A 13-Point Protocol Helps Telephonic Care Coordinators Locate Medicaid Members for Early Engagement Initiative

=A Medicaid expansion program in Wisconsin is introducing many Medicaid beneficiaries reluctantly to managed care but with an early, effective introduction to its telephonic care coordinators, Independent Health Care Plan (iCare) is successfully engaging these new members.

In this HealthSounds episode, Lisa Holden, vice president of accountable care, iCare, shared iCare’s key strategy in engaging Medicaid members…a call to members within days of enrollment by a telephonic care coordinator…as well as details on how iCare holds the care coordinators accountable for finding difficult to locate members.

During Medicaid Member Engagement: A Telephonic Care Coordination Relationship-Building Strategy, a May 2018 webcast now available for rebroadcast, Ms. Holden shared how iCare has structured its care coordination team, including both telephonic and boots on the ground staff to find, engage and assess Medicaid members.

The webinar provided details on how the care coordinators helps Medicaid members overcome barriers to care; seven rising risk/acuity identification tools; readmission prevention initiatives for high-risk patients; three programs aimed at reducing high emergency department utilization; and details on a Follow-to-Home program for members who are homeless and much more.


Length: 4:26 minutes

Leveraging an Enterprise Data Warehouse To Identify Care Gaps and Clinical Quality Improvement Opportunities

=With an increasing percentage of at-risk healthcare payments, Allina Health System’s Minneapolis Heart Institute (MHI) began to examine clinical variations among its cardiovascular patients.

In this HealthSounds episode, Pam Rush,
cardiovascular clinical service line program director at Allina Health, shares how MHI leveraged over 80 different data sources fed into its Enterprise Data Warehouse to identify gaps in care, clinical variations and quality improvement opportunities.

During Predictive Healthcare Analytics: Four Pillars for Success, a March 2018 webcast now available for rebroadcast, Ms. Rush, along with Dr. Steven Bradley, cardiologist, MHI and associate director, MHI Healthcare Delivery Innovation Center, share their organization’s four pillars of predictive analytics success…addressing population health issues, reducing clinical variation, testing new processes and leveraging this enterprise data warehouse.

The webinar provided details on creating a culture of quality and innovation, building dashboards, as well as several case examples of quality improvement initiatives contributing to these savings and much more.


Length: 3:44 minutes

Remote Patient Monitoring Scalability and Sustainability: UPMC’s Nine-Point Vision for Future Success

=With a successful history in reducing readmissions and improving patient outcomes for congestive heart failure through its remote patient monitoring program, the University of Pittsburgh Medical Center (UPMC) is expanding its program to additional disease states and developing systems to ensure continued success.

In this HealthSounds episode, Dr. Ravi Ramani, director, UPMC Integrated Heart Failure shares UPMC’s nine-point vision for a sustainable, scalable remote patient monitoring program.

During Remote Patient Monitoring at UPMC: Creating Early Warning Systems To Reduce Unplanned Healthcare Utilization, a March 2018 webcast now available for rebroadcast, Dr. Ramani provided a detailed case study of UPMC’s remote patient monitoring.

The webinar provided UPMC’s key factors for future success in remote patient monitoring, the impact the program has had on UPMC’s clinical outcomes as well as details on the remote patient monitoring clinical development process, clinical pathways and graduation protocols and much more.


Length: 4:33 minutes

How Essentia Health Pairs Remote Patients with Hospital- and Clinic-Based Telehealth Services

=How do you identify patients for telehealth services? In the case of Essentia Health, which conducts an average of 5,000 telehealth visits annually and whose largely rural footprint touches three states, the telehealth service may dictate selection.

In this HealthSounds episode, Maureen Ideker, RN, BSN, MBA, Essentia Health’s senior advisor for telehealth, defines a set of scenarios her organization uses to match patients to its half dozen tele-hospital based telehealth services and more than 20 tele-clinic programs.

