illinois at Chicago

Module Information

Duration: 30 minutes
Format: Video Stream & pdfs

Module Guide and Handout
Resources & References
Continuing Education Credit Information

In support of patient care, Rush University Medical Center is accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for the healthcare team.

Rush University Medical Center designates this live activity for a maximum of (0.5) AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

This activity is being presented without bias and without commercial support.

ANCC Credit Designation – Nurses
The maximum number of hours awarded for this CE activity is 0.5 contact hours.

Rush University is an approved provider for physical therapy (216.000272), occupational therapy, respiratory therapy, social work (159.001203), nutrition, speech-audiology, and psychology by the Illinois Department of Professional Regulation. Rush University designates this live activity for (0.5) Continuing Education credit(s).

Rush University Medical Center designates this knowledge based CPE activity for 0.5 contact hours for pharmacists.

Learning Objectives

Upon completion of this module, learners will be able to:

Identify the range of home care and community-based services available to older adults to be provided by the interprofessional team
List criteria for patients to qualify for skilled home care services
Differentiate between community services that do and do not require a change in residence

Technical Support / Contact Info

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This ENGAGE-IL learning activity fully complies with the legal requirements of the ADA and the rules and regulations thereof. Learners with special needs can make requests for accommodation at any time by sending e-mail to

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