Health coaching for patients with diabetes: Changing behavior and health
|
|
- Janis French
- 7 years ago
- Views:
Transcription
1 Fairview Health Services Fairview Medical Group Influencing patient behaviors and habits is difficult to accomplish in a short clinic visit. Since primary care providers struggle with insufficient time to engage patients, another clinical role was needed so patient s had enough time to discuss personal health goals. As part of a randomized control trial, we embedded five health coaches at various clinics and trained them in patient activation concepts and motivational interviewing, and provided a defined scope of practice. To create good habits, coaches worked with patients for six months. Embedded five health coaches within the care teams at various primary care clinics across our health system Coached patients saw significant improvement in their diabetes 5 (D5) pass rate (45% to 53%) Low activated patients receiving coaching had better final D5 scores than similar, highly activated patient PAM Coached patients perceived significant improvement in their coaching experience over time in terms of engagement, motivation and comprehensiveness of interactions Health coaching for patients with diabetes: Changing behavior and health PAM scores significantly increased from 2.84 to 3.42 from baseline to follow-up (20% increase) Given evidence that high PAM levels lead to lower emergency department use and total health care costs in our population (Hibbard, 2012; Mitchell, 2013), we deduce that our intervention should yield similar results
2 Fairview Health Services, Orthopedic Service Line and Institute for Athletic Medicine Low-back pain is costly and ever increasing in incidence. Despite many technological innovations and advances in medical knowledge, the U.S. is not producing better patient-reported outcomes for this large population. Targeted care and timely entry into physical therapy are recent trends in literature, but haven t been evaluated together. Creation of a Walk-in Spine Clinic to provide same day access to specialized physical therapy for patients who have either seen or talked to a primary care provider about their low-back pain Patient-reported outcomes around functional disability and psychosocial health provided basis for treatment as well as a measure of improvement over time Risk stratified physical therapy demonstrates short- and long-term benefits relative to the patient-reported outcomes of functional disability and psychosocial health Consistently using patient-reported outcome measures across care improve shared decision making Improving patients psychosocial health and functional ability long-term may lead to an increase of other healthy activities Patients can achieve meaningful outcomes with less utilization by accessing a same day, specialized walk-in physical therapy clinic The effects of early access to risk stratified physical therapy Imaging in primary care decreased from 56% to 21% for patients who are referred to the spine clinic One in five patients enter physical therapy at high risk for long-term disability due to psychosocial indicators; one in 20 patients leaving physical therapy remain high risk Targeted care pathways are effective at getting the right patient to the right provider at the right time
3 HealthPartners Department of Orthopaedic Surgery There s a need to adequately counsel patients regarding smoking cessation before elective orthopaedic surgery. We implemented a first-in-the-nation, free medical student run smoking cessation clinic to be integrated with an orthopaedic surgery clinic. Offers a free service to patients who might not otherwise take advantage of such care Takes advantage of a teachable moment in patient s lives (elective orthopaedic surgery) to promote positive behavioral change Reduces rates of smoking, thereby reducing perioperative morbidity and overall mortality Clinic available within the orthopaedic clinic, reduces number of trips for patients Service available every day during afternoon hours No appointment necessary Integrating a student-run smoking cessation clinic with an Orthopaedic Department at a Level 1 Trauma Center Reduces number of trips necessary for patients to receive care Reduces direct costs associated with smoking (e.g., cost of cigarettes, etc.) Reduces health care costs associated with perioperative complications Reduces societal costs associated with smoking-related adverse events Free service for patients
