Insights

Care Coordination Tools with Cerner EHR Help Children's National Streamline Discharge

Children with complex conditions need additional time, medical care and rehabilitative services for recovery after hospital discharge. However, unique challenges persist in finding post-acute beds and the appropriate care. Read More

by Ensocare in Ensocare Transition, Care Coordination Software, Healthcare Technology Solutions

Managing the 30-Day Readmissions Window

Avoiding hospital readmissions while ensuring patient safety and high-quality care is a critical concern for hospitals. To do so, hospitals must effectively manage care across the continuum—including the 30 days post-discharge during which a hospital can be penalized for a readmission, as defined for Medicare payment... Read More

by Mary Kay Thalken, RN, MBA

Introducing the Post-Acute Care Continuity Plan

The push for care coordination improvement, penalties for avoidable readmissions, and consumer adoption of intelligent technologies are trends entrenched in the practice of care. All three are reshaping the healthcare landscape based on one simple fact: It’s much less expensive for a patient to embrace self-care... Read More

by Mary Kay Thalken, RN, MBA

Stratifying Risk When Discharging Patients to Post-Acute Care

When patients move from a hospital to the post-acute setting, it can be risky. There is strong evidence suggesting that poor communication and information-sharing during this time can lead to negative consequences, including care plan confusion, redundant or unnecessary testing, intermittent patient monitoring,... Read More

by Luis Castillo

How technology can assist discharge planning and aid efficiency

In today’s value-based environment, hospitals are under financial pressure to discharge patients sooner while ensuring patient safety and quality of care. This challenge comes with the clear risk that releasing patients too quickly can result in costly readmissions. Discharge planning that requires care coordination... Read More

by Luis Castillo

Bundled Payment May be Waning, but the Need for Care Coordination is Not

Last month, the Centers for Medicare & Medicaid Service (CMS) released its final rule, which dramatically changes bundled payment requirements for many organizations. The rule cancels the hip fracture and cardiac bundled payment models that were set to launch on Jan. 1, 2018, as well as diminishes the Comprehensive... Read More

by Luis Castillo in Care Coordination, Bundled Payments, Value-Based Care

Virtual Health - Coordinating Care in the Future

We are constantly experiencing change in the healthcare IT industry. For example, the emergence of the Internet, the introduction of smart phones and tablets, and more recently, the shift toward intelligent solutions that take volumes of information, interpret it and make predictions and recommendations for action.... Read More

by Luis Castillo

Teaching teamwork: An academic imperative

As healthcare organizations shift their focus away from episodic care and toward population health management, they are realizing the need to change the way they approach healthcare delivery. Population medicine requires deliberate coordination across interdisciplinary care teams where the groups recognize each team... Read More

by Justine Olsen in Population Health, Team-Based Care

Easing bundled payment requirements: A chance to accelerate value-based care

Last month, the Centers for Medicare & Medicaid Services (CMS) announced a proposed rule addressing bundled payment programs that have been, or are going to be, implemented by the Centers for Medicare & Medicaid Innovation (The CMS Innovation Center)—a department established by the Affordable Care Act to serve as a... Read More

by Kyle Salem, Ph.D. in Bundled Payments, Value-based payment models

Best of Breed vs Legacy Systems: Is One Better than the Other?

The question of whether a healthcare organization should use a best-of-breed approach to health information technology or convert to a fully-integrated solution is a tricky one—and something hospitals and health systems have wrestled with for a long time. As interoperability between systems is crucial, it often... Read More

by Luis Castillo in Care Coordination, Healthcare Technology Solutions