By Lola Butcher
As a patient-centered medical home, Southeast Texas Medical Associates (SETMA) has long focused on its patients' transitions of care. The San Antonio-based multidisciplinary practice developed a hospital admission plan of care template to help patients transition into the hospital setting and communicate the physician's plan of care to the patient's care team. The physician practice recognizes that coordinating care from the outset is critical to patient outcomes.
Access tool:SETMA Hospital Admission Plan of Care Document"This tool is intended to help address major problems that can stem from a lack of coordination, such as unnecessary days in the hospital, low patient satisfaction, re-hospitalizations, and inadequate staff communications," says James L. Holly, MD, SETMA's CEO.
By helping all parties know what to expect during the hospitalization, the document helps the patient, family members, and caregivers start thinking about and planning for a successful discharge. SETMA's hospital admission plan of care was designed to answer common questions that patients and hospital staff have for the admitting physician. Shortly after admission, SETMA patients and hospital staff receive a personalized plan that lists the following items:
A copy of the plan also goes into the patient's electronic health record (EHR) so all caregivers have access to it. The document can influence a patient's hospital experience in a number of ways, says Holly:
A template for the hospital admission plan is built into SETMA's EHR system, which physicians can access in the four hospitals in which they practice. So creating the document adds little extra work for the admitting physician, Holly says.
"The document is driven from the H&P [patient history and physical] so when the H&P is printed, the hospital plan of care is automatically printed," he says. "Without healthcare providers using an EHR in the hospital setting, which is linked to the ambulatory record, this would be difficult. With connectivity and linkage, it is simple."
SETMA began using the hospital plan of care this summer, and early feedback has been good. "The nurses particularly like this," Holly says. "We have fewer complaints from patients that 'No one has told me anything about why I am here or what I can expect!'"
Lola Butcher is a freelance writer and editor based in Missouri.
Interviewed for this article:James L. Holly, MD, is adjunct professor at University of Texas Health Science Center-San Antonio, and CEO, Southeast Texas Medical Associates, Beaumont, Texas (firstname.lastname@example.org).
Access tool:SETMA Hospital Admission Plan of Care Document
Somnia: Bending the Healthcare Cost Curve Toward Improved Anesthesia Value
PMMC: Navigating Revenue Cycle Management Challenges as Value Based Purchasing Emerges
Burgess: Simplify the Business of Healthcare
J.P. Morgan: Managing Cybersecurity and Protecting Patient Data
Brian DiPietro, Managing Director, Commercial Bank Technology, JPMorgan Chase & Co., discusses the importance of evaluating your cybersecurity protocols to help prevent malicious data breaches.
TransUnion Healthcare: Smarter Revenue Cycle Solutions
Gerry McCarthy, President of TransUnion Healthcare, discusses industry trends contributing to higher bad debt and what to do about them. Gerry is responsible for the strategic direction of the healthcare business and expanding its footprint in the healthcare market overall. He has more than 20 years of experience in healthcare information technologies.
Deloitte: Creating Value with Effective Care Management
Scott Kolesar, principal and senior leader in Deloitte Consulting LLP's Value Based Care practice, and David Wennberg, MD, MPH, adjunct associate professor of The Dartmouth Institute and former chief executive officer, Northern New England Accountable Care Collaborative, discuss the challenges and competencies involved in creating a care management organization.
American Express: Streamlining Supplier Payments and Boosting Revenue
Andrew Jamison, vice president in the Global Corporate Payments division of American Express, discusses trends and opportunities in supplier payments.
Deloitte: Realizing the Potential of Your CDI Program
Suzanne Whitworth, director at Deloitte & Touche LLP, and LaVerne Romberger, MSN, CCM, CCDS, clinical operations manager-Seton Healthcare, share leading practices for maximizing the potential of clinical documentation programs under value-based care.
RevSpring: Customizing a Technology Platform to Drive Patient Payment
Martin Callahan, Senior Vice President, Healthcare Solutions, RevSpring, describes key industry trends affecting how patients engage with the revenue cycle and ways payment processes are changing as a result.