4 Allina Health In the U.S., 40 percent of deaths are attributed to poor nutrition, inadequate exercise, smoking, or hazardous drinking. About 95 percent of the population lives with an identifiable risk factor, and those risk factors are related to 75 percent of all chronic diseases. Most communities have organizations addressing wellness, but aren t coordinated and leave gaps; hospitals have no identified role in addressing the problem. We gave three-year, $450,000 grants, via the George Family Foundation, to hospital systems in 13 communities in Minnesota and western Wisconsin. The hospital systems developed unique Healthy Communities Partnership (HCP) programs to identify existing wellness resources, create community steering teams, identify gaps, develop strategies to address those gaps, screen residents and improve the health of their residents. Creates connections, encourages information/resource sharing and develops formal partnerships between health care and wellness resources within communities Creates formal ties between primary care and wellness Identifies immediate health concerns and risk factors Refers community members to appropriate follow-up resources Healthy communities partnership Documents coaching and wellness activities in the electronic medical record Provides coaching in partnership with primary care to tailor behavioral change to individual circumstances Expands health care presence into the community Reduces emergency procedures by identifying critical risks via screenings Moves upstream with health care, mitigating risk factors before they become chronic diseases Moves appropriate work from high-cost resources to lower-cost resources
5 Mayo Clinic Children s Center Creating readily available access to influenza is necessary to increase vaccine uptake. Capturing pediatric vaccine needs and eligibility by pediatric nurses is imperative for safe administration. Providing pediatric patients, families, and caregivers with influenza vaccinations creates a cocooning affect to protect children who have higher risks for complications. Mayo Clinic primary care clinics traditionally assess influenza vaccination status and offer vaccine during routine visits. The pediatric subspecialty outpatient clinic didn t routinely assess family members or caregivers vaccination status. PROCESS FOR CHANGE In 2011, the Mayo Clinic Children s Center initiated a family-centered influenza vaccination program. The program surveyed families interested in receiving vaccination and screened children for vaccine eligibility. Nurses and physicians provided information and encouraged vaccination. Vaccines were administered during appointments for those who requested one and were eligible. In 2012, the program expanded for children of any adult patients in an ambulatory setting at Mayo Clinic. RESULTS The pediatric specialty outpatient clinic administered: 120 influenza vaccines in 2010 (prior to program); 467 influenza vaccines in 2011; 1,050 influenza vaccines in 2012; and 1,518 influenza vaccines in 2013 Family-centered influenza vaccination program PREVENTIVE ADOPTION CONSIDERATIONS Pediatric patients, families and caregivers value combined services at appointments Assessment survey is valuable for understanding vaccine refusal and vaccine needs Adding intra-nasal immunizations and Tdap is a satisfier for families RECOMMENDATIONS FOR SUSTAINING THE GAINS Provide ongoing nursing and provider education and updates for the program Assess and evaluate feedback to adjust program for maximum use Designate allocated nursing to provide influenza vaccines Use a nursing influenza protocol to enhance administration and documentation Complete an annual review of evidence-based practice for vaccine administration
Health risk assessment: a standardized framework
Health risk assessment: a standardized framework February 1, 2011 Thomas R. Frieden, MD, MPH Director, Centers for Disease Control and Prevention Leading causes of death in the U.S. The 5 leading causes
More informationPOPULATION HEALTH. Annual Wellness Visit (AWV) Matthew Brown, MD Chief Medical Officer Presence Health Partners
POPULATION HEALTH Annual Wellness Visit (AWV) Chief Medical Officer Presence Health Partners November 10, 2015 Purpose Presence Health partnered with physicians to form as a means of helping providers
More informationImmunization Infrastructure: The Role of Section 317
Immunization Infrastructure: The Role of Section 317 Immunization plays a vital role in the control and prevention of infectious disease. Current immunization recommendations target 17 vaccine-preventable
More informationProvider Manual. Section 18.0 - Case Management and Disease Management
Section 18.0 - Case Management and Disease Management 18.1.1 Introduction 18.2.1 Scope 18.3.1 Objectives 18.4.1 Procedures Case Management 18.4.1-A. Referrals 18.4.1-B. Case Management Mercy Maricopa Acute
More informationDelta s Healthy Rewards Program. Administration Services
Delta s Healthy Rewards Program Administration Services Helping You Navigate the Winding Road of Healthcare Reform The crisis is real. Chronic diseases, such as diabetes and heart disease, are steering
More informationHealthcare provider cessation practices in Ontario. Alexey Babayan Knowledge Exchange Forum June 18, 2014
Healthcare provider cessation practices in Ontario Alexey Babayan Knowledge Exchange Forum June 18, 2014 What we know Tobacco cessation interventions by healthcare providers (physicians, nurses, dental
More information10/31/2014. Medication Adherence: Development of an EMR tool to monitor oral medication compliance. Conflict of Interest Disclosures.
Medication Adherence: Development of an EMR tool to monitor oral medication compliance Donna Williams, RN PHN Carol Bell, NP MSN Andrea Linder, RN MS CCRC Clinical Research Nurses Stanford University SOM
More informationWHAT IS MEDICAL MANAGEMENT? WHAT IS THE PURPOSE OF MEDICAL MANAGEMENT?
