The Value Case for Advanced Illness ManagementAs providers take on population-based risks, they are looking to reduce costs across the continuum of care. What has been a mission-based priority—ensuring the very ill and dying receive care that correlates with their wishes—has become a financial imperative as well.
Shared Medical Appointments Improve Access, Quality, and EfficiencyShared medical appointments have the potential to improve access to medical care and strengthen a healthcare organization’s bottom line. Each shared medical appointment at the UC San Diego Health System differs based on the nature of the patient population and physician preferences. For example, the HIV/AIDS sessions have multiple races, ethnicities, genders, sexual orientations, and age ranges in the room. “The diversity of the group represents my real-life practice,” says Amy Sitapati, MD.
In contrast, the diabetes appointments, led by Steven V. Edelman, MD, have taken the opposite approach. “In choosing people for the shared medical appointments, I looked at all my patients and I separated out those with Type 1 diabetics from those with Type 2 and separated men from women,” he says.
Revamping Service Line Planning at Mission HospitalMission Hospital used to consider scores of market and performance data during service line strategic planning. But the hospital has significantly reduced the time spent on this task. Service line planning teams now focus primarily on data that indicate market opportunities or vulnerabilities.
“We were doing a deep dive on every market and service, and it was taking days to manipulate the data by county, service, and facility,” says Cathi Durham, MBA, MHA, director, business development and strategy. “With less time spent in the data weeds, we have more time during the pre-planning phase to actually think and draw initial conclusions,” Schmitz adds.
De-Buzzing Patient-Centered CarePatient-centered care isn’t about the quality of hospital food, convenient parking, or the color of the walls, says Susan Edgman-Levitan. Instead, it’s ensuring that patients understand provider communication and respecting patients’ values and preferences, says Levitan, the executive director of the John D. Stoeckle Center for Primary Care Innovation, Massachusetts General Hospital in Boston.
One successful strategy: shared decision making, a formal process in which patients’ values and preferences are central considerations in determining which tests and treatments will be used. Since 2005, the Stoeckle Center’s Shared Decision Making Program has grown to include nearly 200 physicians who have recommended more than 10,000 decision aids to their patients.
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.