Relationships: The key to better chronic care

Is chronic care a priority? How well is it being managed today and what barriers do organizations face?

As health systems increasingly seek to extend care beyond the walls of their facilities, a new survey of hospital and physician practice leaders provides insights into how well they’re doing, which programs they participate in, how they think care should be delivered and what their top challenges are.

This online survey of healthcare executives was conducted to understand the views of over 100 hospital and physician leaders on managing chronic conditions.

 


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Long-Term Relationships with Your Chronically-Ill Patients

The 2017 Physician Fee Schedule is here and clearly states that CMS wants to increase reimbursements for managing chronically-ill patients. A new avenue for reimbursement is non-face-to-face care, first introduced in 2015 with CPT 99490 and expanding in 2017 to include higher payments for medically complex patients and behavioral health.

Signallamp Health dedicates RNs to collaborate with the patient’s own PCP to provide care management services in between office visits. Such patient engagement is an important step in preparing practices for the added requirements of MACRA.

In this series, Signallamp Health highlights the positive impact of its hands-on approach. Continue reading…


Falls and The Elderly

According to the CDC, millions of people 65 and older fall yearly at an estimated cost of $31 billion in medical expenses alone per year. As an RN Care Manager, two key goals are to keep the patient at home and to prevent hospitalization.

Overview of patient
72 yo male with dx of Diabetes, Arthritis, Hypertension, Chronic Kidney Disease, Depression and Vitamin D deficiency. Continue reading…


February is Heart Month!

According to the CDC, over 600,000 people die of heart disease in the United States every year. The most common type of heart disease is coronary artery disease, which kills over 350,000 people a year. As an RN Care Manager, two key goals are to keep the patient at home and to prevent hospitalization. Continue reading…


What is Transition of Care?

What is Transition of Care, how does it help my patient, and what are the challenges for providers?

Transition of Care (TOC) is a CMS reimbursement intended to help patients as they move from an acute setting back to the community. The smooth transition back home is essential if we are to help patients maintain their health long term, keep more patients in their home, and reduce unnecessary readmissions.

At discharge, the first step in that transition, patients and their caregivers are eager to get home, and the wealth of information offered is often forgotten, misunderstood, or lost in the rush. To address this quick disconnect from the healthcare system, clinical staff contact the patient by phone within 2 days (a requirement of the reimbursement). The call is an opportunity for the patient to ask questions now that they are comfortably at home and have had time to consider next steps. Caregivers too can learn more about their role in the ongoing care of their loved one. Continue reading…