Infographic: Patient Engagement from the C-Suite Perspective

February 5th, 2016 by Melanie Matthews

Some 87 percent of CIOs and senior IT executives have ranked improving patient satisfaction and patient care as a top organizational priority, according to an infographic by Transcend Insights.

The infographic looks at why patient engagement is important, barriers to patient engagement, how to engage patients and future trends in patient engagement.

Patient Engagement from the C-Suite Perspective

Intermountain Healthcare's strategic six-point patient engagement framework not only has transformed patient care delivered by the Salt Lake City-based organization but also has fostered an attitude of shared accountability throughout the not-for-profit health system.

Framework for Patient Engagement: 6 Stages to Success in a Value-Based Health System details Intermountain's multilayered approach and how it supports its corporate mission: Helping people live the healthiest lives possible.

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Bon Secours Next Generation Healthcare: Smart Tools Tell Care Transitions, Chronic Care Management Stories

February 4th, 2016 by Patricia Donovan

Next Generation Healthcare smart tools facilitate Bon Secours care plans for care transitions, chronic care management and Medicare wellness visits.


A key component of chronic care management is a comprehensive plan of care—the "refrigerator copy" patients can refer to, explains Robert Fortini, PNP, chief clinical officer for Bon Secours medical Group (BSMG),

Today, using smart tools built into its electronic medical record, Bon Secours nurse navigators document twelve-point care plans for the 50 patients they have enrolled via Medicare's year-old Chronic Care Management (CCM) codes—a number Fortini expects will double this month.

The CCM assessment tool also captures frequently forgotten issues such as depression, pain and sleep problems that can derail care, Fortini said in a recent webinar on Physician Reimbursement in 2016: Workflow Optimization for Chronic Care Management and Advance Care Planning.

Bon Secours' seventy nurse navigators, embedded in physician practices, also tap these point-and-click smart tools to document transitions of care for patients recently discharged from the hospital. This Transition of Care smart note tracks 17 different aspects of patient care, including risk of readmission and medication reconciliation, and includes a placeholder for an advance medical directive.

Similar tools are in use for Medicare's three types of wellness visits, he added.

"I have been in this business a long time, and the documentation that navigators produce using these workflows is extraordinary," Fortini noted. "This is purposeful design. It tells a story and you have something actionable at the conclusion of reading it."

The smart tools are but one aspect of Bon Secours' Next Generation Healthcare initiative, which Fortini defined as "population health meets total access." Next Generation Healthcare fortifies the team-based medical home foundation Bon Secours introduced six years ago with expanded care access and technology, among other components the organization leverages to improve clinical outcomes and value-based reimbursement.

In the Next Generation Healthcare model, the primary care physician is the quarterback of care, with embedded nurse navigators doing the "heavy lifting" of enrolling at-risk patients into care management, building comprehensive care plans, and scheduling Medicare beneficiaries for annual wellness visits, Fortini explained.

Additionally, Bon Secours has broadened its care access menu to include employee clinics, fast care and urgent care sites, self-scheduling, and virtual visits for primary care. The organization expects to expand virtual visits to specialist consultations and behavioral health in the near future, and also envisions virtual case management visits, allowing nurse navigators to conduct real-time medication reconciliations with at-home patients.

To round out its Next Generation Healthcare continuum, Bon Secours is training a portion of nurse navigators as facilitators in a Virginia advance care planning initiative called "Honoring Choices," with the goal of formalizing the placement of advance directives in patients' records.

Investing in resources necessary to manage end-of-life effectively is a critical aspect of Bon Secours' strategic initiative, Fortini concluded. "Forty percent of Medicare spend occurs in the last two years of life, and the pain, suffering, and emotional angst that occurs for patients and their families is incredible."

Infographic: Hospitals Coordinate Care to Serve Patients

February 3rd, 2016 by Melanie Matthews

Hospitals are working together and with physicians and other community caregivers to provide patients with convenient, high quality and affordable care, according to a new infographic by the American Hospital Association.

The infographic looks at hospitals' effort to coordinate care.

Care Coordination in an ACO: Population Health Management from Wellness to End-of-LifeWhen acknowledging its position as a top-ranking Medicare Shared Savings Program (MSSP), Memorial Hermann is quick to credit its own physicians—who in 2007 lobbied for a clinically integrated network that formed the foundation of the current Memorial Hermann accountable care organization (ACO). Now, eight years later, collaboration and integration continue to be the engines driving the ACO's cost savings, reduced utilization and healthy patient engagement rates associated with Memorial Hermann ACO's highest-risk population.