WHAT IS MEDICAL MANAGEMENT? How health plans make decisions to approve payment for medical treatment is a poorly understood part of the healthcare system. One part of the process, known as medical management,
More informationAn Overview of Asthma - Diagnosis and Treatment
An Overview of Asthma - Diagnosis and Treatment Asthma is a common chronic disorder of the airways that is complex and characterized by variable and recurring symptoms, airflow obstruction, bronchial hyperresponsiveness,
More informationNurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference?
Nurse Practitioners (NPs) and Physician Assistants (PAs): What s the Difference? More than ever before, patients receive medical care from a variety of practitioners, including physicians, physician assistants
More information6. MEASURING EFFECTS OVERVIEW CHOOSE APPROPRIATE METRICS
45 6. MEASURING EFFECTS OVERVIEW In Section 4, we provided an overview of how to select metrics for monitoring implementation progress. This section provides additional detail on metric selection and offers
More informationExamples of Quality Improvement Projects in Adult Immunization
Examples of Quality Improvement Projects in Adult Immunization The following activities are provided to prompt your thinking about what works best for your practice. When designing a project, consider
More informationBeyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support
Beyond Meaningful Use -- Multi- disciplinary Team Integration of Customized Smoking Cessation Patient Education Into EMR Clinical Decision Support Wendy Angelo, MD Capital Region Healthcare Learning Objectives
More informationHow MissionPoint Health is Using Population Health Insights to Achieve ACO Success
How MissionPoint Health is Using Population Health Insights to Achieve ACO Success Background The United States spends more per capita on healthcare than other country, yet is ranked last among industrialized
More informationPerson-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment
Person-Centered Nurse Care Management in Home Based Care: Impact on Well-Being and Cost Containment Donna Zazworsky, RN, MS, CCM, FAAN Vice President: Community Health and Continuum Care Carondelet Health
More informationHealthCare Partners of Nevada. Heart Failure
HealthCare Partners of Nevada Heart Failure Disease Management Program 2010 HF DISEASE MANAGEMENT PROGRAM The HealthCare Partners of Nevada (HCPNV) offers a Disease Management program for members with
More informationSPECIALTY CASE MANAGEMENT
SPECIALTY CASE MANAGEMENT Our Specialty Case Management programs boost ROI and empower members to make informed decisions and work with their physicians to better manage their health. KEPRO is Effectively
More informationCHAPTER 535 HEALTH HOMES. Background... 2. Policy... 2. 535.1 Member Eligibility and Enrollment... 2. 535.2 Health Home Required Functions...
TABLE OF CONTENTS SECTION PAGE NUMBER Background... 2 Policy... 2 535.1 Member Eligibility and Enrollment... 2 535.2 Health Home Required Functions... 3 535.3 Health Home Coordination Role... 4 535.4 Health
More informationLIFESTYLE RETURNS STEPS PROGRAM
LIFESTYLE RETURNS STEPS PROGRAM ARE YOU READY TO GET ENGAGED IN YOUR HEALTH? We know that the way we live has a real impact on the way we feel. When we take care of ourselves, we have more drive and energy.
