Reducing Readmissions Through Multi-Disciplinary Post-Discharge Support

To achieve the lowest rates of readmissions in its history, HealthCare Partners Medical Group of California first identifies patients at high risk for readmission. HealthCare Partners corporate medical director Dr. Stuart Levine describes HCP’s four key strategies to risk-rank patients and suggests proactive measures to limit the number of individuals who are rehospitalized.

Dr. Levine discussed HCP’s approach to hospital readmissions during, Reducing Readmissions Through Multi-Disciplinary Post-Discharge Support, webinar on May 18, 2011 now available On-Demand via the Web or on DVD or CD from the Healthcare Intelligence Network.




Length: 3:19 minutes

Identifying Functional Decline in Chronic Care Patients To Reduce Preventable Healthcare Utilization

Functional decline in an elderly person can be the first indicator of a chronic condition ready to snowball out of control. Patricia Zinkus, director of case management at Fallon Community Health Plan, and Susan Legacy, FCHP’s senior manager of case management, describe how their collaborative multidisciplinary intervention monitors for these changes, and why the program’s social component is just as critical as home visits and case management outreach.

Ms. Zinkus and Ms. Legacy shared details from FCHP’s risk-sharing model during Identifying Functional Decline in Chronic Care Patients To Reduce Preventable Healthcare Utilization, 45-minute webinar on April 27, 2011.




Length: 3:26 minutes

Patient Registries: A Cornerstone in Creating and Delivering Accountable Care

Whether extracted from an EHR or compiled with a spreadsheet program, there’s nothing magical about a registry, explains Dr. Gregory Spencer, chief medical officer for Crystal Run Healthcare. Dr. Spencer demystifies the registry, describes how to leverage registry data in multiple ways and underscores registries’ growing value in emerging care delivery models like the accountable care organization.

Dr. Spencer shared patient registry best practices during an April 28, 2011 webinar, Patient Registries: A Cornerstone in Creating and Delivering Accountable Care, sponsored by The Healthcare Intelligence Network.




Length: 3:57 minutes