Background: The period following discharge as a patient transitions from hospital to home can be a vulnerable time for patients, especially those who are at high risk for hospital readmission. Preventable hospital readmissions often stem from a discontinuity in a patient’s care plan due to confusion surrounding discharge instructions, changes to medication regimen, or […]
Background: Post-discharge phone calls are an empirically supported best practice for improving the patient experience and reducing readmissions in hospitals1. The Agency for Healthcare Research and Quality (AHRQ) recommends that follow-up calls be made to patients within 48-72 hours of discharge2. To meet industry standards and stay connected with their patients, providers are working […]
Related Services : Health Care Talent InnovationsOverview: Delivery System Reform Incentive Payment (DSRIP) providers in Texas have been closely following the proposed extension to the Texas State Section 1115 Waiver as HHSC prepares to submit an extension application to the Centers for Medicaid and Medicare Services (CMS). A main goal of the extension is to align the waiver with Medicaid […]
Related Services : State WaiversThe Problem: Formed in 1994, Citrus Valley Health Partners (CVHP) is a network of three hospitals, a home health agency, hospice care and an ambulatory surgery center that serves nearly one million residents in the East San Gabriel Valley. In 2010, CVHP was facing challenges common to community hospitals across the country, including declining […]
The Problem: The US health care delivery system has historically been characterized by a fragmented, poorly integrated approach to delivering care that often falls short when it comes to managing patients with complex health conditions. Of particular concern is access to specialty care, especially for uninsured or under-insured patients relying on safety net services. […]
The Problem: The county-funded program for indigent patients at John Peter Smith Health Network (JPS) was plagued by inconsistent and disconnected eligibility determination processes. JPS, a large regional trauma center and ambulatory network serving the safety net population in the Dallas/Fort Worth metropolitan area, had struggled for several years to reduce the confusion and […]
Related Services : Advanced Performance ImprovementThe Problem In 2000, Citrus Valley Health Partners (CVHP) – a network of three hospitals, a home health agency, hospice care and an ambulatory surgery center in the greater Los Angeles area – faced a critical shortage of registered nurses (RNs). CVHP regularly had over 100 vacant nursing positions and a 32% annual turnover rate […]
Related Services : Global Health Experiences Health Care Talent DevelopmentThe Problem: AltaMed Health Services Corporation (AltaMed), the largest Federally Qualified Health Center (FQHC) in the nation, has delivered quality care to underserved communities in Southern California for more than 40 years. AltaMed’s unique characteristics – including its range of services, diverse patient population, broad market penetration, health information technology (HIT) capabilities, and commitment […]
Related Services : Project Management OfficeThe Problem: John Peter Smith (JPS) Health Network is a major public health care delivery system in Fort Worth, Texas and is the anchor entity for Region 10’s Regional Healthcare Partnership (RHP) plan as part of Texas’ 1115 Medicaid waiver. Many workflows and administrative and clinical processes at JPS were inefficient and unreliable, resulting […]
Related Services : Strategic ManagementThe Problem: Health care for the uninsured in Kern County was historically fragmented due to multiple geographic, organizational, and technological challenges. Public safety net providers in Kern County operated within silos, with few opportunities to coordinate services. Faced with limited health care options, uninsured patients turned to the emergency department (ED) at Kern Medical […]
Related Services : Strategic Planning Clinical Integration