Archive for January, 2017

Infographic: Telemedicine Is Transforming Healthcare

January 30th, 2017 by Melanie Matthews

Telemedicine is one of the fastest growing sectors in healthcare. With increased pressure worldwide on improving the efficiency of care delivery and reducing costs, this growth is expected to be even more explosive in the next five years, according to a new infographic by ADROITENT.

The infographic looks at the impact of telemedicine, factors driving telemedicine growth and the benefits of telemedicine.

Remote Patient Monitoring To Drive Results in Value-Based ReimbursementAfter testing remote patient monitoring programs at a pilot level through its Penn Medicine Center for Health Care Innovation, the University of Pennsylvania Health System and School of Medicine is scaling out some of these programs to the health system level.

As healthcare organizations take on more risk for patients beyond their healthcare walls in value-based reimbursement models, the ability to monitor patients remotely to identify problems before they escalate is becoming critical.

During Remote Patient Monitoring To Drive Results in Value-Based Reimbursement, a 45-minute webinar on March 8th at 1:30 p.m. Eastern time, Katy Mahraj, innovation manager, Penn Medicine Center for Health Care Innovation, will share how her organization develops, test and implements new health improvement technologies and strategies using rapid cycle innovation.

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Infographic: State of the Consumer Healthcare Experience

January 27th, 2017 by Melanie Matthews

State of the Consumer Healthcare Experience

More than ever, consumers must make difficult choices while trying to navigate through a complex and fragmented healthcare system, often while they are hurting and feeling sick, stressed and overwhelmed. To better understand what people think about their role as the "CEO of their healthcare," Accolade created the Consumer Healthcare Experience Index, which sheds light on how individuals are making health-related decisions, what's impacting these decisions and where they need the most help.

A new infographic by Accolade examines the hurdles that patients face that can impact the patient experience and how healthcare organizations can address these hurdles.

Framework for Patient Engagement: 6 Stages to Success in a Value-Based Health SystemIntermountain 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: Effects of President Donald Trump’s Healthcare Reform Proposals

January 25th, 2017 by Melanie Matthews

There are four options under President Donald Trump's Affordable Care Act repeal and replace, according to a new infographic by NEJM Catalyst.

The infographic examines the impact of each of these options on: the number of uninsured, the number of individuals in poor health; the annual average out-of-pocket expenses for the individual market; and the impact on the federal deficit.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN's 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

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Infographic: ACO Trends

January 23rd, 2017 by Melanie Matthews

Momentum in value-based care has been building over the last several years, and 2016 was no exception, according to a new infographic by Oliver Wyman.

The infographic maps out the more than 630 ACOs in the United States.

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: Four Trends Impacting Healthcare in the United States

January 20th, 2017 by Melanie Matthews

The U.S. healthcare system is in a state of massive transformation, according to a new infographic by Alacriti. The shift is being driven by economic factors, legislation and evolving consumer expectations impacting all facets in the industry—from how patients receive their care to how providers are reimbursed for services provided.

The infographic outlines the changes occurring in the industry.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry Not in recent history has the outcome of a U.S. presidential election portended so much for the healthcare industry. Will the Trump administration repeal or replace the Affordable Care Act (ACA)? What will be the fate of MACRA? Will Medicare and Medicaid survive?

These and other uncertainties compound an already daunting landscape that is steering healthcare organizations toward value-based care and alternative payment models and challenging them to up their quality game.

Healthcare Trends & Forecasts in 2017: Performance Expectations for the Healthcare Industry, HIN's 13th annual business forecast, is designed to support healthcare C-suite planning during this historic transition as leaders prepare for both a new year and new presidential leadership.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today. Have an infographic you'd like featured on our site? Click here for submission guidelines.

Infographic: Improving HCAHPS Scores Through Healthcare Design

January 18th, 2017 by Melanie Matthews

Only two of the 32 HCAHPS survey questions focus directly on the healthcare physical environment, but the patient experience is shaped by a variety of healthcare design factors that influence all survey questions, according to a new infographic by the American Society for Healthcare Engineering. Hospital layouts can affect staff responsiveness. Communication scores can improve by designing quiet spaces. Research shows patients' perception of cleanliness can be improved with lighting, décor, and furniture choices, and that pain management is influenced by positive distractions, such as views of art and nature—concepts of active healthcare design.

The infographic examines how Cape Coral (Fla.) Hospital, part of Lee Memorial Health System, improved HCAHPS scores through patient-centered healthcare design with its "Pathway to Discovery" project.

