Posts by Mary Kay Thalken, RN, MBA

The 6 Keys to Post-Acute Care Coordination

Many hospitals and health systems are developing preferred post-acute care networks to improve patient outcomes by collaborating with high-quality skilled nursing facilities, to participate in shared-savings arrangements such as accountable care organizations or Medicare or Medicaid Advantage bundled or capitated... Read More

by Mary Kay Thalken, RN, MBA in Care Coordination

Five Ways to Integrate Better Care Management and Cost Containment Supporting Post-Acute Care Needs

The U.S. Census Bureau projects the 2030s to be a transformative decade for the U.S. population. By 2030, all baby boomers will be older than age 65. This will expand the size of the older population so that 1 in every 5 residents will be retirement age. By 2060, the U.S. is projected to grow by 79 million people,... Read More

by Mary Kay Thalken, RN, MBA

Uniting the Full Continuum of Care for the Individual: Why Digital Technologies Must Embrace Holistic Patient Engagement

More than half of healthcare professionals believe digitization is transforming the healthcare industry. Of adults 55+, 85% believe technology will improve healthcare in the next five years by delivering faster and more accurate diagnoses, curing diseases, and predicting and preventing diseases and conditions before... Read More

by Mary Kay Thalken, RN, MBA

CCM and TCM Codes: Providers Leave More Than Money on the Table

Since taking effect the last few years, the chronic care management (CCM) and transitional care management (TCM) CPT codes have accounted for sources of revenue that too many provider organizations have overlooked. Principally, it’s money left on the table. The Centers for Medicare & Medicare Services (CMS) created... Read More

by Mary Kay Thalken, RN, MBA

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

Optimized Patient Discharge Yields Better Outcomes

A prolonged stay in the hospital after a patient has already been cleared for discharge is a risky time. According to a recent peer-reviewed study, the likelihood of serious infection—urinary tract infection, pneumonia or sepsis—increases dramatically the longer a patient remains in the hospital unnecessarily. What’s... Read More

by Mary Kay Thalken, RN, MBA in Care Coordination, Patient Outcomes, Mobile Technology

Unlocking Time: Using Technology To Improve Efficiency

Time is a precious commodity in healthcare, and it seems to be dwindling as healthcare staff are asked to take on more responsibilities and sustain high quality care with fewer resources. Yet many care givers spend much of their time on non-value-added tasks such as making phone calls, searching for equipment, and... Read More

by Mary Kay Thalken, RN, MBA in Healthcare IT, Healthcare Technology Solutions

Optimizing Care Transitions: A Key Strategy for Reducing Readmissions

Last year, the Centers for Medicare & Medicaid Services (CMS) withheld a collective $420 million in reimbursements from half of the nation’s hospitals due to readmission penalties. Read More

by Mary Kay Thalken, RN, MBA in Care Coordination

Rethinking Discharge Communication

October 31, 2016 - Advance Healthcare Network for Nurses Six Ways Nurses Create a Smoother Transition to the Next Phase of Care By Mary Kay Thalken, RN, MBA, Chief Clinical Officer of Ensocare Communication errors are the number one cause of adverse events in hospitals, according to the Joint Commission, and times of... Read More

by Mary Kay Thalken, RN, MBA in Care Coordination, Patient Discharge