Tag Archives: readmissions

Improving health care outcomes through patient engagement

“Anytime you have a patient that’s more engaged and involved in their care, your outcomes are better.” That’s a quote from Judy Herrington, who has 30 years’ experience in the health care field and serves as the vice president of nursing, medicine services at Parkland Hospital in Texas. Her front-line observation echoes the results of […]
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Health systems: Do you see payers as partners or adversaries?

“It’s not the fact that we did that, it’s how we did it.” That’s what Jeff James, chief executive officer for Wilmington Health says is the headline from his group’s decision to team with Blue Cross/Blue Shield of North Carolina to create that state’s first commercial accountable care organization (ACO).  Watch Jeff James answer 5 […]
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Code offers chance to test care management skills

So far doctors are underutilizing a reimbursement option designed to help bridge the gap between fee-for-service and value-based care. More than a year ago the government created the chronic care management code (CCM). It provided a way to pay doctors for time spent coordinating care for Medicare beneficiaries – specifically those diagnosed with two or more chronic […]
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Tap into the “greatest intellect in the health care industry”

When a health system surveyed its physicians, it asked a question some might find more suited to MBAs than MDs. North Carolina-based Wilmington Health asked: Is the rate of change within Wilmington Health less than the rate of change in the industry? It’s a question focused on competition and market dynamics — elements of health […]
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Redefine acute care to combine fee-for-service (FFS) with care management.

Badly broken bones, appendicitis, hemorrhages and head injuries mean there will be a need for acute care hospitals no matter how the healthcare industry changes. But we need to change how we think about acute care in relation to the rest of healthcare. A traditional definition says acute care is the opposite of chronic or long-term care. […]
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Interest in predictive models tied to value-based care

There is a link between the transition to value-based care and an increased interest in analytics-based models that can successfully predict patient outcomes. As providers move to payment models that reward results over total number of procedures performed, they are accepting more financial liability. To meet that responsibility, providers must understand more about how their […]
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Use big data and analytics to slow health care costs and compete on outcomes

By: The Optum Risk & Quality Solutions Team Health care is awash in data, so one might think that providers and payers would be on the forefront of the big data movement. While it’s true that claims data has been used for various purposes, including epidemiological research and predictive modeling, it doesn’t have the richness […]
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Managing, reducing patient rebounds starts with data

You may have noticed a consistent theme in the move toward fee-for-value models—the need for timely, relevant data. As with any part of the healthcare continuum, reducing patient readmissions and ER rebounding takes timely, relevant information with which leaders can develop and modify programs.

Home-based care transition programs reduce readmissions

Now that hospitals are being held responsible for what happens to a discharged patient, health care providers are beginning to use higher level clinicians—even physicians—to make home visits for high-risk patients. Two healthcare systems are developing and deploying home-based care transition programs to improve post-discharge care outreach.

Released but not forgotten: Improving the patient discharge process

It used to be that hospitals behaved like restaurants. Once a patron eats a meal and pays their bill, they walk out the door and the restaurant’s responsibility to provide a great product and service ends. In today’s regulatory environment, however, patient care doesn’t end when a patient checks out of the hospital.