Helping homebound senior citizens. Serving the South Florida Area.

1. Welcome to
the world of...

3. USBD signifies representing 2 countries in 2 continents.
The founders were born in Bangladesh and
immigrated to the US to pursue their careers.
..and that is how USBD was conceived and created.

4. OUR PLEDGE
We shall overcome fear and ignorance
in our pledge to serve humanity.

5. OUR VISION
Keep our seniors safe at home.

6. OUR MISSION
● Safe transition to home
● Reduce hospitalization
● Improve patient satisfaction and experience
● Reduce cost of medical care
● Optimize care of homebound seniors

7. Who Are We?
We are a medical team which will follow you from the
hospital/rehab to home till you are safely settled.
Our service is comparable to a Medical doctors office visit, only
this visit occurs at your convenience in your own home.
Our team will contact you on the day of your discharge.

8. Kazi Z.M. Faruque MSc. MBA
President
USBD Hospitalists & Consultants

9. Shaheen Faruque MD
Vice President
USBD Hospitalists & Consultants

10. Nancy Courtney RRT, CCM
Practice Manager
USBD Hospitalists & Consultants

11. Our Goal:
Medicare target of 20% reduction in
rehospitalization.

12. Presenting our
Mobile Care Transition Team
Through
Community House Call Program

13. Community House
Call Program

14. Our Mobile Care Team includes...
Physicians, Nurse Practitioners, Physician's Assistants, Hospital Liaisons/Patient Care
Coordinators, Registered Nurses including Psych Nurses, LPN/Home Health Aides, Medical
Social Workers, Physical Therapists, Occupational Therapists, and Speech Therapists.

15. We are actively looking for Mid-Level Providers to help
and support our Program.
If you know anyone that might be interested please refer them to the program.
You will receive a referral bonus gift from Dr. Shaheen Faruque

16. Home Health Agencies/Private
Duty Home Care Agencies
We work with multiple home health agencies at Lee, Collier,
Charlotte, and Hendry county.

17. Our Area of Service
Head Office is located in Fort Myers, FL
We serve Lee County, including Cape Coral all the way to Pine Island,
Collier County expanding to Miami, Lehigh Acres, expanding to Hendry,
Port Charlotte, Sarasota expanding to Tampa.

18. Who qualifies for
House Calls? Medicare Definition of
homebound status:
A person who has difficulty leaving
home safely.
The patient does not need to be
bed-bound or immobile to qualify
for house calls.

19. How Our Program Works
Step 1
Patient is discharged
from a hospital or
nursing facility.
Step 2
Patient is discharged
with home health
agency (usually).
Step 3
Provider is contacted
by Home Health
Agency liaison about
the new referral.

20. How Our Program Works
Step 4
Patient information is
sent to provider for
review. Information
includes face-sheet,
hospital records,
medication list,
follow-up information.
Step 5
Provider reviews
medical records and
calls patient to set up a
house call
appointment.
Step 6
Provider calls patient
the morning of his/her
appointment to confirm
appointment.

21. How Our Program Works
Step 7
Provider meets with
patient at appointed
time at home.
Step 8
Our visit is equivalent
to an office or hospital
visit except that the
venue is the patient’s
home.
Step 9
Provider checks
patient, answers
questions, and leaves
any order or advice for
the nurse in the home
health folder that has
already been provided
to the patient by the
home health agency.

22. How Our Program Works
Step 10
Provider documents
patient’s visit in our
EHR (electronic health
record) on
practicefusion.com
Step 11
Follow-up visits
depends on the
severity of the patient’s
condition.
Step 12
Follow-up visits may
occur every week,
every 2 weeks.

23. How Our Program Works
Step 13
Every patient is
followed up with on the
second month and
third month as a routine
visit.
Step 14
Depending on patient’s condition and continued
homebound status patient may be enrolled in
our“long term care patient” category. Long term
care patients are visited once a month as a
routine visit.

