By Alex Moran – We have become very good at telling the next provider that a patient has left the hospital. We have built almost nothing for hearing what happens after that. I find that strange, because the people with the best view of a person’s condition after discharge are usually not in a clinical setting at all. They are in the home, and they are there several times a week.
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By Daree Allen Nieves – What one man’s ESRD journey reveals about the diabetes-to-kidney-failure pipeline, and why closing it is the defining challenge of value-based care.
By Hamad Husainy DO FACEP – Hospitals are under increasing pressure to minimize readmissions and close costly gaps in care, particularly during the crucial post-acute care phase when patients move to skilled nursing facilities. This is the phase when patients are most vulnerable, and even small gaps in care can lead to complications and avoidable readmissions, no small consideration for hospitals.
By Justin Barnes – A key to improving care, cutting costs and increasing revenue is through value-based care levers providing a foundation toward more favorable payer negotiation. Let’s look at building chronic care management into value-based care.
By Cindy Gaines MSN RN – Perioperative care, which spans the time frame before, during, and after surgical procedures, consists of many vital waypoints in a patient’s medical journey. It requires a coordinated joint effort by clinicians.
By David Hunt – Social isolation is more than an emotional hardship – it can have chronic and quantifiable effects on overall health, especially for older adults. For adults aged 50 and older, social isolation significantly increases their risk of dementia, heart failure, and even premature death.
By Todd Thompson BSN RN – Are you ready to share admissions, discharge and transfer (ADT) data with other providers in 2021? Sharing this information can help improve care coordination and lower readmissions, while failing to do so can put you in violation of a new CMS mandate.
By Dr. Gary Call – Medical experts learn more about the coronavirus every day. New protocols for testing and treatment are becoming the norm, and evolving information emerges daily about the characteristics of COVID-19 and how it presents in individuals.
By Katherine Capps – Our Oct. 9 GTMRx Executive Roundtable yielded a wealth of insights, and in the coming weeks, I’ll share with you more of what we discussed. Suffice to say we’ve reached a critical juncture in our work to advance a more personalized, team-based, comprehensive primary care model—