Monthly Archives: November 2014

Over One-Third of Hospitalization Costs in Low-Income Communities Associated with Behavioral Health

Poverty, behavioral health issues, and poor ambulatory care contributed to more than a third of hospitalization costs in 13 low-income N.J. communities, amounting to $880 million in annual inpatient costs, according to a new Rutgers study. Mental health disorders and … finish reading Over One-Third of Hospitalization Costs in Low-Income Communities Associated with Behavioral Health

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Regions Care Plans Help to Script Patient Outcomes, Satisfaction

Like a director coordinating his cast, officials at Regions Hospital, a HealthPartners hospital, have perfected the care plan, a set of directions for the care team. Instead of ordering their actors to exit stage right, or whisper, to assure the … finish reading Regions Care Plans Help to Script Patient Outcomes, Satisfaction

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ER Visits at Record High, 96 Percent Needed Medical Care within 2 Hours: CDC

Emergency room (ER) visits reached a record high of more than 136 million in 2011, compared with just under 130 million in 2010, according to new data released by the Centers for Disease Control and Prevention (CDC). While the percentage … finish reading ER Visits at Record High, 96 Percent Needed Medical Care within 2 Hours: CDC

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Embedding a Case Manager? Consider Workflow Changes, Training Needs

Continually monitoring skills and training needs and evaluating the workflow changes — operational, technological and cultural — inherent in an embedded environment are two important, ongoing challenges when working with embedded case managers, says Annette Watson, RN-BC, CCM, MBA, senior … finish reading Embedding a Case Manager? Consider Workflow Changes, Training Needs

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Technology ‘Fun Factor’ Engages Patients in Population Health

Engaging patients in population health management can be as easy as making personalized messaging, dashboards for tracking progress, and mobile phones and tablets available to patients, says Patricia Curran, principal in Buck Consultants’ National Clinical Practice, which also helps to … finish reading Technology ‘Fun Factor’ Engages Patients in Population Health

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Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Nearly 20 million misdirected physician referrals in the United States could be leading to billions of dollars in wasteful spending across the country’s healthcare system, according to a new physician survey from Kyruus, an enterprise healthcare solutions company. Massive inefficiencies … finish reading Nearly 20 Million Misdirected Physician Referrals Lead to Billions in Wasteful Spending

Posted in Avoidable Hospitalization, Care Coordination, Clinical Integration, Healthcare Costs, Physician Alignment, Physician Organizations | Tagged , , , , | Leave a comment

3 Components of Ochsner’s Automated ED Discharge Follow-Up Program

Prior to automating its emergency department discharge follow-up, Ochsner Health System emergency rooms conducted follow-up in different ways, explains Mark Green, system AVP of transition management at Ochsner Health System. In this case study, he demonstrates how streamlining the process … finish reading 3 Components of Ochsner’s Automated ED Discharge Follow-Up Program

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CMS Releases Final Medicare Payment Rules for Value-Based Modifier, Chronic Care Management

CMS has released final rules outlining how Medicare will pay major healthcare providers and suppliers in 2015, including the Value-based Payment Modifier (VBM), which adjusts traditional Medicare payments to physicians and other eligible professionals based on the quality and cost … finish reading CMS Releases Final Medicare Payment Rules for Value-Based Modifier, Chronic Care Management

Posted in Accountable Care Organizations, affordable care act, Alternative Healthcare Coverage, Avoidable Hospitalization, Bundled Payments, Care Coordination, Case Managers, Disease Management, Healthcare Costs, Healthcare Reform, Physician Alignment | Tagged , , , , | Leave a comment