More informationMarch 7, 2014. [Submitted electronically to AdvanceNotice2015@cms.hhs.gov]
March 7, 2014 [Submitted electronically to AdvanceNotice2015@cms.hhs.gov] Centers for Medicare and Medicaid Services Department of Health and Human Services Attention: CMS-4159-P P.O. Box 8013 Baltimore,
More informationPatient and Family Education (PFE)
Patient and Family Education (PFE) Overview Patient and family education helps patients better participate in their care and make informed care decisions. Many different staff in the organization educate
More informationCross Cutting Consumer Criteria for Patient-Centered Medical Homes
FACT SHEET Cross Cutting Consumer Criteria for Patient-Centered Medical Homes APRIL 2016 A truly patient-centered medical home (PCMH) is grounded in comprehensive and wellcoordinated primary care that
More informationMETROWEST MEDICAL CENTER
(508) 650-7000 Framingham Union METROWEST MEDICAL CENTER 115 Lincoln Street (508) 383-1000 24-hour Emergency Department Care Community Healthcare Provider This healthcare network encompasses the entirety
More informationUS Navy Orthopaedic Physician Assistant Fellowship. LT Michael A. Mitchell, PA-C, MPAS Fellowship Program Director
US Navy Orthopaedic Physician Assistant Fellowship LT Michael A. Mitchell, PA-C, MPAS Fellowship Program Director History The US Navy Orthopaedic Physician Assistant Fellowship and Additional Qualification
More informationTrauma Center Alcohol Screening. Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital
Trauma Center Alcohol Screening and Intervention Michael Mello, MD, MPH Injury Prevention Center at Rhode Island Hospital /Hasbro Children s Hospital Disclosures I have no affiliations, sponsorship, financial
More informationThe New Complex Patient. of Diabetes Clinical Programming
The New Complex Patient as Seen Through the Lens of Diabetes Clinical Programming 1 Valerie Garrett, M.D. Medical Director, Diabetes Center at Mission Health System Nov 6, 2014 Diabetes Health Burden High
More informationNOUS. Health Management. Importance of Population. White Paper INFOSYSTEMS LEVERAGING INTELLECT
NOUS INFOSYSTEMS LEVERAGING INTELLECT White Paper Importance of Population Health Abstract The revised healthcare regulations in US markets like the Affordable Care Act (ACA) law, the demands of providing
More informationFor groups with 1 50 eligible employees. Taking the work out of employee wellness for small business
For groups with 1 50 eligible employees Taking the work out of employee wellness for small business Research shows that within 3 5 years, 86% of employers expect to have some type of wellness incentive
More informationUniversity of Arizona Integrative Health Center
University of Arizona Integrative Health Center Frequently Asked Questions created for Maricopa County Employees 1. What is the Integrative Health Center? The University of Arizona Integrative Health Center
More informationESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION)
ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) Hello and welcome. Thank you for taking part in this presentation entitled "Essentia Health as an ACO or Accountable Care Organization -- What
More information2016 Wellness Benefits and Incentive Rewards
Simple Steps to Living Well Together 2016 Wellness Benefits and Incentive Rewards Caring for Your Health Worldwide ACHIEVING AND MAINTAINING GOOD HEALTH IMPORTANT STEPS FOR YOUR WELL-BEING The FOREIGN
More informationMANAGING RISING HEALTHCARE COSTS SOLUTIONS TO A FRAGMENTED SYSTEM
Copyright 2014 Veridicus Health tm. All rights reserved. CONTENTS EXECUTIVE SUMMARY 1 INTRODUCTION 2 BY THE NUMBERS HOW VERIDICUS CARE MANAGEMENT IS DIFFERENT 4 COLLABORATION RIGHT PATIENT, RIGHT TIME
More informationAlcohol and drug use is a medical issue. It s time we treated it like one.
Alcohol and drug use is a medical issue. It s time we treated it like one. From asking comes answers Alcohol and drug use has been called America s number one public health concern. Drugs and alcohol directly
More informationNew Substance Abuse Screening and Intervention Benefit Covered by BadgerCare Plus and Medicaid
Update December 2009 No. 2009-96 Affected Programs: BadgerCare Plus, Medicaid To: All Providers, HMOs and Other Managed Care Programs New Substance Abuse Screening and Intervention Benefit Covered by BadgerCare
More informationAn Integrated, Holistic Approach to Care Management Blue Care Connection
An Integrated, Holistic Approach to Care Management Blue Care Connection With health care costs continuing to rise, both employers and health plans need innovative solutions to help employees manage their
More informationMedical Homes in the Safety Net: Spotlight on California s Public Hospital Systems
March 2010 Medical Homes in the Safety Net: Spotlight on California s Public Hospital Systems Introduction The concept of medical homes has garnered a lot of attention in recent months, particularly in
More informationA Guide to Patient Services. Cedars-Sinai Health Associates
A Guide to Patient Services Cedars-Sinai Health Associates Welcome Welcome to Cedars-Sinai Health Associates. We appreciate the trust you have placed in us by joining our dedicated network of independent-practice
More informationTHE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 713. Chapter 13 HEALTH PROMOTION FOR SCHOOL STAFF. Staff Wellness Programs
THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 713 Chapter 13 HEALTH PROMOTION FOR SCHOOL STAFF Staff Wellness Programs THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS 714 THE TEXAS GUIDE TO SCHOOL HEALTH PROGRAMS
More informationTips To Improve 5-Star Performance Ratings
Tips To Improve 5-Star Performance Ratings Two different patient surveys impact CMS Star ratings: 1. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, typically mailed to plan
More informationDisease Management Identifications and Stratification Health Risk Assessment Level 1: Level 2: Level 3: Stratification
Disease Management UnitedHealthcare Disease Management (DM) programs are part of our innovative Care Management Program. Our Disease Management (DM) program is guided by the principles of the UnitedHealthcare
More informationFrequently Asked Questions
Frequently Asked Questions About Concurrent/Overlapping Surgery What is concurrent surgery? Concurrent surgery also called overlapping surgery is an important method of managing busy operating rooms. Widely
More informationThe National Survey of Children s Health
with Current Health Insurance, by Location 91.1 89.4.2.9 Current Health Insurance The survey asked parents if their children currently had coverage through any kind of health insurance, including private
More informationQ&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking
Q&A with Harvard Vanguard Medical Associates and Atrius Health about Health Systems Change to Address Smoking Background on Harvard Vanguard Medical Associates and Atrius Health Harvard Vanguard Medical
More information2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business
2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business About HEDIS The Healthcare Effectiveness Data and Information Set (HEDIS 1 ) is a widely
More informationtwo years (as part-time fellows) will need discuss and receive approval from the relevant certifying Board. instead of one?
