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Infographic: The Emerging Role of the Pharmacist in the Healthcare Ecosystem
Physicians, insurers, pharmacists and other players in the patient care arena are shifting roles and forming more collaborative, coordinated networks to fill gaps in care and reduce practice...
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Care Coordination Compacts: Establishing Accountability, Clarity between...
It's a scenario that occurs time and time again, and is a deep source of frustration for all involved: a physician refers a patient to a specialist, but hears nothing back from that specialist. In...
View ArticleKey Tool for Stratifying Patients for Home Visits
Tools like the Hospital Admission Risk Monitoring Systems (HARMS) 8 and 11 help to identify patients that would most benefit from a home visit, particularly critical as case loads and time demands...
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Infographic: Clinical Health Coaching Skills
Healthcare professionals trained with clinical health coaching skills can increase patient engagement and activation, improve health behavior and prompt better self-care, according to a new infographic...
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9 Things to Know About Palliative Care
With an aging population that is living longer—an estimated 10,000 baby boomers become eligible for Medicare each day — and a shortage of specialists trained for the field, palliative care is no...
View Article6 Criteria for Remote Patient Monitoring Applications in Managed Care
Among the six criteria that Humana uses to evaluate vendors for remote patient monitoring applications are reducing medical costs and generating a positive ROI at a program level, says Gail Miller,...
View ArticleTelephonic Case Management Targets High-Risk, High-Cost Conditions
While the complex comorbid are the primary targets of telephonic case managers, the newly discharged, those in acute stages of chronic illness, frequent utilizers and high-risk, high-cost patients also...
View Article5 Models for Engaging Community Partners in Dual Eligibles Care Coordination
Since healthcare is local, it's vital that health systems engage local providers, enlisting both clinical and administrative champions, advises Julie Faulhaber, vice president of enterprise Medicaid at...
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Infographic: Care Teams Help Fill Gaps in Care
Without the help of a care team, physicians would not have enough hours in the day to adhere to all the protocols for chronic care patients, according to a new infographic by Phase Space. The...
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NYCHHC Telehealth Success Strategy: One Hand on Heart, the Other on Phone
"We transform a conversation of chronic disease into something patients can look forward to." Susan Lehrer, RN, CDE, NYCHHC House Calls.Guided by the philosophy, "Be real to your patients, and let them...
View ArticleSeverity Index Drives Patients’ Touch Points with Nurse Navigators
Beyond telephonic outreach, assessment and education, nurse navigators in Bon Secours Health System Advanced Medical Home also manage a case load for face-to-face patient work, explains Robert Fortini,...
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10 Things to Know About Population Health Management in 2014
A population-based approach to health and care management is sustainable, say 96 percent of respondents to the latest Population Health Management (PHM) Survey by the Healthcare Intelligence Network,...
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6 Ways to Overcome Pushback to Embedded Case Management
Change always incites pushback, and when Sentara Medical Group went from an embedded case management program to a hybrid approach, patient and provider pushback prevailed, recalls Mary M. Morin, RN,...
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10 Things to Know About Reducing Avoidable ER Visits in 2014
Despite expanded coverage available under the Affordable Care Act (ACA), the hospital emergency room (ER) remains a refuge for those unable to visit their primary care physician (PCP)— whether due to...
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7 Lessons from a Health Network’s Home Visit Program
Home visits to patients with complex care needs can provide huge returns by identifying patient compliance barriers that are only apparent when seeing a patient in their home. Dr. Larry Greenblatt,...
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Bon Secours Blueprint for Advanced Medical Home: From Mortar to Measurement
The building of Bon Secours Health System's Advanced Medical Home1 began with a walk-through—an assessment of bricks and mortar, explains Robert Fortini, vice president and chief clinical officer at...
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Sentara Home Visits for High-Risk ‘VIPs’ Drive Hybrid Case Management Outcomes
When the Sentara Medical Group evolved to a hybrid embedded case management model in 2012, case managers spent time in the practice, but also managed care through other touch points, including home...
View ArticleCMS Chronic Care Management Medicare Reimbursement: Sizeable Revenue, Health...
Beginning January 2015, Medicare will pay a flat, monthly chronic care management (CCM) fee to providers coordinating care for beneficiaries with more than one chronic condition. This change will...
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Hospitals: Chronic Disease Leading Cause of Avoidable ER Visits in 2014
High utilizers continue to be responsible for the majority of avoidable emergency room (ER) visits, with chronic disease edging out pain management as the top complaint among this population, according...
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11 Statistics About Embedded Case Managers
CMS readmissions penalties and accountable care organization (ACO) cost savings were among circumstances driving some organizations to embed case managers, according to the Healthcare Intelligence...
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