Home Health and Hospice Care Industry (U.S.): Analytics, Extensive Financial Benchmarks, Metrics and Revenue Forecasts to 2020, NAIC 621600
- Language: English
- 66 Pages
- Published: March 2014
- Region: United States
We've packaged our patient-centered medical home training products and research into one essential desktop learning resource. With the medical home a centerpiece of health reform and a growing focus to improve quality and contain costs across all sectors of the healthcare industry - from Medicare and Medicaid populations to commercial products, you need to bring your staff up to speed on how this model of care is organized, delivered and funded.
With Medical Home Desktop Learning you'll get a four-CD set consisting of:
Three 45-minute video and PowerPoint® tutorials by leading medical home experts. These information-packed DVDs include examples of key aspects of the medical home, from operationalizing medical home care delivery to structuring the model:
- Tutorial #1 Medical Home Contracting: Building a Solid Framework
Presenter: Barbara Walters, DO, MBA, Senior Medical Director, Dartmouth-Hitchcock Medical Center.
As a member of the contracting team for Dartmouth-Hitchcock Medical Center's medical home initiatives, Dr. Barbara Walters shares how to effectively prepare, negotiate and contract with payors for the medical home model of care. Dr. Walters examines the core components associated with managing relationships, understanding financial models and contracting with payors to prepare organizations for a seat at the negotiating table.
- Tutorial #2 Successful Models of Care for the Medical Home: Staffing and Roles of the Medical Home Care Team
Presenter: Michael Erikson, Vice President, Primary Care Services, Group Health Cooperative.
By increasing its primary care staff by 30 percent and expanding its multi-disciplinary clinical teams to include family doctors, general internists, physician assistants, nurses, medical assistants and clinical pharmacists, Group Health Cooperative decreased not only its ER and urgent care visits, but also inpatient hospital stays.
This patient-centered medical home pilot produced a rapid return on investment in just one year. During this 45-minute training DVD, Michael Erikson describes the staffing strategies that reduced these downstream utilization costs - from the skill sets required by the staff to the workflow changes needed to accommodate this model of care.
- Tutorial #3 Effective Case Management in the Medical Home
Presenter: Diane Littlewood, RN, Regional Manager of Case Management for Health Services, Geisinger Health Plan and Joann Sciandra, RN, Regional Manager of Case Management for Health Services, Geisinger Health Plan
The role of the case manager in the healthcare system has been steadily increasing as the need to manage healthcare expenditures and utilization grows. Whether by phone, in the home, in the ER, in the physician's office or at the time of discharge, case managers are charged with helping patients gain access to needed medical, social, educational and other services for chronic conditions.
During this 45-minute training DVD, Diane Littlewood, RN, and Joann Sciandra, RN, both regional managers of case management for health services at Geisinger Health Plan, examine the key components of an effective case management program - from the background of the case manager to their responsibilities and training. They share strategies for training case managers, managing caseloads, case management tools, techniques, principles and practices and case management stratification.
After you've completed the desktop tutorials, dive into the 11 patient-centered medical home case studies we've assembled as an Adobe Acrobat PDF® file on CD with easy keyword search capability.
- How Dean Health System reengineered its practice as an ACO - a network of primary care physicians, one or more hospitals and subspecialists that provide patient-centered care - and noticed tremendous improvements in patient satisfaction and access, HEDIS and quality scores and membership numbers;
- A payor's perspective as agent for the medical home based on a medical home pilot at UnitedHealthcare;
- The four requirements of the advanced medical home, including a critical cultural shift in the practice from "physician as boss" to one of collaboration and support in the Pennsylvania Medicaid ACCESS Plus PCCM-DM Program;
- How diabetes patients benefited when Horizon Blue Cross Blue Shield of New Jersey - one of the first insurers in the nation to reimburse physicians for the medical home model of care - shared health-related data with Partners In Care, a coordination entity that created comprehensive member profiles for physicians treating these patients;
- Best practice care coordination strategies for diabetic patients with a special emphasis on the challenges of delivering disease management to Medicaid beneficiaries in a medical home model;
- An enhanced medical home reimbursement model for preventive care;
- A partnership between employers and public and private payors to fund medical homes through a three-tiered reimbursement model;
- How hospitals can partner with medical homes to deliver patient-centered care to uninsured and low-income patients while reaping the financial benefits associated with decreased utilization and duplication of services;
- An advanced medical home that monitored high-risk patients and reduced all-cause hospital admissions among enrollees with heart failure by 36 percent after six months;
- The essentials behind the transition teams for Geisinger's medical home pilot that have reduced 30-day hospital readmissions by 15 to 20 percent and overall healthcare costs by 7 percent while improving patient satisfaction and clinical quality indicators; and
- How to effectively and comprehensively serve a population in a primary care medical home in a low resource setting.
Finally, we've packed a CD with 10 in-depth interviews with leading medical home experts on such crucial topics as:
- The key to smooth placement of case managers in the medical home and tips for better management of patients discharged to nursing facilities;
- How to demonstrate compliance with the most challenging NCQA medical home recognition "must-pass" elements;
- Working with physicians on documentation, staff training and work flow redesign to use performance data to improve physician practice performance;
- The many benefits of contacting patients via phone and e-mail in lieu of in-person office visits in the medical home model of care;
- Simple steps that medical home staff can follow to turn the appointment calendar into a patient teaching, recall and outreach tool;
- Putting the right medical home services in place for adults with chronic mental illness;
- The key process changes that have to accompany the adoption of health IT by a medical home;
- The secrets to a successful payor-provider partnership and code-dependent strategies to reimburse physicians for preventive care services dispensed from the medical home;
- How health IT supports the joint principles of the PCMH;
- Short-term indicators that demonstrate that the PCMH is working as well as the long-term view for medical home ROI. SHOW LESS READ MORE >