Frequently Asked Questions: Sports Medicine Review Committees for Emergency Medicine, Family Medicine, Pediatrics, and Physical Medicine & Rehabilitation ACGME Question Scope and Duration of Program/Distance
More informationHEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup
HEDIS/CAHPS 101 Minnesota Measurement and Reporting Workgroup Objectives Provide introduction to NCQA Identify HEDIS/CAHPS basics Discuss various components related to HEDIS/CAHPS usage, including State
More informationFebruary 29, 2016. Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services 200 Independence Ave., SW Washington, DC 20201
Andy Slavitt, Acting Administrator Centers for Medicare & Medicaid Services 200 Independence Ave., SW Washington, DC 20201 Dear Acting Administrator Slavitt: On behalf of the American Academy of Family
More informationPediatric Alliance: A New Solution Built on Familiar Values. Empowering physicians with an innovative pediatric Accountable Care Organization
Pediatric Alliance: A New Solution Built on Familiar Values Empowering physicians with an innovative pediatric Accountable Care Organization BEYOND THE TRADITIONAL MODEL OF CARE Children s Health SM Pediatric
More informationUnitedHealthcare EDGESM
UnitedHealthcare EDGESM 100 percent preventive care coverage and that s just the beginning As a leading health and wellness company, UnitedHealthcare is committed to improving the health care system for
More informationMedicare Advantage Plans: An Overview
Medicare Advantage Plans: An Overview June 2014 Prepared by: Penny Finch, Benefits Consultant Copyright 2014 by The Segal Group, Inc. All rights reserved. 5432273.1 CONTENTS Medicare 101 Understanding
More informationCh. 138 CARDIAC CATHETERIZATION SERVICES 28 138.1 CHAPTER 138. CARDIAC CATHETERIZATION SERVICES GENERAL PROVISIONS
Ch. 138 CARDIAC CATHETERIZATION SERVICES 28 138.1 CHAPTER 138. CARDIAC CATHETERIZATION SERVICES Sec. 138.1 Principle. 138.2. Definitions. GENERAL PROVISIONS PROGRAM, SERVICE, PERSONNEL AND AGREEMENT REQUIREMENTS
More informationCHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT
CHAPTER 17: HEALTH PROMOTION AND DISEASE MANAGEMENT HEALTH SERVICES AND PROGRAMS The Plan s Health Promotion and Disease Management Department seeks to improve the health and overall well-being of our
More informationHealth Care Homes Certification Assessment Tool- With Examples
Guidelines: Health Care Homes Certification Assessment Form Structure: This is the self-assessment form that HCH applicants should use to determine if they meet the requirements for HCH certification.
More informationUnitedHealth Wellness SM
100_6168_305 3/10/05 7:46 PM Page 1 UnitedHealth Wellness SM Resources and tools to help you stay healthy. Feel Good. Be Healthy. Live Well. SM Portfolio of UnitedHealth Wellness Programs and Services:
More informationGuide to Health Promotion and Disease Prevention
Family Health Teams Advancing Primary Health Care Guide to Health Promotion and Disease Prevention January 16, 2006 Table of Contents 3 Introduction 3 Purpose 3 Background 4 Developing Health Promotion
More informationConsensus Principles for Health Care Delivery
Consensus Principles for Health Care Delivery TABLE OF CONTENTS Consensus Principle for Healthcare Delivery... 3 Responsibilities of Various Parties to the Health Care System... 4 Individuals and Families...
