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The first year after Piedmont Hospital in Atlanta implemented a Heart Failure Resource Center that provides care coordination for patients discharged with heart failure, the 30-day rehospitalization rate for heart failure patients in the program decreased from 4.6% to 1.6% when compared to heart failure patients treated at Piedmont and not in the program.
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Health plan collaborates with vascular surgeons, home health nurses
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Seniors covered by BlueCross BlueShield of Tennessee's Medicare Advantage plan are guided through the end-of-life processes by case managers who empower the members with the education, resources, and assistance they need to make their own decisions about what kind of what kind of care they want to receive at the end of life.
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Members who received a post-discharge visit from a physician or a nurse practitioner experienced 20% to 30% fewer readmissions than patients who received only telephonic care management during a pilot project by XLHealth, a Baltimore-based provider of health plan solutions for Medicare beneficiaries with special needs, according to John Mach, MD, XLHealth's chief medical officer.
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Are rising health care costs a worry at your workplace?
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More reliable tools are needed to measure the costs of presenteeism, which takes an insidious toll on the work place.
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"Presenteeism is a measure of productivity. It can be gauged in a number of ways," says Margie Weiss, PhD, CEO and community health advocate at the Weiss Health Group, a Neenah, WI-based consulting company that works with companies and communities on health and wellness.
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Incentives for wellness program participation is becoming more common, but "it can be challenging to settle on the optimal design," according to Daniel Buckalew, a health coaching program manager for Minneapolis-based Ceridian, a global business services company.
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UnitedHealthcare's post-acute transition program has reduced the average length of stay in skilled nursing facilities by three to five days, depending on the market, for members in the program.
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A week or 10 days before patients have an appointment with a physician at Primary Care of Southbury in Danbury, CT, a nurse or medical assistant calls them to determine if they've been following through on their treatment plan and have everything in place for the appointment.
