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

HIStalk Interviews Luis Castillo, CEO, Ensocare

Tell me about yourself and the company. Ensocare is a care coordination platform that helps move patients to the right level of care along the care continuum. We’ve been doing this for about 10 or 11 years and I’ve been there five years. I’ve been in healthcare IT for a long time. I don’t think I’ll ever go back to... Read More

by Ensocare

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

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 Healthcare Technology Solutions, Care Coordination Software, Ensocare Transition

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