More informationHealthy Living with Diabetes. Diabetes Disease Management Program
Healthy Living with Diabetes Diabetes Disease Management Program Healthy Living With Diabetes Diabetes Disease Management Program Background According to recent reports the incidence of diabetes (type
More informationNew Comprehensive Care Coordination Benefit for Members with Human Immunodeficiency Virus or Acquired Immune Deficiency Syndrome
Update September 2012 No. 2012-52 Affected Programs: BadgerCare Plus Standard Plan, BadgerCare Plus Benchmark Plan, BadgerCare Plus Core Plan, Medicaid To: Case Management Providers, HMOs and Other Managed
More informationHealth and Behavior Assessment/Intervention
Health and Behavior Assessment/Intervention Health and behavior assessment procedures are used to identify the psychological, behavioral, emotional, cognitive, and social factors important to the prevention,
More informationHEALTH REFORM and VACCINES: Review of Federal Legislation
HEALTH REFORM and VACCINES: Review of Federal Legislation The Patient Protection and Affordable Care Act (PPACA) And The Health Care and Education Reconciliation Act Alexandra Stewart June 2, 2012 1 Presentation
More informationOutpatient/Ambulatory Health Services
Outpatient/Ambulatory Health Services Service Definition Outpatient/ambulatory medical care includes the provision of professional diagnostic and therapeutic services rendered by a physician, physician
More informationNeurodegenerative diseases Includes multiple sclerosis, Parkinson s disease, post-polio syndrome, rheumatoid arthritis, lupus
TIRR Memorial Hermann is a nationally recognized rehabilitation hospital that returns lives interrupted by neurological illness, trauma or other debilitating conditions back to independence. Some of the
More informationRyan White Program Services Definitions
Ryan White Program Services Definitions CORE SERVICES Service categories: a. Outpatient/Ambulatory medical care (health services) is the provision of professional diagnostic and therapeutic services rendered
More informationPennsylvania Trauma Nursing Core Curriculum. Posted to PTSF Website: 10/30/2014
Pennsylvania Trauma Nursing Core Curriculum Posted to PTSF Website: 10/30/2014 PREFACE Care of the trauma patient has evolved since 1985, when the Pennsylvania Trauma Systems Foundation (PTSF) Board of
More informationFebruary 26, 2016. Dear Mr. Slavitt:
February 26, 2016 Mr. Andy Slavitt Acting Administrator Centers for Medicare & Medicaid Services (CMS) Department of Health and Human Services Attention: CMS-3321-NC PO Box 8016 Baltimore, MD 21244 Re:
More informationUsing Predictive Analytics to Build a World Class Healthcare System
Using Predictive Analytics to Build a World Class Healthcare System Swati Abbott CEO, Blue Health Intelligence Doug Porter SVP and CIO, Blue Cross/Blue Shield Association Using Predictive Analytics to
More informationBenefit Design and ACOs: How Will Private Employers and Health Plans Proceed?
