Readmissions

Intalere Member Best Practice Spotlight-San Luis Walk-In Clinic – Integration Of The Chronic Care Management Plan And Behavioral Health Service Plan

Issue With the increase in their integrated care population – patients receiving both primary care and behavioral health services – San Luis Walk-In Clinic (SLWIC) quickly ran into an issue with there being two separate plans of care for each patient, making coordination of care and patient treatment compliance assessment challenging. Solution SLWIC established the […]

Intalere Member Best Practice Spotlight – Coastal Connect Health Information Exchange – CABG Patient Care Intervention for Improved Patient Outcomes

Issue In August 2017, three heart surgeons reached out to Coastal Connect Health Information Exchange (CCHIE) and requested real-time, electronic notifications for their Coronary Artery Bypass Grafting (CABG) patients that admit to the hospital emergency department to support timely care intervention in an effort to reduce preventable hospital readmissions. Solution CCHIE’s electronic alerting tool, NOTIFY, […]

Intalere Member Best Practice Spotlight-Milford Regional Medical Center-Redefining Traditional Roles to Reduce Readmissions

ISSUE The senior management team and board of trustees of Milford Regional Medical Center identified reducing avoidable readmissions as a hospital-wide goal. Although certain diagnoses contribute to the bulk of readmissions, Milford Regional identified medication, discharge planning, patient and family engagement, and social issues (transportation and nutrition) as key areas affecting readmissions. SOLUTION The facility […]

Nutrition in the Changing Healthcare Landscape

by Peter Cayan, MA, RD, CDN, LDN Senior Director, Nutrition Specialists, Intalere Nutrition and nutrition therapy have never been more relevant than now in the age of healthcare reform and the changing healthcare landscape. I recently discussed this topic with Dr. Tracy Smith, senior clinical manager for Abbott Nutrition, for a podcast. According to the […]

Intalere Member Best Practice Spotlight-Northern Arizona Healthcare/Flagstaff Medical Center-Reduction of Hospital Readmissions for Patients with Previously Identified Malnutrition

ISSUE Malnutrition is a serious issue, with 1 in 3 U.S. hospital patients being affected. The Centers for Medicare and Medicaid Services (CMS) have projected reduced reimbursement for malnutrition readmissions within 30 days of discharge. At Flagstaff Medical Center (FMC), 42% of patients identified at risk for malnutrition were being readmitted within 30 days of […]

Intalere Member Best Practice Spotlight: Crossing Rivers Health Navigating the C’s – Collaboration, Coordination and Continuity – to Reduce Readmissions

This post looks at how the implementation of an interdisciplinary readmission team at Crossing Rivers Health in Wisconsin helped dramatically reduce readmission rates. Issue Crossing Rivers Health was missing the consistency necessary to sustain a reduction in readmission rates. The facility’s goal was to enhance collaboration, coordination and continuity related to patient care transitions. Solution An […]

Member Best Practice Spotlight: Verde Valley Medical Center – Medication Strategy for Value-Based Performance

As we recognize American Diabetes Month, this week’s blog post looks at how Verde Valley Medical Center initiated a medication compliance program to benefit patients with chronic conditions including diabetes.  Issue Verde Valley Medical Center’s (VVMC’s) performance data identified an opportunity to meet the needs of the diverse local community of Native Americans (Yavapai Apache […]

The New Economics of Mobile Health

By Kevin Lasser, CEO, JEMS Technology, and Marshall Busko, Senior Director, Information Technology Solutions, Intalere The idea of mobile health has been with us since the 1960s and 1970s when NASA began to monitor astronauts’ biometrics remotely and the federal government provided funding for seven telemedicine research and development projects. But, recently, its popularity is […]