Improving HCAHPS Scores Through Healthcare Design

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results Between Medicare's aggressive migration to value-based payment models and MACRA's 2017 Quality Payment Program rollout, healthcare providers must accept the inevitability of participation in fee-for-quality reimbursement design—as well as cultivating a grounding in health data analytics to enhance success.

As an early adopter of the Medicare Shared Savings Program (MSSP) and the largest sponsor of MSSP accountable care organizations (ACOs), Collaborative Health Systems (CHS) is uniquely positioned to advise providers on the benefits of data analytics and technology, which CHS views as a major driver in its achievements in the MSSP arena. In performance year 2014, nine of CHS's 24 MSSP ACOs generated savings and received payments of almost $27 million.

Health Analytics in Accountable Care: Leveraging Data to Transform ACO Performance and Results examines program goals, platforms, components, development strategies, target populations and health conditions, patient engagement metrics, results and challenges reported by more than 100 healthcare organizations responding to the February 2016 Digital Health survey by the Healthcare Intelligence Network.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today. Have an infographic you'd like featured on our site? Click here for submission guidelines.

In Care Coordination of Medically Vulnerable Homeless Patients, Housing is a Form of Healthcare

January 17th, 2017 by Patricia Donovan

Chronic Care Plus recuperative care reduced ER visits by homeless patients by 84 percent, and avoided nearly $3 million in medical costs.

Most patients discharged from the hospital ultimately return to a secure home environment. Not so for homeless or unstably housed patients; disconnected from healthcare and their community, their lack of stable housing compounds their medical difficulties following a hospital stay.

Enter Chronic Care Plus (CCP), a safety net recuperative care program in California whose mission is to bridge this gap between hospital discharge and permanent supportive housing for homeless patients, or "Joes," as Illumination Foundation Founder and CEO Paul Leon characterized his client profile during a recent presentation.

"I'm sure you can identify the 'Joes' in your neighborhood," Leon told participants during Intensive Care Coordination for Healthcare Super Utilizers: Community Collaborations Stabilize Medically Vulnerable Homeless Patients, a December 2016 webinar now available for replay. "They've come into the ER but are never quite connected with either a federally qualified health clinic (FQHC), your own hospital clinic or any available resources in your community."

The CCP program not only provides housing for recently discharged homeless or unstably housed individuals in model or dormitory-like settings but also reconnects them to the healthcare continuum. The program then wraps clients in a plethora of services, including housing placement, financial literacy, job placement, transportation and behavioral health support.

Back in 2008, Leon's organization was one of only about seven in the nation to provide recuperative care (also known as medical respite care). Recuperative care is care to homeless persons recovering from an acute illness or injury, no longer in need of acute care but unable to sustain recovery if living on the street or other unsuitable place, Leon explained. Today there are about 80 such programs in the United States.

Since then, his foundation created standards and best practices, and in 2013 launched CCP—"recuperative care on steroids, with tightly wrapped social services and a longer length of stay," Leon explained.

Originating as an ED diversion pilot aimed at 20 of the highest users of a local hospital ER, CCP has transformed discharge planning for the homeless and has served more than 2,500 patients since its inception.

During the presentation, Leon shared a host of program analytics, including recuperative care criteria client demographics and CCP statistics on medical, behavioral health, housing and other services provided. He also shared CCP's future plans, and some of the program's barriers and challenges, including medical management education and closing gaps in social services.

In terms of program outcomes, CCP has amassed significant savings as it closes gaps in care and reduces healthcare utilization, including 322 fewer ER visits by this population (a 84.3 percent decrease) and $2.8 million in medical cost avoidance at three participating hospitals.

"For Orange County hospitals as a total, we estimate that there was $5.2 million of savings," added John Kim, grants director of the Illumination Foundation. "If we compare the year prior on an annualized cost basis, that comes to over $7 million of savings to Orange County hospitals."

Click here for an interview with Paul Leon on Chronic Care Plus's challenges and lessons learned as it connects its medically vulnerable homeless to social services.

Infographic: Maternity Episodes of Care

January 16th, 2017 by Melanie Matthews

Maternity Episodes of CareThe cost of maternity care varies significantly by payer (commercial or Medicaid), by type of birth (vaginal or cesarean section), and by setting (hospital or birth center). Too often, women are not experiencing optimal outcomes in maternity care despite the significant resources spent, according to a new infographic by the Health Care Payment Learning & Action Network.