Benefit Design and ACOs: How Will Private Employers and Health Plans Proceed? Accountable Care Organizations: Implications for Consumers October 14, 2010 Washington, DC Sam Nussbaum, M.D. Executive Vice
More informationAdministrative Code. Title 23: Medicaid Part 223
Title 23: Medicaid Administrative Code Title 23: Medicaid Part 223 Table of Contents Table of Contents Title 23: Medicaid... 1 Table of Contents... 1 Title 23: Division of Medicaid... 1 Part 223: Early
More informationAMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Verificatoin Criterea EFFECTIVE JANUARY 1, 2015. Criterion. Level (1 or 2) Number
Criterion AMERICAN BURN ASSOCIATION BURN CENTER VERIFICATION REVIEW PROGRAM Criterion Level (1 or 2) Number Criterion BURN CENTER ADMINISTRATION 1. The burn center hospital is currently accredited by The
More informationGetting Clinicians Involved: Testing Smartphone Applications to Promote Behavior Change in Health Care
Getting Clinicians Involved: Testing Smartphone Applications to Promote Behavior Change in Health Care Xiaomu Zhou 4 Huntington Street xmyzhou@rutgers.edu Lora Appel 4 Huntington Street lappel@eden.rutgers.edu
More informationCenters for Disease Control and Prevention Version 04/2014
Developing and Managing an Academic Detailing Program for Tobacco Cessation: Question and Answer with the Wisconsin Tobacco Prevention and Control Program (TPCP) and the University of Wisconsin Center
More informationAssertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: December 6, 2013
Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: December 6, 2013 Introduction The OMH licensed and regulated Assertive Community Treatment Program (ACT) will
More informationHypertension Best Practices Symposium
essentia health: east region 1 Hypertension Best Practices Symposium RN Hypertension Management Pilot Essentia Health: East Region Duluth, MN ORGANIZATION PROFILE Essentia Health is an integrated health
More informationINTERNATIONAL DIABETES CENTER A LEADER IN DIABETES INNOVATION, EDUCATION AND RESEARCH
INTERNATIONAL DIABETES CENTER A LEADER IN DIABETES INNOVATION, EDUCATION AND RESEARCH FACING THE DIABETES EPIDEMIC Diabetes affects more than 280 million people worldwide. That number is expected to reach
More information2014 Summary of benefits plan comparison
2014 Summary of benefits plan comparison The tables below summarize the 2014 Benefits for the Samaritan Choice Medical Plan options (Basic, Wellness and High-Deductible Plans). Pease refer to your plan
More informationHow to Increase Value on Investment for Your Wellness Program
How to Increase Value on Investment for Your Wellness Program A Real World Case Study 2016 Health Designs. All rights reserved. Introduction Onsite Intrinsic Coaching Improves Health, Well-Being and Job
More informationBasic Ingredients of the CHCC PGY-1 Pediatric Pharmacy Residency Program
Basic Ingredients of the CHCC PGY-1 Pediatric Pharmacy Residency Program Pediatric Pharmacy Residency Program (PGY1) Children s Hospital Central California offers a one-year, postgraduate residency program
More informationHealthy Solutions for Life
Healthy Solutions for Life 2015 Presentation Overview About Healthy Solutions for Life Disease Management Health Coaching Model DM Programs TeleCare Monitoring 2013 Nurtur Health, Inc. All Rights Reserved.
More informationModern care management
The care management challenge Health plans and care providers spend billions of dollars annually on care management with the expectation of better utilization management and cost control. That expectation
More informationZanie Leroy M.D., M.P.H. School Health Branch Division of Population Health
Tools, Resources, and Research for School Health Zanie Leroy M.D., M.P.H. School Health Branch Division of Population Health National Center for Chronic Disease Prevention and Health Promotion Division
More informationLOW AND NO VOLUME PRACTITIONERS: CHANGING PRACTICE PATTERNS B NEW CREDENTIALING CHALLENGES OUTLINE
LOW AND NO VOLUME PRACTITIONERS: CHANGING PRACTICE PATTERNS B NEW CREDENTIALING CHALLENGES OUTLINE I. TYPES OF LOW/NO VOLUME PRACTITIONERS If your medical staff is like most, you have a growing number
More informationBehavioral Health Integration into Primary Care. Hackley Community Care Center (HCCC) Community Mental Health of Muskegon County
Behavioral Health Integration into Primary Care Hackley Community Care Center (HCCC) Community Mental Health of Muskegon County Integrated Health Care In essence integrated health care is the systematic
More informationHealth Care Leader Action Guide to Reduce Avoidable Readmissions
Health Care Leader Action Guide to Reduce Avoidable Readmissions January 2010 TRANSFORMING HEALTH CARE THROUGH RESEARCH AND EDUCATION Osei-Anto A, Joshi M, Audet AM, Berman A, Jencks S. Health Care Leader
More information1. POSITION TITLE: CERTIFIED DIABETES EDUCATOR CLINICAL DIETITIAN Coordinator, Diabetes Self-Management Education Program
1. POSITION TITLE: CERTIFIED DIABETES EDUCATOR CLINICAL DIETITIAN Coordinator, Diabetes Self-Management Education Program 2. General Description: The Diabetes Self-Management Education (DSME) Program Coordinator/Dietitian,
More informationHSAG: The QIN-QIO for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands
HSAG: The QIN-QIO for Arizona, California, Florida, Ohio, and the U.S. Virgin Islands Jim Barnhart, BSH LNHA Quality Improvement Specialist Carol Saavedra, BA Health Informatics Specialist November 18,
More informationTransforming Adolescent Health Care Delivery in the State of Michigan
Transforming Adolescent Health Care Delivery in the State of Michigan A Review of Seven Grant-Funded Demonstration Projects Transforming Care for Medically Underserved Children and Adolescents Michigan
More informationDr. Safaa Hussein Mohammad. Lecturer Medical &Surgical Nursing
Dr. Safaa Hussein Mohammad Lecturer Medical &Surgical Nursing ISSUES IN RISK MANAGEMENT - The legal setting - Malpractice - Avoid Malpractice - The medical record - Patients rights Identifying and analyzing
More informationIntroduction to the GLPTN Program. Provider Office & Physician Organization Briefing
Introduction to the GLPTN Program Provider Office & Physician Organization Briefing What is the GLPTN? The GLPTN is one of 29 Practice Transformation Networks (PTNs) funded under the brand new CMS Transforming
More informationPEDIATRIC OTOLARYNGOLOGY FELLOWSHIP. B.C. Children s Hospital University of British Columbia Vancouver, B.C.