24. How to Prevent ER Visits
The program’s target is 20% reduction of rehospitalization

25. The 6 “C” Protocol
C1 - Control Panic
The Fear Factor!
Take 3 calming breaths
through the nose and
exhale through your
mouth. You have the
skills/experience to
handle this situation. It
always gets better with
practice.
C2 - Common Sense
Not so common in
emergency situations.
Do not lose “focus”
and get side-tracked by
unimportant
elements/information.
C3 - Correct Assessment
Collect data.
Symptoms/V/S/ Brief
Exam. Vital signs
documentation is the
most neglected part of
the patient’s
assessment.

26. The 6 “C” Protocol
C4 - Compact Knowledge
What do we already
know, or do not know
about the patient’s
medical conditions.
C5 - Clinical Judgement
Combine C3 & C4 and
establish a D/D. What
could be the problem?
#1, #2, #3.
C6 - Communication &
Coordination
Call for help!
Feel comfortable
treating the patient at
home/facility
successfully aborting
the need for the ER
visit.

27. Utilizing EMS/Paramedic Services
Midlevel providers and paramedics working with the patient at home
can abort the need for a visit to ER.

28. Medical Services Available at Home
Home IV Theraphy
We can do:
IVF/IV antibiotics
IV pain meds/Solumedrol
IV Zofran
IV morphine drip
IV Dobutamie /Milrinone
Drip
We can place Peripheral IV access, PIcc line, Mid line access at home

29. Services Provided at Home
Routine Medical Care including:
● Pain management, Anxiety management, Wound care
● Nurse Visits (including psych nurse)
● Lab work/Radiology/EKG/Ultrasound services
● Procurement of patient’s medication from pharmacy if patient is unable to retrieve
● Home health aide
● Medical social worker
● Physical Therapy, Occupational Therapy, Speech Therapy

30. Labs & Ancillary Services
We can do lab work, x-ray, ultrasound, EKG at home through our collaborations with
clinical labs and radiology services. We can do stat or asap or routine as well.

31. Mental Health Services and Support
CBT sessions with our Psych Nurse / MSW, Music therapy Aromatherapy /
Use Herbal oils / Counseling and support to help our Program patients

32. Informed Consent
Patients are required to sign informed consent in
order for us to start providing service at home.

33. Accepted medical Insurances
We accept patients with Medicare B,
UnitedHealth, Humana Gold, Wellcare.
For Medicare Supplemental insurances & all COMMERCIAL INSURANCES
PREAUTHORIZATION requirements for House Calls should be completed by referring
group/Agency before patient is accepted in the program

34. For all other insurances:
If patient’s insurance does not cover our services we
will provide them with our bill along with their
insurance denial letter.

35. For cash payment option we have a fee for service
schedule depending on complexity.
We will bill patients insurance for our services. If a patient’s insurance doesn’t pay we
will bill the patient directly. A contract must be signed between the patient and our group
agreeing to this system prior to setting up house call appointment visits.

36. Service Fee Schedule
Available to patient upon request
High Complexity “$...” Per Month
Moderate Complexity “$...” Per Month
Low Complexity “$...” Per Month

37. We Connect the Dots
Our team will communicate with your primary care provider and specialist physicians to insure
your health safety. If you have no primary care provider we will assist you on getting one.
If you have no primary provider or if your primary care provider is unable to sign for home
health services we will help you with signing your home health orders to start the process.
We will also assist you in placement of skilled nursing facilities, rehab,
assisted living facility, and independent living facility.

38. Non Hospice Home Palliative Care Program
For Declining Patients
This program involves patients that are unable to leave their homes and are more or less
completely homebound (ex: wheelchair bound, bed bound).
Our services involve visits which include routine care, pain management, anxiety/panic
management, ancillary services, wound care.
We also assist with completion of advance directives, provide grief counseling and
bereavement services.

39. Volunteers of the Program
We have volunteers who are willing to assist patients who need the help to take them to
their primary care/specialists appointments, volunteers who help arrange services which
provide food/groceries.
We welcome volunteers everyday. They do not have to be medical professionals.
If you wish to volunteer in the program please contact Dr. Faruque.

40. We also work with multiple groups and agencies who
provide varied services to make our patients
comfortable and safe at home.

