Reduce
Readmissions - Improve the Patient Experience
Reduce
costs while improving quality with PM360TM
proactive communications methodology and services by ReInforced Care™
The
Problem:
The New England Journal of Medicine released a
study on re-hospitalized patients stating that
approximately 25% (primarily elderly/Medicare
patients) are readmitted within 30 days. Readmission
rates are directly related to a breakdown in post-discharge
care, including not seeing a Primary Care Physician
and, often, the lack of an adequate support network. In
addition, Medicare and other insurers currently
pay for readmissions beyond 24 hours of discharge,
all of which could contribute to a lack of effort
on the part of hospitals to decrease them.
In
light of the current debate on Healthcare costs,
and emerging Federal budget plans, which call
for a $26 billion reduction of funding for readmissions,
the need of a solution is immediate and acute.
The
Opportunity:
The study cited, and others, also show that re-hospitalization
rates can be mitigated with better discharge management
and "follow up" care. By proactively
and comprehensively communicating and interacting
with the patient and their various caregivers,
including such interactions as: notifying primary
care physicians of hospitalizations, coaching
patients to diligently take medications, follow
discharge procedures, and making doctors appointments
for continuing treatment, the incidence of re-hospitalization
can be markedly reduced while improving the patient’s
health and overall experience. In so doing, the
cost of providing quality health care can be reduced
dramatically.
Introducing
PM360TM: Full Cycle Discharge
Management
A patient communications methodology that will
reduce patient re-hospitalization.
By
creating a unique outreach program to patients
returning home from a hospital procedure you can
dramatically reduce the number of patients that
return to the hospital.
• |
Improve
the patient experience |
• |
Reduce
patient re-hospitalization |
Post-Hospitalization
Proactive Outreach
PM360TM supports
both the Health Plan's and Physicians' Practices
by proactively communicating to post-discharge
patients. We alert Providers and Health
Plans to patients who may be at risk for re-hospitalization,
as well as prevent costly emergency room visits
by linking in patients with the appropriate networks
and care providers.
PM360TM
compliments and/or augments a Health
Plan or Physician Practice’s licensed staff,
by proactively contacting each patient and providing
insight into those patients that require medical
intervention. We provide the Health Plan
an easy-to-assess summary report of those patients
we've contacted and a recommended action item
list, including up to date contact information.
We can also use this encounter to discuss other
important information with the client company.
The
PM360TM Proactive Outreach
Plan offers:
• |
Assistance
in scheduling appointments with the Primary
Care Provider and other needed care providers
and information back to the health plan
on date, time |
• |
Assistance
in obtaining a Primary Care Physician if needed |
• |
Confirmation
that key medical appointments are made and
kept |
• |
Confirmation
that medication is available and that the
patient is aware of correct dosing instructions |
• |
Patient
education as to the risks of missed appointments
and lack of adherence to the care plan |
• |
Referral
and escalations as appropriate to facilitate
resolution of identified issues |
• |
Summary
data highlighting noncompliant patients with
regards to appointment schedules and prescription
refills |
• |
Insight
and data regarding the patients understanding
of the discharge plan |
• |
Insight
and data regarding the % of the discharge
plan that has been acted upon and or adhered
to |
• |
Insight
and data regarding socio and economic drivers
that may influence the patient's likelihood
to adhere to the plan |
• |
Communication
via a secure restricted data portal between
health plans and providers |
Learn
more about PM360™
|