Care Coordination in an ACO: Population Health Management from Wellness to End-of-Life details Memorial Hermann's carefully executed journey to quality and the culmination of the ACO's community-based care management program.

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Infographic: 10 Predictions for Healthcare in 2016

February 1st, 2016 by Melanie Matthews

From the embrace of omni-channel experiences to the revision of physician alignment strategies, Oliver Wyman outlines 10 predictions for the healthcare industry in 2016 in a new infographic.

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare IndustryFrom cost pressures, consumerism and consolidation to a proliferation of patient-centered, value-based delivery and payment models, the state of healthcare continues to challenge organizations in the industry.

Healthcare Trends & Forecasts in 2016: Performance Expectations for the Healthcare Industry, HIN's 12th annual business forecast, pins down the trends destined to impact the industry in the year to come and proposes tactics C-suite executives can employ to distinguish their operations in a dynamic marketplace.

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Infographic: Virtual Healthcare

January 29th, 2016 by Melanie Matthews

Technologies such as hologram house calls, where a physician "visits" you in your home via a hologram link, and a virtual doctor app for your smartphone or tablet are just of the some of the ways that technology may be used in the future of healthcare. These innovations are projected to dramatically reduce the number of hours that doctors require for each of their patients and could potentially revolutionize the healthcare industry significantly, according to a new infographic by Home Healthcare Adaptations.

The infographic looks at the potential savings of virtual healthcare, benefits to healthcare professionals and patients, and challenges faced by virtual healthcare.

From home sensors that track daily motion and sleep abnormalities to video visits via teleconferencing, Humana's nine pilots of remote patient monitoring test technologies to keep the frail elderly at home as long as possible. When integrated with telephonic care management, remote monitoring has helped to avert medical emergencies and preventable hospitalizations among individuals with serious medical and functional challenges.

In Remote Patient Monitoring for Enhanced Care Coordination: Technology to Manage an Aging Population, Gail Miller, vice president of telephonic clinical operations in Humana's care management organization, Humana Cares/SeniorBridge, reviews Humana's expanded continuum of care aimed at improving health outcomes, increasing satisfaction and reducing overall healthcare costs with a more holistic approach.

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Chronic Care Management Revenue Relies on Physician Momentum

January 28th, 2016 by Patricia Donovan

Embedded in CMS's year-old Chronic Care Management codes is a dramatic potential for revenue—in both reduced costs and enhanced health outcomes for Medicare beneficiaries. But before primary care practices can tap into these opportunities, physician leadership must create momentum for CCM with staff and patients, advises Debra Burbary, RN, clinical quality assurance manager with Arcturus Health.

CMS recognizes that care management is a critical component of the primary care setting and that it can help contribute to the better health of our patients and also reduce spending as well. Our group has looked at this as an opportunity to capture more revenue as well as improve our patients’ health conditions.

However, when we first began to study the Chronic Care Management (CCM) regulations, we found out that it wasn’t going to be quite that easy. CMS has put into place many requirements and guidelines that need to be followed to qualify for this service. We think that one of the biggest messages that came through was the fact that 75 percent of healthcare spending is directly related to chronic conditions. The prevalence of co-morbid conditions also presents a challenge for disease management. Mostly, these patients fall into that category.

The CCM program was going to require a comprehensive effort to reconfigure our clinical workflows and processes to adjust to the needs of these chronically ill patients within a primary care setting. One of the main things we determined we needed was physician leadership. Involvement by our physicians to support this program was going to be a major key to success.

I was very fortunate to work with my physician medical director, who does provide that support for our department, and we were able to move forward. One thing to look at if you’re just starting with this process is the creation within your group of physician buy-in for disease management activities in order to create that culture. Without this supportive culture, you will have a difficult time sustaining a chronic disease management effort.

The cost of disease management continues to drive many of our decisions related to encouraging our patients in self-management activities complementary to the patient-physician relationship—decisions that drive our strategies for supporting patients in becoming informed. Active participants must be extensively developed.

The potential revenue for the CCM code cannot be overlooked. It’s remarkably very, very high, but at the same time very difficult to accomplish.

Source: Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue

http://hin.3dcartstores.com/Framework-for-Patient-Engagement-6-Stages-to-Success-in-a-Value-Based-Health-System_p_5102.html

Medicare Chronic Care Management Billing: Evidence-Based Workflows to Maximize CCM Revenue traces the incorporation of CCM into Arcturus Healthcare's existing care management efforts for high-risk patients, as well as the unexpected bonus that resulted from CCM code adoption.