41. What to Expect? Message to Patient
Your are discharged after a serious illness and we are concerned about your
medications/activities of daily living nutrition and hydration/bowel management and fall
risk. We will follow you for up to 3 months depending upon your medical complexity
till you are safely settled.
Our nurse practitioner or physician's’ assistant will schedule an appointment within 2 days of
discharge. In addition, you will expect a call from the hospital and home health agency.

42. For Discharge Planners
Care coordination starts on the day of the patient's’ admission. The process of transition
to your home safely is started on Day 1 of hospitalization.
Coordination is important to retain smooth transition.
For any questions, please call our office.

43. For Nurse Practitioners/Physician’s Assistants
You play the central role in care coordination. You will call the patient within 2 days of hospital
discharge to set up an appointment time. The appointment varies between day 3 and day 7, and must
be within day 7 according to Medicare guidelines.
As patients’ primary care transition provider, your responsibility is to make sure the medications are all
updated, the patients have the medication, if they need we will call in prescriptions, communicate with
home health nurse, physical therapist, occupational therapist, and speech therapist, as well as the
medical social worker. Also responsible for communicating with patients’ primary care provider and
other consultants as need be.

44. Home Provider and Paramedic Collaboration
In case of medical emergencies that can be safely treated at home we work with
EMS/911/Paramedics to treat you at home so that your need to visit emergency room is
minimized and thereby saves you money in your medical care.

45. Home Health Nurse/Physical Therapists/Occupational Therapists
If you are a home health nurse, your responsibility in addition to taking care of patients is
to also to communicate promptly and clearly with the transition care provider and
patients’ other consultants as need be.
If any clarification is needed, please call the office.

46. Message to Primary Care Providers
Patient’s’ primary care providers remain unchanged. If the patient has no primary care
provider, we will help them to acquire one. We help patients to get appointments with
primary care providers if needed. All patients are seen by their primary care providers as
scheduled. All patients return to their primary care provider’s office as appointed.

47. For Consultants
Our responsibility is to coordinate patients’ care. As a patient’s consultant, please feel
free to call us and voice your concerns and questions. If a patient is not keeping their
appointments, please notify us. Make sure your secretary calls our office to notify us
about a patient who was supposed to follow up with you, but did not.

48. USBD Internship Program
Clinical Internship: ARNP/PA Students
Non-Clinical Internship: Health Science Graduates
We offer internships for Nurse practitioners / Physician assistants and also for health
science graduates, providing them with real world experience through participation
and management. Our goal is to create a quality workforce to work in future
transition care programs.

49. USBD Community Paramedic Program
Creating community paramedics through our specialized program is our future project.
We are communicating and collaborating with multiple existing paramedic workforce to
create a community paramedic certification course. Such a paramedic will be specially
trained to participate in future transition care programs.
The goal is to to create a workforce who will be able to work in conjunction with
housecall providers to reduce readmission, improve patient care and reduce cost of
medical care.

50. Take Home Message
We are willing to enter into a partnership/collaboration with hospitals/nursing
facilities/transition care teams to make our goal more achievable.
If you are interested in partnering with us please contact Dr. Shaheen Faruque

51. Our Contact Information
Dr. Shaheen Faruque
Kazi Z.M. Faruque
Home Office : (239) 225-1778
Cell: (239) 910-5266
Fax: (239) 603-7264
Email: USBD.hospitalists@gmail.com
If you are a patient or a professional call our office/send us an email

52. For Appointments
If you have a patient who you believe will benefit from our services please advise the
patient/family members/caregiver to call the following number:
(239) 225-1778
usbd.hospitalists@gmail.com
and leave a message with your name, the patient’s name, the date of birth, insurance,
and patient’s address with a return phone number.
The office will return your call and discuss eligibility, an estimated price/verify insurance
information and we will set up an appointment with one of our providers

53. Our Other Divisions
SNF/ALF/ILF Placement
Long term homebound patient care
Pre-Residency Observership Program
Clinical rotation supervision for Mid-level Providers
International Medical Tourism

54. Our website is being designed & developed

55. Thank You for
Sharing Our Vision