PEDIATRIC OTOLARYNGOLOGY FELLOWSHIP B.C. Children s Hospital University of British Columbia Vancouver, B.C. Program Director: Number of Positions: Dr. Neil K Chadha One per annum Next available Fellowship
More informationTransforming traditional case management through local provider partnerships
Transforming traditional case management through local provider partnerships Introduction The dramatic changes sweeping the health care industry are driving a strong interest in engaging patients at the
More informationGoal 1; Objective B: Improve health care quality and patient safety: Performance measure
TRUST FOR AMERICA S HEALTH COMMENTS ON THE DEPARTMENT OF HEALTH AND HUMAN SERVICES (HHS) DRAFT STRATEGIC PLAN 2010 2015 Goal 1; Objective B: Improve health care quality and patient safety: Performance
More informationApproaches to Asthma Management:
Approaches to Asthma Management: BY CAROL MCPHILLIPS-TANGUM AND CAROLINE M. ERCEG ASTHMA IS A CHRONIC DISEASE that affects millions of people in the United States and disproportionately impacts children,
More informationChronic Care Management. WPS Chronic Care Management Next Generation Disease Management
Chronic Care Management WPS Chronic Care Management Next Generation Disease Management Taking on Chronic Illness and Winning. People with chronic illnesses make up only 20 percent of your employee population,
More information5557 FAQs & Definitions
5557 FAQs & Definitions These Questions and Answers are intended to present information that has been acquired as part of the discovery process and provides necessary context for the Policy Directives
More informationMount Nittany Medical Center Community Benefit Annual Report: Fiscal Year 2014 (July 1, 2013 June 30, 2014)
Mount Nittany Medical Center Community Benefit Annual Report: Fiscal Year 2014 (July 1, 2013 June 30, 2014) 1 Community benefit has regional economic reach Whether it s offering a free Hunters Health Day,
More informationBy Avery Comarow FOR PARENTS AND OTHER CAREGIVERS. Why does U.S. News rank children's hospitals?
How and Why: A 2013-14 Best Children's Hospitals FAQ The facts and methodology behind our latest pediatric rankings (cancer survival description corrected). By Avery Comarow Why should anyone care about
More informationJohn I Allen, MD, MBA
Specialty Clinical Service Lines John I Allen, MD, MBA Minnesota Gastroenterology American Gastroenterological Association ICSI Accountable Care Organization Primary Care Specialty Care Outpatient Care
More informationCAHPS Clinician & Group Survey: Overview of the Questionnaires (Four-Point Scale)
CAHPS Clinician & Group Survey: Overview of the Questionnaires (Four-Point Scale) Available Questionnaires... 1 Core Items...1 Supplemental Items...2 Development of the Survey... 2 Appendix Exhibit 1:
More informationMake the moves that matter. Put your plan for good health in motion
Make the moves that matter Put your plan for good health in motion Why Your Employees Health Matters While many factors go into creating a successful company, no company can be competitive without healthy,
More informationSeniors Health Services
Leading the way in care for seniors Seniors Health Services Capital Health offers a variety of services to support seniors in communities across the region. The following list highlights programs and services
More information