Infographic: HIPAA Physical Safeguards

January 27th, 2016 by Melanie Matthews

Physical safeguards are set of rules and guidelines that outline how the physical storage and access to protected health information should be managed under HIPAA security rules, according to a new infographic by Vigyanix.

The infographic details the Physical Safeguard requirements for facility access controls, workstation use and security and device and media control.

Business Associate ManualBusiness Associate Manual is a template-style manual that can be easily adapted to align with your compliance needs as a business associate (BA). All content complies with the Omnibus Rule.

Specifically developed to help BAs meet complex privacy & security compliance requirements. The Business Associate Manual includes: 6 privacy policies; 30 security policies; 6 policies that address common requirements of both the privacy and security rules; 1 breach notification policy; and 4 forms and templates.

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Infographic: Improving Patient Satisfaction

January 25th, 2016 by Melanie Matthews

Provider-led changes can have a significant impact on patient satisfaction rates, according to a new infographic by PatientSafe Solutions.

The infographic outlines how communication is key to unlocking patient satisfaction via face-to-face visits, online touchpoints and provider office interactions.

Intermountain Healthcare's strategic six-point patient engagement framework not only has transformed patient care delivered by the Salt Lake City-based organization but also has fostered an attitude of shared accountability throughout the not-for-profit health system.

Framework for Patient Engagement: 6 Stages to Success in a Value-Based Health System details Intermountain's multilayered approach and how it supports its corporate mission: Helping people live the healthiest lives possible.

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Infographic: New Models of Care

January 22nd, 2016 by Melanie Matthews

In response to healthcare industry trends, healthcare organizations are turning to social media, mobility, analytics and cloud computing to stay relevant in the digital landscape, according to a new infographic by CSC.

The infographic examines the industry trends driving these changes and how healthcare organizations are responding.

2015 Healthcare Benchmarks: Chronic Care ManagementThe desire to improve health outcomes for individuals with serious illness coupled with opportunities to generate additional revenue have prompted healthcare providers to step up chronic care management initiatives. The Centers for Medicare and Medicaid Services now reimburses physician practices for select chronic care management (CCM) services for Medicare beneficiaries, with more private payors likely to follow suit.

2015 Healthcare Benchmarks: Chronic Care Management captures tools, practices and lessons learned by the healthcare industry related to the management of chronic disease. Click here for more information.

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The Care Plan Process: 15 Trends to Know

January 21st, 2016 by Patricia Donovan

Care planning begins with a needs assessment, say the majority of respondents to HIN's 2015 survey on Care Plans.

The use of care plans increases medication adherence, patient self-management and clinical quality ratings, say 70 percent of healthcare organizations engaged in care planning, according to newly published market metrics from the Healthcare Intelligence Network (HIN).

A majority of respondents—83 percent—incorporate care plans into value-based healthcare delivery systems, according to HIN's December 2015 survey, with more than half of remaining organizations planning to do so in the coming year.

High-risk health indicators derived from health risk assessments or the imminent transition of a patient from one care site to another are the chief triggers of the care planning process, said survey respondents.

Survey Highlights:

Other findings from HIN's Care Plans survey include the following:

  • First and foremost in a care plan strategy is an assessment of needs, say 87 percent of respondents.
  • The electronic health record is the care plan maintenance and distribution tool of choice for almost two-thirds of respondents, although the retention of paper records is reported by nearly half of responding companies.
  • The principal criterion for classifying patients in need of care plans is the data derived from health risk assessments (HRAs), say nearly two-thirds of respondents, but patients transitioning between care sites also are prioritized for care planning, note 61 percent.
  • The presence of a behavioral health condition poses the greatest challenge to care planning by a large margin, said 39 percent of respondents, as compared to diagnosis of physical health problems.
  • The typical tracking time for care plans ranged from one to two months, said 24 percent, while adherence to care plans is checked monthly by 37 percent of respondents.
  • Patient engagement is the most significant barrier to care plan success, say 44 percent of respondents.
  • Patients’ healthcare utilization patterns are the most reliable indicators of care plan adherence, say 29 percent.
  • About 13 percent report ROI from care planning efforts as between 2:1 and 3:1.

Download a complimentary executive summary of 2016 Care Plan metrics to learn the value of evidence-based care plans in following high-risk patients through health episodes and transitions of care.