During Telemedicine Across the Care Continuum: Boosting Health Clinic Revenue and Closing Care Gaps, a March 2018 webcast now available for rebroadcast, Maureen Ideker, RN, BSN, MBA, senior advisor for telehealth at Essentia Health, provides a roadmap of the program’s implementation, challenges and successes as well as details on its new key components.

The webinar provided key details on engaging providers in telehealth; staffing and equipment requirements; clinic ROI from telehealth; rundown of tele-hospital and tele-clinic services; telehealth innovation stories moving the needle on financial, clinical and quality metrics such as readmissions and patient no-show rates; using telehealth to tackle the opioid addiction crisis; and much more.


Length: 3:27 minutes

Waiting on ACO Shared Savings? Here’s 3 Ways to Generate Population Health Revenue Now

=While shared savings could be several years in the future for fledgling accountable care organizations, there are shortcuts for physician practices in ACOs to generate population health revenue immediately, explains Tim Gronniger, senior vice president of development and strategy for Caravan Health.

In this HealthSounds episode, Gronniger outlines the rationale for using three Medicare billing codes—the annual wellness visit (AWV), chronic care management and advanced care planning—to create revenue that offsets ACO infrastructure costs.

During Generating Population Health Revenue: ACO Best Practices for Medicare Shared Savings and MIPS Success, a January 2018 webcast now available for rebroadcast, Tim Gronniger shared the key focus areas for its ACOs to achieve substantial financial and quality results while building a sustainable healthcare delivery model for the year ahead and beyond.

The webinar provided key details on the key cornerstones of Caravan Health’s ACO success, including staffing and patient engagement secrets; payoffs from detailed MACRA and MIPS reporting; the benefits of effort-based quality metrics over outcomes-based data; two critical 2018 strategies Caravan Health’s ACOs use to build on their success, and much more.


Length: 3:54 minutes

Healthcare Trends in 2018: Synergies from the Non-Traditional CVS Health-Aetna Merger

=As 2017 draws to a close, the recent CVS Health-Aetna merger continues to dominate the healthcare conversation. David Buchanan, president, Buchanan Strategies, weighed in on the non-traditional partnership during Trends Shaping the Healthcare Industry in 2018: A Strategic Planning Session, a December 2017 webinar now available for replay.

In this HealthSounds episode, Buchanan predicts the future of mega mergers in healthcare, the impact of the CVS-Aetna alliance on brand awareness, and the real ‘bonanza’ of the $69 billion partnership beyond bringing healthcare closer to home for many consumers.

During Trends Shaping the Healthcare Industry in 2018: A Strategic Planning Session, a December 2017 webinar now available for replay, David Buchanan and Brian Sanderson, managing principal, healthcare services, Crowe Horwath, provide a roadmap to the key issues, challenges and opportunities for healthcare organizations in 2018.

The webinar examined key trends impacting healthcare providers and payors for 2018—how industry consolidation and fragmentation is reshaping the healthcare landscape; the expanding role of technology in healthcare, including artificial intelligence and blockchain breakthroughs; expectations for the CSR reduction, health insurance exchange product changes and MACRA; cost reduction and cost efficiency improvement strategies; 2018 strategic opportunities for healthcare organizations, including consolidations, joint ventures, strategic partnerships, Medicaid managed care, Medicare Advantage, risk-based contracts and patient and health plan member advocacy models; and much more.


Length: 5:25 minutes

7 Benefits of Leveraging a Patient Portal to Promote Population Health

=As patients of Lehigh Valley Health Network (LVHN) began to utilize the features of its newly minted portal, LVHN and its physician providers soon recognized the added benefits of this interactive tool.

In this HealthSounds episode, LVHN’s Lindsay Altimare outlines seven ways the LVHN portal, the fastest growing portal on the Epic® platform, improves efficiency and quality for her organization.