The infographic examines how an episode of care could be applied to maternity care—from an episode timeline for prenatal through postpartum care; episode parameters; operational considerations; and maternity care design elements.

Horizon Blue Cross Blue Shield of New Jersey (BCBSNJ) has awarded $3 million to 51 specialty medical practices as part of a shared savings arrangement through the company's Episodes of Care (EOC) program. The doctors, in five different specialty areas, earned the payments by achieving quality, cost efficiency and patient satisfaction goals in 2014 while treating more than 8,000 Horizon BCBSNJ members. As the largest commercial payor of Episodes of Care in the United States, Horizon BCBSNJ recently reported far lower hospital readmission rates and improved clinical outcomes for members in its EOC practices versus non-EOC practices in 2014.

During Episodes of Care: Improving Clinical Outcomes and Reducing Total Cost of Care Through a Collaborative Payor-Provider Relationship, a March 31, 2016 webinar, available for replay, Lili Brillstein, director of the Horizon EOC program, shares the details behind the health plan's EOC program, from the episodes they have bundled to the goals and results from the program.

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Infographic: Why You Need to Leverage IoT in Healthcare

January 13th, 2017 by Melanie Matthews

Despite the healthcare industry experiencing steady growth year-over-year, many healthcare and healthcare information technology (HHIT) providers are beginning to see the cracks in their traditional business models, according to a new infographic by the Technology Services Industry Association (TSIA).

The infographic outlines the various ways HHIT organizations can embrace the Internet of Things (IoT) through smart, connected products to capture new revenue streams, including optimized customer processes, and improved business outcomes.

Why You Need to Leverage IoT in Healthcare

Real-time remote management of high-risk populations curbed hospitalizations, hospital readmissions and ER visits for more than 80 percent of respondents and boosted self-management levels for nearly all remotely monitored patients, according to 2014 market data from the Healthcare Intelligence Network (HIN).

Remote Monitoring of High-Risk Patients: Telehealth Protocols for Chronic Care Management profiles a successful eight-year initiative by New York City Health and Hospitals Corporation's (NYCHHC) House Calls Telehealth Program that significantly lowered patients' A1C blood glucose levels.

Get the latest healthcare infographics delivered to your e-inbox with Eye on Infographics, a bi-weekly, e-newsletter digest of visual healthcare data. Click here to sign up today. Have an infographic you'd like featured on our site? Click here for submission guidelines.

Social Determinants of Health: Does Technology Connect or Isolate?

January 12th, 2017 by Patricia Donovan
social isolation

Only half of Americans with two or more chronic conditions actually go online.

Social determinants are areas of health that involve an individual’s social and environmental condition as well as experiences that directly impact health and health status. Here, Dr. Randall Williams, chief executive officer, Pharos Innovations, examines why, contrary to popular thought, technology advances may actually increase the gap between social connectedness and social isolation for certain populations.

In the age of the Internet, technology itself may become a barrier to being connected with others through social interactions. The Pew Research Center has done some nice work on health and the Internet. It turns out that three quarters of adults in the United States go online. That's probably not all that surprising, but what's more nuanced in this data is that the Internet access of individuals in the United States actually differs, depending on whether or not those individuals suffer from chronic health conditions.

It turns out that of Americans who have two or more chronic conditions, which by the way represents the vast majority of the Medicare population, only half go online. As it turns out, the very same groups that suffer most from social determinants of health, and not just from social isolation, also have the highest rates of chronic disease. And according to this research, they are the ones most likely to NOT have access to the Internet. This is called the Internet Divide.

We might be encouraged by the prevalence and penetration of mobile technologies, and maybe those would be the great bridge over the Internet Divide. Unfortunately, that may not be the case yet. According to this same Pew research, 90 percent of Americans who don't have a chronic condition actually own a cellphone. However, if you do have two or more chronic conditions, that number drops down pretty dramatically to 70 percent. That finding is a bit better than Internet access, but certainly not ubiquitous. If you look at those who have a cellphone, only 23 percent of them actually access text-messaging technologies on their cellphones, and smartphone apps fall well below that.

Source: Social Determinants and Population Health: Redesigning Care Management to Bridge Clinical and Non-Medical Services

social determinants of health

In Social Determinants and Population Health: Redesigning Care Management to Bridge Clinical and Non-Medical Services, care teams will learn that by asking patients the right questions and listening carefully to their responses, they can begin to identify and address social determinants, dramatically impacting patient outcomes as well as their own financial success under value-based care.