Reducing Heart Failure Admissions through Remote Health Monitoring

Remote monitoring of heart failure patients by Henry Ford Health System reduced expected all-cause hospital admissions for enrollees by 36 percent after six months of enrollment and a return of 2.3:1 vs. program costs, according to a September 2009 study. Dr. Randall Williams, CEO of Pharos Innovations, the developer of the Tel-Assurance┬« remote patient monitoring platform used in Henry Ford’s medical home pilot, describes how the daily engagement of Medicaid beneficiaries in self-care health monitoring programs can help healthcare organizations avoid many of the challenges inherent in working with this frequently underserved population. Once participants are identified, they are very receptive to the daily contact, which has resulted in extremely high program engagement rates.

Dr. Williams, along with Dr. Thomas Kline, medical director, Iowa Medicaid Enterprise, and Katherine Scher, R.N., C.C.M., program manager for the Center for Clinical Care Design at Henry Ford Health System, describe the factors that can impact engagement in telephonic health management programs and present strategies to improve engagement rates in Health IT in Care Management to Improve Health and Effect Behavior Change.

Length: 11:29 minutes

Emergency Room Utilization: Developing a Team Approach to Address Overcrowding Factors That Increase Wait Time

Delaying of healthcare for economic reasons is causing volatility in hospital emergency room volumes that is expected to intensify. To handle staffing, equipment and treatment challenges posed by these census variations, hospital EDs must rethink processes and protocols. At Edward Hospital in Naperville, Il., a “culture of certification” that includes cash bonuses for certification and peer support during exam preparation helps to raise the caliber of the ER staff and maintain patient satisfaction levels. Cindy Rentsch, Edward Hospital’s clinical director of emergency services, describes the culture of certification that has raised the caliber of Edward’s ER staff, a marketing campaign to divert mental health patients from the ER and protocols for treatment of pediatric ER patients.

Rentsch will be joined by Joan Heater, director of nursing emergency services, Banner Gateway Medical Center and Kevin Roche, director of the management engineering program at Banner Health Corporation, during Emergency Room Utilization: Developing a Team Approach to Address Overcrowding Factors That Increase Wait Time, a January 14, 2009 webinar. The three presenters shared organizational strategies that improve throughput in the ER as well as increase efficiencies, reduce costs and improve patient outcomes and satisfaction.

Length: 11:20 minutes