During Patient Portal Roll-Out Strategy: Activating and Engaging Patients in Self-Care and Population Health, a November 2017 webinar now available for replay, Ms. Altimare, director of operations for the Lehigh Valley Physician Group, and Dr. Michael Sheinberg, medical director, medical informatics, Epic transformation, share LVHN’s initial portal roll-out strategy as well as the evolution of portal engagement and functionality since its 2015 launch.

The webinar provided key details on promotion strategies for portal launch, four LVHN portal platforms that allow patients to initiate self-service and their impact on physician practice workflow, LVHN metrics to measure patient engagement and portal success, new portal features slated to launch this year, and much more.


Length: 3:48 minutes

Focus Group Findings Shape Bronx Community Health Improvement Action Plan

Charmaine RuddockHow do you engage community residents in their health when many are distrustful of and feel disrespected by the healthcare system?

Encourage them to both direct and participate in the initiative, advises Charmaine Ruddock, project director of Bronx Health REACH.

In this HealthSounds episode, Ms. Ruddock shares what Bronx Health REACH learned early on in its coalition-building from community focus groups, and how this local feedback informed program development for a community traditionally ranked last in New York in terms of health outcomes and health factors.

During Innovative Community-Clinical Partnerships: Reducing Racial and Ethnic Health Disparities through Community Transformation, a November 2017 webinar now available for replay, Ms. Ruddock shares the unique partnerships forged by Bronx Health REACH with area faith-based programs, bodegas, restaurants, schools, clinics and art groups and how these partnerships promote the health and well-being of area residents. Program highlights include partnering with the American Bodega Association and bodega suppliers to increase healthy purchase options; engaging clinics and patients in a Vegetable and Fruit Rx program to encourage healthy eating in obese patients; encouraging teachers to add nutrition education to their curriculum; promoting healthy eating options at Bronx restaurants via ‘The Bronx Salad;’ facilitating discounts for SNAP beneficiaries for healthy items.


Length: 4:59 minutes

Motivational Interviewing Respectfully Dispels Social Determinant of Health Barriers

Cindy BuckelsHow can care teams encourage patients to open up about sensitive social determinant of health (SDOH) factors? By employing motivational interviewing to establish a respectful partnership, advises Cindy Buckels, TAV Health director of population health.

In this HealthSounds episode, Ms. Buckels explains why motivational interviewing is more effective than the usual “Chunk-Check-Change” approach in transforming patient ambivalence and effecting the kind of behavior change that improves health.

During Social Determinants of Health: Using Empathy Interviewing To Help Care Teams Understand Factors Impacting Patient Health, a September 2017 webinar now available for replay, Ms. Buckels shares key steps in identifying and removing SDOH barriers. Program highlights include the four core skills of empathy interviewing every care team should know; ideal workflows to identify high- and low-vulnerability patients; and reasons why crowdsourcing data around patients can reduce hospital readmissions and ED visits.


Length: 3:59 minutes

PinnacleHealth’s Patient Engagement Coach for Clinicians: Supportive Peer at Provider’s Elbow

Kathryn ShradleyHow receptive are clinicians to being coached in patient engagement techniques? At PinnacleHealth, provider reaction to rollout of patient engagement coaching has followed a standard bell curve, notes Kathryn Shradley, PinnacleHealth’s director of population health.

In this HealthSounds episode, Ms. Shradley outlines the framework underscoring the engagement coach’s supportive and educational role while at providers’ elbows as well as ways the health system earned clinicians’ support for the initiative.

During A Two-Pronged Patient Engagement Strategy: Closing Gaps in Care and Coaching Clinicians, an August 2017 webinar now available for replay, Ms. Shradley describes her organization’s two-pronged approach to increase engagement rates across the health system, including details on the key patient survey data that helped to shape this program, three ways PinnacleHealth works to engage its more resistant patients, and more details on the essential role of the engagement coach for clinicians.


Length: 3:49 minutes