Pre-Hospice Home-Based Transition Program
November-December 2022 Issue
SUBSCRIBER CONTENT Sharp HealthCare pre-hospice program called Transitions, is designed to give elderly patients the care they want at home and keep them out of the hospital.
Oncology Hospital-at-Home Program Reduces Readmissions and ED Visits
Launched in 2018, Huntsman at Home in Utah was one of the first programs in the United States to provide acute cancer care at home.
COVID-19 Case Study: Intermountain Healthcare’s Hospital-Level Care In Patients’ Homes
July/August 2020 Issue
Intermountain at Home’s hospital-level care in patient’s homes supports their health system in the event of a surge of COVID-19 patients. Their models include home-based post-hospital care, palliative, and end-of-life care as well as medical equipment maintenance.
CommonSpirit Health at Home Reinvents Virtual Telehealth Monitoring
July/August 2020 Issue
CommonSpirit Health at Home provides another layer of protection and defense to keep vulnerable patients safe, healthy, and in their homes during this pandemic. And, it positioned to play a key role in preventing a post-COVID surge at care sites. Learn how CommonSpirit at Home expanded its virtual monitoring capabilities to better respond to patients’ needs during and beyond the COVID-19 pandemic.
Peer Case Study: Community-Based Paramedicine Model
CMS recently announced the Emergency Triage, Treat, and Transport model, which provides greater flexibility to ambulance care teams to address emergency health care needs of certain Medicare beneficiaries following a 911 call.
Encompass Health Case Study
Encompass Health, in collaboration with McKesson, saved 17% to 19% on their supply spend, increased efficiencies, and achieved greater patient satisfaction.
Managed Care Organization and Visiting Nurse Association’s Elderly Heart Failure Program – A Pilot Study
SUBSCRIBER CONTENT Kaiser Permanente Colorado and VNA-Denver jointly offer intense, consistent education to elderly heart failure patients discharged from the hospital.
Payer and Physician Models for Chronic Care Management
SUBSCRIBER CONTENT Fragmentation of the care delivery system is widely recognized as a cause of missed opportunities to treat both acute and chronic conditions.
House Calls to Frail Elders Reduce Costs, Hospital Use, and Nursing Home Placements
SUBSCRIBER CONTENT The program at Washington Hospital Center has lowered total costs of care and has reduced average inpatient length of stay from 8 to 6 days.
Champions of Change: Primary Care Caring for Older Adults
SUBSCRIBER CONTENT Key takeaways from the perspective of primary care office help stakeholders to better understand care management population health models.
Examples of Payer Value-Based Incentives with Providers
SUBSCRIBER CONTENT A recent filing by Humana indicates the insurer is instituting a new bonus plan that is not just tied to financial performance, but also to health outcomes.
Montefiore Health System’s Care Management Program
SUBSCRIBER CONTENT Located in the Bronx and Hudson Valley, New York, Montefiore Health System (MHS) serves one of the poorest and most disproportionately disease-burdened counties in the nation with nearly 80% of the payer mix from Medicare and Medicaid.
Reducing Falls and Falls with Injury in HealthEast Hospice Patient Population
SUBSCRIBER CONTENT Multidisciplinary teams across the care continuum work each day to determine the best ways to identify the highest risk patients.
The “Right Care” Drives Innovations to Improve Outcomes in Senior Care
SUBSCRIBER CONTENT Key strategies to accomplish clinical continuum includes reducing the cost of care and developing post-acute tools for redefining partnerships.
Pharmacist Post-Discharge Model Reduces Medication Errors
SUBSCRIBER CONTENT Novant participated in a VHA research project that significantly reduced overall readmissions and those related to adverse drug events.
From Hospital to Home: Knee & Hip Replacement Model
SUBSCRIBER CONTENT From July to December 2014, VNA Healthtrends, a leading home health provider, enrolled 51 patients in their Hospital to Home Program.
Home Care for Hip and Knee Patient: How Do Physicians Decide About Where Patients Should Go?
SUBSCRIBER CONTENT Patients sent home after knee and hip replacements do not have higher rates of medical complications, returns to the hospital or E.R. visits
Home-Based Palliative Care Models
SUBSCRIBER CONTENT Palliative care focuses on relieving patients’ stress, pain and other symptoms as their health declines, and it helps them maintain their quality of life.
Aetna’s Compassionate Care Program for Advanced Illness
SUBSCRIBER CONTENT Aetna’s Compassionate Care Program is designed to improve the quality of patient care for individuals with life-threatening illnesses.
ACO and Home-Based Palliative Care Model Reduce Costs
SUBSCRIBER CONTENT A home-based palliative care program tested within an ACO showed cost savings and reduced hospital admissions for patients near the end of life.
Telehealth Readmissions at Geisinger Health Plans
SUBSCRIBER CONTENT Geisinger Health Plan published a study that found a telemonitoring intervention for heart-failure patients led to reductions in readmissions and cost.
Community-Based Health Coaches and Care Coordinators Reduce Readmissions Using Information Technology
SUBSCRIBER CONTENT The use of health coaches supported by the tablet-based software significantly reduced readmission rates among at-risk Medicare patients.
A Comprehensive Care Management Model
SUBSCRIBER CONTENT FirstHealth of the Carolinas has developed an innovative care delivery model to effectively manage high-risk patients with chronic disease.
Discharge Planning: The New Focus on Patient Choice and Choosing Post-Acute Providers
SUBSCRIBER CONTENT MedPAC has had recent discussions on current discharge planning procedures, resulting in possible changes in the ways patients are discharged.
