Marie Ruiz, case manager and lead assessment coordinator at Jefferson Health Care Center, is a fierce advocate for her patients. But she doesn’t always win.
Nurse-led approach helps cut costs, spur recovery
Caring for older patients living with complex health and social needs is one of the biggest challenges for the healthcare system. It’s a challenge that will continue to intensify as the baby boom generation ages.
Mary Naylor, director of the NewCourtland Center for Transitions and Health at the University of Pennsylvania School of Nursing, is the lead architect of the Transitional Care Model (TCM), a nurse-led approach designed to help improve the care of seniors coping with multiple chronic conditions who experience frequent episodes of acute illness. The goal is to partner with patients, family caregivers and other clinicians to improve the patient’s health and quality of life. Studies consistently show that this model helps lower hospital readmission rates and reduce per-patient healthcare costs.
Case managers are often the unsung heroes in a patient’s recovery. In conjunction with National Case Management Week, we asked for nominations for influential case managers who deserve some extra recognition. We were looking for professionals who are passionate about their work and go the extra mile for their patients. We found all that and more.
At PreparedHealth, the #IHeartHIT campaign hits home for us. We’ve made it our mission to make it possible to age and deliver care in the home and to do so, we’ve built a team of talented, smart people who are passionate about creating technology that changes lives. Our team is made up of data scientists, social workers, nurses, designers, healthcare experts, engineers, product owners, marketers, and more, yet we all have a personal reason of why we joined this mission. Read below to hear just a few of our stories:
PreparedHealth is thrilled to be listed as one of four finalists in Vizient's sixth annual Innovation Challenge, an event designed to highlight the best new ideas in healthcare today. The Innovation Challenge will be held on Oct. 3 at 3:45 p.m. as part of the opening general session for the 2018 Vizient Connections Summit to be held at The Wynn in Las Vegas.
Our team is headed to Salt Lake City today to join healthcare's top innovators at Health Catalyst's Healthcare Analytics Summit. We're excited to network with our peers who are making a difference in healthcare. Will you be there? Find us in the Digital Innovators Showcase!
From an evolution standpoint, the methods for information transfer and communication have come a long way from the days of the telegraph. Up until the 1990s, the fax machine was the most widely used communication device in almost all industries. The 21st century ushered in a new age of mobile and web-based communication tools. The American healthcare system, however, remains stuck in the past. As it stands, approximately 75% of all medical communication still takes place via fax. While an overwhelming majority of clinics, hospitals, and post-acute care (PAC) providers have digitized their patient records, the means to share this electronic information across different healthcare settings proves difficult.
As patient communication increases, Crystal Lake-based Centegra Health System finds readmission rates decrease.
A primary focus in health care, from hospitals, the government and private insurers, is to improve treatment and efficiency. One key measurement: readmission rates.
Progressive nursing facilities are evolving to operate more similarly to hospitals due to growing engagement in bundled payment arrangements and a devotion to improved patient outcomes. This shift in outcome ownership and shared financial responsibility has led to a need for more efficient patient transitions and increased visibility after the point of discharge. With a national presence, a predominate SNF partnered with enTouch to drive real-time communication with their internal service lines and downstream partners to focus on these goals. Within one year, the project’s primary skilled nursing facility saw rehospitalizations reduced by half.