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It defines medical respite, explains core guiding principles, and describes why people experiencing homelessness face higher hospitalization rates and ED use. The guide also covers scope of care, service range, care standards, program design, facility types, housing and discharge planning, funding sources, partnership models, data sharing recommendations, and payment approaches, including practice examples such as California.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medical-respite-playbook-a-practical-guide-for-managed-care-plans-october-2023/514553/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medical-respite-playbook-a-practical-guide-for-managed-care-plans-october-2023/514553.png","ImageObject",300,407,{"name":92,"@type":93},"Cipher","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-10-06",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is medical respite care, and how is it used within the health care continuum?","Question",{"text":112,"@type":113},"Medical respite care is defined as acute and post-acute medical care for people experiencing homelessness who are too ill or frail to recover while living in shelter or on the streets, but not sick enough for a hospital. It is positioned as part of the health care continuum to support recuperation and improve outcomes.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What guiding principles distinguish medical respite care?",{"text":117,"@type":113},"Medical respite care is guided by trauma-informed care, client-centered care, collaborative care, and disrupting cycles of homelessness. These principles are woven through programs and service delivery to ensure care is grounded in the needs of the people served.",{"name":119,"@type":110,"acceptedAnswer":120},"How can managed care plans partner with medical respite programs, including data sharing and payment approaches?",{"text":121,"@type":113},"The playbook provides suggestions for MCPs to partner with respite programs, including tips on data sharing and payment approaches. It also offers examples of established relationships between medical respite programs and MCPs to illustrate practical partnership models.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},514553,1791436252,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},687208528416,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Medical Respite Playbook:  \nA Practical Guide for Managed Care Plans  \nOCTOBER 2023  \nTable of Contents  \nIntroduction 3  \nMedical Respite 101 3  \nScope of Care 6  \nRange of Services Provided 7  \nStandards for Medical Respite Care 8  \nProgram Design 9  \nModels of Medical Respite Care 9  \nFacility Types 10  \nHousing and the Discharge Planning Process 12  \nKey Funding Sources 13  \nHospitals 14  \nLocal and State 15  \nHRSA 15  \nPrivate Donations & Foundations 15  \nMedical Respite Care & Managed Care Organization Partnerships 16  \nData Sharing Recommendations 16  \nPayment Approaches 18  \nExamples in Pracitce 20  \nCase Study: The State of California 22  \nExamples in Pracitce 25  \nLocal Level Action Steps to Improve Partnerships 27  \nConclusion 28  \nIntroduction  \nThe goal of this Playbook is to provide Managed Care Plans (MCPs) with information about the philosophy and practice of medical respite care, and offer suggestions on how MCPs can most effectively partner with medical respite care programs. The Playbook will first present Medical Respite 101, with information about scope of care, range of services, and standards of care applicable to medical respite services. The Playbook will then look at program design, including Models of Care, types of facilities, and typical funding sources utilized by medical respite programs. The following section will present ways in which medical respite care can share benefits with MCPs—including tips on data sharing and payment approaches—and offer a few examples of established relationships between medical respite programs and MCPs. Finally, the Playbook will offer some recommendations, including lessons learned from California, the state that has the most medical respite care programs in the country.  \nMedical Respite 101  \nMedical respite care is defined as “acute and post-acute medical care for people experiencing homelessness who are too ill or frail to recover from a physical illness or injury while living in shelter or on the streets, but who are not sick enough to be in a hospital.”i T he terms “medical respite” and “recuperative care” can be used interchangeably. Medical Respite Care’s role within the Health Care Continuum can be seen in the visual below.  \nMedical Respite Care’s Role within the Health Care Continuum  \nThe four Guiding Principles of medical respite care are trauma-informed care, client-centered care, collaborative care, and disrupting the cycles of homelessness. The Guiding Principles are woven throughout medical respite programs and their service delivery, and collectively ensure that care is grounded and centered in the needs of the people it is intending serve. The Guiding Principles are what differentiate medical respite care from other types of care that exist. ii  \nPeople experiencing homelessness have higher hospitalization rates than the general population, including emergency department (ED) visits and inpatient admissions. iii Researchers have hypothesized that increased acute care use can be attributed to several factors including:  \nHigh prevalence of predisposing conditions;  \nEmergency shelters typically offer only overnight accommodations: Guests typically arrive late in the afternoon, receive a hot meal and shower, and are required to leave early the following morning. Many emergency shelters do not allow guests to stay during the day, for various reasons. For example, some expect their clients to spend the day searching for employment, while others lack the resources to provide daytime staffing, or they utilize that time for facility maintenance. Even for those who are not ill, navigating through a day without easy access to bathrooms, food, or a place to rest can be exhausting. Shelter staff may not have the necessary  \ntraining or feel equipped to handle or monitor people with significant health needs. Additionally, there are individuals who choose not to use the shelter system, feel unsafe in shelters, or have been disqualified from using the system, ","cbCaijXimDTnwMm1","https://ap.wps.com/l/cbCaijXimDTnwMm1","pdf",1054507,29,"English","# Introduction\n# Medical Respite 101\n## Scope of Care\n## Range of Services Provided\n## Standards for Medical Respite Care\n# Program Design\n## Models of Medical Respite Care\n## Facility Types\n## Housing and the Discharge Planning Process\n## Key Funding Sources\n# Payment Approaches\n# Examples in Practice\n## Case Study: The State of California\n# Local Level Action Steps to Improve Partnerships\n# Conclusion","[{\"question\":\"What is medical respite care, and how is it used within the health care continuum?\",\"answer\":\"Medical respite care is defined as acute and post-acute medical care for people experiencing homelessness who are too ill or frail to recover while living in shelter or on the streets, but not sick enough for a hospital. It is positioned as part of the health care continuum to support recuperation and improve outcomes.\"},{\"question\":\"What guiding principles distinguish medical respite care?\",\"answer\":\"Medical respite care is guided by trauma-informed care, client-centered care, collaborative care, and disrupting cycles of homelessness. These principles are woven through programs and service delivery to ensure care is grounded in the needs of the people served.\"},{\"question\":\"How can managed care plans partner with medical respite programs, including data sharing and payment approaches?\",\"answer\":\"The playbook provides suggestions for MCPs to partner with respite programs, including tips on data sharing and payment approaches. It also offers examples of established relationships between medical respite programs and MCPs to illustrate practical partnership models.\"}]","Medical Respite Playbook - A Practical Guide for Managed Care Plans - October 2023 | PDF",1791300429,73]