Posts Tagged ‘care plan’

HINfographic: Care Plans Put Healthcare Team on Same Page

April 13th, 2016 by Melanie Matthews

Though supporting technologies may vary, most healthcare organizations develop detailed, evidence-based, sharable care plans that follow high-risk patients through clinical episodes and transitions of care, with the goal of enhancing care quality and engagement and reducing spend, according to the 2015 Care Plans survey by the Healthcare Intelligence Network.

A new infographic by HIN examines how care plans are distributed and stored, how long patients’ care plans are tracked and the frequency of care plan tracking.

2016 Healthcare Benchmarks: Care PlansDetailed evidence-based care plans that follow high-risk patients through clinical episodes and transitions of care help these patients and their providers assess the level of care needed, evaluate services available and empower patients with goals of care, a strategy that impacts quality, outcomes and patient experience and engagement.

2016 Healthcare Benchmarks: Care Plans examines care plan utilization strategies and successes from more than 75 healthcare organizations responding to the November 2015 Care Plan survey by the Healthcare Intelligence Network. 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.

Medicare Chronic Care Management Reimbursement: Clarifying EHR Use and Electronic Requirements

October 22nd, 2015 by Patricia Donovan

Just one-fifth of U.S. physician practices participate in CMS's Chronic Care Management Program.

Nearly 70 percent of physicians nationwide admit they do not fully understand the Medicare Chronic Care Management (CCM) program, according to an August 2015 study by Smartlink Mobile Systems. The survey of 45,000 American physician practices determined that while 20 percent do participate in CCM, there is a great deal of confusion surrounding the CMS program designed to curb the cost of coordinating care for 34.4 million Medicare fee-for-service beneficiaries with two or more chronic diseases—particularly when it comes to meeting CCM’s electronic requirements.

The CCM initiative pays participating physician practices a monthly fee for twenty minutes of non-face-to-face patient care.

Earlier this year, Dr. Paul Rudolf, partner, Arnold & Porter LLP, and Nicole Liffrig, counsel, Arnold & Porter LLP, delved into CMS requirements and discussed approaches and challenges to meeting the CCM requirements, including a practice’s requirements for electronic health records (EHRs):

The CCM care plan is all the clinical staff needs to have access to in order to count time toward the 20 minutes. In terms of the EHR itself, the practice is only required for certain specified services within the Chronic Care Management. For example, the practice has to create a structured recording of demographics, problems, medications and allergies within the EHR, and then that information must inform the care plan. The care plan will include that type of information but doesn’t have to include everything that is in the EHR.

The practice also must put into the EHR a structured clinical summary record, which is discussed at some length in the final rule. In addition, the EHR must document that there’s written consent for the CCM services and all the other things the practice explained to the patient when the patient gave consent.

In addition, the care plan must be provided to the patient. That could be a hard copy or an electronic copy. The communication to and from home with community-based providers regarding their psychosocial needs and functional deficits also must be in the EHR.

Essentially, the electronic care plan is a distilled version of the EHR containing the pertinent information clinical staff would need to provide CCM services.

However, in spite of this interpretation, one Medicare contractor recently suggested that in order to count time toward the 20 minutes, the clinical staff has to have access to the EHR. We believe that is an incorrect interpretation of the rule. We believe the practitioners only need access to the electronic care plan.

The last thing I would like to mention about the EHR is that use of the EHR to provide care plans and other information to all off-site clinical staff and to other practitioners could theoretically raise privacy concerns. These are not new privacy concerns, but any practice that is going to provide CCM services needs to be cognizant of potential HIPAA issues and make sure they are in compliance. One thing that can be done in this regard is to have the individuals with EHR access sign business associate agreements.

Source: Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based Revenue

http://hin.3dcartstores.com/Chronic-Care-Management-Reimbursement-Compliance-Physician-Requirements-for-Value-Based-Revenue_p_5027.html

Chronic Care Management Reimbursement Compliance: Physician Requirements for Value-Based Revenue sets the record straight on CCM reimbursement compliance, offering strategies for navigating obstacles and meeting requirements. In this 25-page resource, attorneys Dr. Paul Rudolf, partner, Arnold & Porter LLP, and Nicole Liffrig, counsel, Arnold & Porter LLP, drill down into chronic care management requirements outlined in the 2015 Medicare Physician Fee Schedule.

HINfographic: Patient Engagement Tactics to Drive Satisfaction, Care Plan Adherence and Quality

October 19th, 2015 by Melanie Matthews

Today’s value-focused healthcare models theorize that engaged patients not only are healthier and more satisfied but also may generate fewer costs than the non-engaged. Whether patient engagement translates to a healthy bottom line remains to be seen. In the meantime, the inaugural Patient Engagement survey by the Healthcare Intelligence Network identified a range of tactics in use by 133 healthcare organizations to improve overall population health engagement.

A new infographic by HIN examines the types of tools healthcare organizations use to engage patients and drills down on the use of patient portals within patient engagement programs.

2015 Healthcare Benchmarks: Patient EngagementTransformational patient-centered models emerging post-ACA are designed to succeed with a core of engaged, activated patients, yet enlistment of individuals in chronic care management, telehealth and other health enhancement interventions continues to challenge the healthcare industry.

2015 Healthcare Benchmarks: Patient Engagement documents strategies, program components, successes and challenges of engaging patients and health plan members in self-care from 133 organizations responding to the 2015 Patient Engagement survey by the Healthcare Intelligence Network. Click here for more information.

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Infographic: Medication Adherence Strategies

September 27th, 2012 by Melanie Matthews

With just 50 percent of the prescriptions filled each year taken correctly,
there is plenty of room for improvement in medication adherence.

Patient adherence solutions and patient communication strategies show
promise in improving this adherence rate, according to a new infographic
by eyeforpharma.

Medication Adherence

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