Care Process Redesign

Coordinated care reduces hospitalizations

Aetna joint ventures reduced unnecessary hospitalizations by 7% in the first four months of 2018 as compared to CY17, according to Brigitte Nettesheim, president, North Central Region & Joint Ventures for Aetna. Nettesheim says the improvement in hospitalization rates is supported by coordinated care and direct contact with patients and their physicians.  “As an example,…

HFMA July 14, 2019

Dental center prevents ED visits, provides hospital referrals

St. Bernard Hospital Dental Center offers comprehensive and hard-to-access oral health services and surgeries to pediatric and adult patients on Medicaid, particularly special needs patients, which reduces costly emergency department visits and offers referral opportunities to other hospital services.

Ed Avis July 14, 2019

Focus on care transitions brings substantial new LOS-reduction opportunities

Hospitals can derive multiple operating and financial benefits from focusing care improvement efforts on reducing patients' length of stay in acute care.

Brian K. Pisarsky, RN, ACM July 3, 2019

Integration supports Presbyterian’s ‘Complete Care’ program

Presbyterian Healthcare Services, based in Albuquerque, is a locally owned, not-for-profit health system of nine hospitals, a statewide health plan and a growing multispecialty medical group. We serve one in three New Mexicans through our healthcare services and insurance coverage. For Presbyterian patients with serious, complex medical needs, we offer a high-touch program that combines primary,…

Nancy Guinn, MD June 19, 2019

5 tactics to reduce clinical costs and improve performance

Learn about clinical cost reduction strategies and examples.

Rob Gamble June 13, 2019

Example from the field: Managing clinical costs at a large, academic health system

One healthcare provider recognized that it would be impossible to make a material impact on clinical costs without also addressing related areas such as operational expenses and revenue cycle optimization.

Rob Gamble June 6, 2019

Mayo Clinic Laboratories uses data, clinician teams to identify cost savings

Just one lab utilization initiative can have a massive financial impact, says Andrew Cousin of Mayo Clinic Laboratories. Don’t be so overwhelmed by the scope that you do not take that first small step.

Laura Ramos Hegwer June 5, 2019

Reducing Clinical Variation to Drive Success in Value-Based Care (Part 1)

Engaging physicians and implementing risk adjusted analytics are two of the strategies that healthcare providers can use to address clinical variation in efforts to improve the value of care.

Douglas Ardoin, MD, MBA May 28, 2019

Specialty practices use predictive analytics to enhance value-based care

Specialty physician practices embarking on value-based care initiatives should start by expanding their ability to collect and synchronize data.

Charles Saunders, MD May 24, 2019

Health plan data helps physicians, but additional insight would improve outcomes

A patient-centered medical home program has fostered collaborative relationships between a health plan and participating providers, but one provider says the program would be even more effective if the data supplied by the health plan were more actionable.

Lola Butcher May 16, 2019
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