Breaking the Mold: Fresh Approaches for Treating High-Cost and Chronically Ill Patients (Brian...

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The complexity and size of Highmark Health can drive a unique approach to research & innova<on

Transcript of Breaking the Mold: Fresh Approaches for Treating High-Cost and Chronically Ill Patients (Brian...

Page 1: Breaking the Mold: Fresh Approaches for Treating High-Cost and Chronically Ill Patients (Brian Holzer)

The  complexity  and  size  of  Highmark  Health  can  drive  a  unique  approach  to  research  &  innova<on  

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Higher  quality  outcomes  through  coordinated  

care  transi<ons  throughout  the  post-­‐acute  con<nuum  

Be?er  pa<ent  experience  through  

personal  rela<onships  with  our  Transi<onal  Care  Coordinators  

Decreased  re-­‐admissions  by  puDng  pa<ents  in  the  

right  seDng,  for  the  right  treatment,  at  the  

right  <me  

Healthcare@Home  Benefits  

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…  provides  a  coordinated  model  for  accountable  post-­‐acute  care  

Payer  Product  Integra;on  

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Transi;onal  Care  Coordinators  &  Account  Execu;ves  

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This  is  important  for  our  pa;ents,  and  for  us…    

With  one  call,  healthcare  is  coming  home  

1.800.381.8080  www.healthcareathome.com  

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C  O  N  F  I  D  E  N  T  I  A  L  

Heart  Program  Overview  

[date]  

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Value

 Healthcare@Home  Heart  Care  Program  

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Services Coverage Area Differentiators 3 4 5

Discharge Planning Southwest PA Integration with Healthcare@Home

Reduce Heart Failure

Readmission Reduced LOS

Overview 1 AHN Healthcare@Home provides the services and expertise to quickly

assess and direct patients to the right care setting or services before, during and/or after they receive cardiac care

Improve Patient

Satisfaction

Key

Optimize quality of care

SNF/LTAC/Therapy Partner Alignment Northwest PA

Central PA End-to-End Care Coordination

Care Coordination

Physician Rounding

At Home Cardiac Services Physician Driven

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C  O  N  F  I  D  E  N  T  I  A  L  8  

AHN  has  industry  physicians  and  ins;tu;ons  in  heart  &  breathing  care  

Key  Data  Points   CHF  &  Surgery  

Over  100  Cardiac  Physicians   •  Physicians  =  58  •  Partners  /  Aligned  =  50  

Over  7,500  Cardiac  Pa;ents  Seen  Annually   •  CHF  =  6,636  •  Surgery  =  971  

Over  13  Heart  Clinics  /  Rehab  Loca;ons   •  See  next  slide  

Na;onally  Recognized  Ins;tu;ons  

•  Joint  Commission  Advanced  Cer;fica;on  for  Heart  Failure  

•  Society  of  Thoracic  Surgeons  Highest  Three-­‐Star  Ra;ng  

Sources:  AHN  2014  Census  

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C  O  N  F  I  D  E  N  T  I  A  L  9  

AHN  Cardiac  &  Rehab  Loca;ons  –  CURRENT  STATE  

ALLEGHENY GENERAL •  CHF Clinic •  Cardiac Rehab

WEST PENN •  Inpatient Rehab

FORBES •  Inpatient Rehab •  Cardiac Rehab

JEFFERSON •  Inpatient Rehab •  Cardiac Rehab •  CHF Clinic

SAINT VINCENT •  Inpatient Rehab •  Cardiac Rehab

ALLEGHENY VALLEY •  Inpatient Rehab •  Cardiac Rehab

CANONSBURG •  Inpatient Rehab

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C  O  N  F  I  D  E  N  T  I  A  L  10  

H@H  Heart  Care  Program  aligns  acute,  post-­‐acute,  payers  and  individual  prac;;oners  in  one  accountable  model