Accountability, Care Transition and Prevention

How Reasoning-Based AI Improves Care Transitions

HIT Consultant

DECEMBER 19, 2024

Applications in Care Transition The three principles of responsible AI use are particularly applicable in care transitions, where managing patient handoffs between different care settings is critical. Responsible, transparent and safe AI can be applied in real-world care management applications.

Care Transition

Care Transition Patient Safety Integration Healthcare Innovation

Fixing The Hospital-To-Home Health Care Transition

Home Health Care

JUNE 25, 2024

“On hospital discharge and transition to the next level of care, older adults continue to face risks such as miscommunication, gaps in care and medication-related issues,” the researchers wrote. Transitional care models are designed to address these challenges with the primary aim of preventing readmissions.”

Care Transition

Care Transition Hospitals Home Care Accountability

3 Ways Post-Acute Placement Solutions Improve Transitions of Care

HIT Consultant

SEPTEMBER 8, 2024

However, workers on both the providing and receiving ends of patient transfers are often overburdened with administrative processes and technological inefficiencies that bog them down and prevent them from doing higher-value clinical work. In the past, care transitions have often come with concerns about risk and uncertainty.

Care Transition

Care Transition Hospitals Nursing Accountability

Streamlining Patient Transitions for Better Outcomes

HIT Consultant

AUGUST 13, 2024

However, workers on both the providing and receiving ends of patient transfers are often overburdened with administrative processes and technological inefficiencies that bog them down and prevent them from doing higher-value clinical work. vs. 13.5%), higher adherence to treatment regimen (86.1% vs. 49.5%).

Hospitals

Hospitals Care Transition Nursing Accountability

Why Value-Based Care Begins with Quality Education

Home Health Care

JUNE 9, 2022

The shift to value-based care. Connecting training with outcomes serves patients and staff, but the shift to value-based care means attention to outcomes is imperative as home-based care transitions to rewarding providers for the quality of the care they deliver. That will ultimately benefit the quality of care.”.

Care Transition

Care Transition Quality of Care Accountability Home Care

Effective Strategies to Reduce Hospital Readmissions Through Medical Call Center

Sequence Health

FEBRUARY 20, 2025

Effective communication during care transitions, along with proper medication reconciliation, is vital for preventing readmissions and improving overall patient outcomes. Recognizing these characteristics allows caregivers to craft individualized plans accounting for each patients particular risks and requirements.

Hospitals

Hospitals Care Transition Primary Care Prevention

From Telemedicine to Complete Virtual Care and Beyond

HIT Consultant

FEBRUARY 15, 2023

The goal is to build and operationalize an entirely new engine that improves upon the virtual urgent care model with the next generation of tools specifically designed for preemptive care and able to catch medical issues before they become dangerous and expensive.

Telemedicine

Telemedicine Urgent Care Primary Care Prevention

State Community Health Worker Models

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. USPSTF United States Preventative Services Task Force. Acronym Guide.

Medicaid

Medicaid Primary Care Prevention Nursing

3 Ways to Instantly Improve the Referral-to-Appointment Ratio of Your Practice

HIT Consultant

OCTOBER 25, 2021

And it’s becoming harder and harder for patients to get appointments with their PCP or the specialists they have been referred to for advanced care. A high RTA benefits all stakeholders by getting patients the care they need in a timely manner and by supporting current, and most importantly, future healthcare delivery models.

Accountability

Accountability Care Transition Regulations Doctors

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

OCTOBER 22, 2021

Well-coordinated care that anticipates and manages the symptoms and stressors of serious illness can help people with these and other complex conditions reduce pain and suffering , avoid receiving treatment that does not align with their wishes , and prevent overutilization of care. Goals Principles.

Medicaid

Medicaid Hospice Care Regulations Integration

Healthcare at the Crossroads: Value-Based Care and Interoperability

HIT Consultant

OCTOBER 7, 2021

The aim of such an initiative is to smooth workflows, reduce unnecessary churn, and prevent data stagnation. Similarly, WEDI was named in the Health Insurance Portability and Accountability Act of 1996 (HIPAA) legislation as an advisor to the HHS Secretary. WEDI has close working relationships with both CMS and CAQH.

Healthcare

Healthcare Nursing Care Transition Accountability

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

OCTOBER 27, 2021

The five strategic objectives for advancing this systemwide transformation include (1) Drive Accountable Care, (2) Advance Health Equity, (3) Support Innovation, (4) Address Affordability, and (5) Partner to Achieve System Transformation. Strategic Objective 1: Drive Accountable Care.

Medicaid

Medicaid Medicare Accountable Care Accountability

How Electronic Health Records Help to Engage Patients and Reduce Errors

Medical GPS

JUNE 23, 2021

The receptionist who answered the phone informed me I could set up an account through their online patient portal and retrieve all of the notes taken during his appointment, as well as contact his doctor, and review his medical records.

Doctors

Doctors Care Transition Healthcare Hospitals

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

NASHP

AUGUST 5, 2024

Arizona state-certified CHWs may provide patient education and preventive services to individuals with a chronic condition or at risk for a chronic condition or for individuals with a documented barrier that is affecting the individual’s health. Eligible primary care practices must engage CHWs starting in 2024.

Medicaid

Medicaid Primary Care Prevention Accountability

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

MAY 17, 2022

Additionally, many specialized MMC programs require the contracted MMC entity to meet certain reporting and quality benchmarks, which may include documentation of services provided and timeliness of those services, health outcomes, or foster care-specific performance improvements. personal care items or electronics). 17] Ibid. [18]

Medicaid

Medicaid Integration Medicare Primary Care

Community Health Worker Models

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid

Medicaid Primary Care Prevention Nursing

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Accountable Person. Domain 2: Shared Plan of Care.

Care Transition

Care Transition Medicaid Doctors Regulations

What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

JUNE 22, 2022

To appropriately address SDoH, hospitals require care coordination technology to proactively consider these roadblocks to care and connect patients with local home- and community-based organizations to reduce patients’ reliance on hospitals and prevent avoidable visits and admissions.

Hospitals

Hospitals Medicare Primary Care Care Transition

Social Determinants of Health Risks Challenge the Promise of Hospital-to-Home

Health Populi

MAY 31, 2022

These barriers are revealed in research conducted by a team from the University of Michigan (my alma mater) published in JAMA (May 6, 2022), Patient Perspectives on Care Transitions From Hospital to Home. “We need to start respecting and accounting for unpaid caregivers.

Hospitals

Hospitals Care Transition Accountability Health Technology

Health Care Quality Digest

How Reasoning-Based AI Improves Care Transitions

Fixing The Hospital-To-Home Health Care Transition

Trending Sources

3 Ways Post-Acute Placement Solutions Improve Transitions of Care

Streamlining Patient Transitions for Better Outcomes

Why Value-Based Care Begins with Quality Education

Effective Strategies to Reduce Hospital Readmissions Through Medical Call Center

From Telemedicine to Complete Virtual Care and Beyond

State Community Health Worker Models

3 Ways to Instantly Improve the Referral-to-Appointment Ratio of Your Practice

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

Healthcare at the Crossroads: Value-Based Care and Interoperability

Centers for Medicare and Medicaid Innovation Center: Equity and Vision

How Electronic Health Records Help to Engage Patients and Reduce Errors

Updates and FAQs: Developing and Implementing a Medicaid State Plan Amendment to Authorize Community Health Worker Reimbursement

How State Medicaid Programs Serve Children and Youth in Foster Care

Community Health Worker Models

National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

What Hospital Success Looks Like Under Value-Based Care

Social Determinants of Health Risks Challenge the Promise of Hospital-to-Home

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