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// High Tech, High Touch Health Care February 5, 2015 1 © 2015 Qualcomm Life. All rights reserved.
// Tectonic Shift in Care Delivery
// © 2015 Qualcomm Life. All rights reserved. 3 Home is the fastest growing care setting in the US. Source: AHRQ, Agency for healthcare research and quality
// Care is Moving Home © 2015 Qualcomm Life. All rights reserved. 4 13.6M # of patients age 65 years or older discharged annually in the US 1 19.6% % of Medicare beneficiaries rehospitalized within 30 days of discharge 2 $33.6B Loss in productivity attributed to employees caring for ‘aged dependents’ 3 1. CDC, National Hospital Discharge Survey, number and rate of hospital discharge, 2010 2. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. New Eng J Med 2009;360:1418–28 3. Metlife Mature Market Institute and the National Alliance for Caregiving
// © 2015 Qualcomm Life. All rights reserved. 5 CMS bundled payment models Managing larger at-risk populations Desire to move patients to lower cost care settings – sooner The Tectonic Shift Hospitals will be responsible for readmissions Value-based reimbursement for health systems
// © 2015 Qualcomm Life. All rights reserved. 6 The Tectonic Shift ➡ Chronic Care Management (CCM) ➡ Transitional Care Management (TCM) New emerging care models Continuous, informed care in the home
// Chronic Care Management (CCM) in the Spotlight © 2015 Qualcomm Life. All rights reserved. 7 Effective January 1, 2015 Medicare will begin reimbursing eligible providers for remote chronic care management under CPT Code 99490 Average payment of $40.39 per patient, per month Total Medicare potential CCM reimbursement in 2015 $16B
// Chronic Care Management Requirements © 2015 Qualcomm Life. All rights reserved. 8 Two or more chronic conditions Provider must establish comprehensive care plan Provide at least 20 minutes of non-face- to-face care Provider must have five specific capabilities to perform CCM: Use a certified EHR Maintain an electronic care plan Ensure access to care Facilitate care transitions Remote coordination of care
// Enabling Technologies Powering Chronic Care Management
// Seamless Connectivity Platforms (RPM) © 2015 Qualcomm Life. All rights reserved. 10 1 C. Bock, L. Carnahan, S. Fenves, M. Gruninger, V. Kashyap, B. Lide, J. Nell, R. Raman and R. Sriram, “Healthcare Strategic Focus Area: Clinical Informatics,” National Institute of Standards and Technology, Technology Administration, Department of Commerce, United States of America, pp.1-33, September, 2005. 2 Population Health Management, Volume 0, Number 0, 2014a, DOI: 10.1089/pop.2013.0107 5 InteroperabilitySecurityScalability Benefits / Outcomes Interoperability among healthcare ICT systems would deliver a national annual savings of $77.8 billion 1 Remote monitoring reduces readmission by 44% 2 Secure exchange of vital information across health care settings
// Exception-Based Management © 2015 Qualcomm Life. All rights reserved. 11 1 Weintraub AJ, Kimmelstiel C, Levine D, et al. A multicenter randomized controlled comparison of telephonic disease management vs automated home monitoring in patients recently hospitalized with heart failure: SPAN-CHF II trial. Program and abstracts from the 9th Annual Scientific Meeting of the Heart Failure Society of America, September 18-21, 200, Boca Raton, Florida. Recent and late breaking clinical trials. Remote monitoring integration and visualization of data Reflex algorithms - near real-time alerts Smart dashboards for efficient care management Benefits / Outcomes Reduce rehospitalizations for HF by as much as 72% 1 Deliver population level interventions Focus resources based on documented needs Manage large at-risk populations effectively
// Asynchronous Communication © 2015 Qualcomm Life. All rights reserved. 1 de Jong CC, Ros WJ, Schrijvers G, The Effects on Health Behavior and Health Outcomes of Internet-Based Asynchronous Communication Between Health Providers and Patients With a Chronic Condition: A Systematic Review, J Med Internet Res 2014;16(1):e19 2 Steventon A, Bardsley M, Billings J, et al. Effect of telehealth on use of secondary care and mortality: findings from the Whole System Demonstrator cluster randomised trial. BMJ 2012;344:e3874 doi: 10.1136/bmj.e3874 (Published 21 June 2012) Secure record sharingNear real-time therapy and medication adjustments Dynamic care plan Benefits / Outcomes Decrease in physician visits 1 Increase in self-management/self-efficacy 1 Fewer emergency admissions (20% reduction) 2 Decrease in mortality rates (45% reduction) 2 Improve clinical collaboration 12
// Qualcomm Life CCM Solution © 2015 Qualcomm Life. All rights reserved. 13 Dynamic care plan Secure access and sharing Asynchronous communication On-line medication management tools Symptom tracking programs Wireless remote patient monitoring
// Opportunity to Set New Standards
// High Tech, High Touch Best Practices Brad Tritle President/CEO,vitaphone
Learn more about ways to Bend the Curve in health care costs at: Made possible through support from: Preventing Hospital Readmissions:
GERIATRIC EDUCATION SERIES Presented in partnership by Funded in part by a grant from the EJC Foundation.
Reduction Of Hospital Readmissions Hany Salama, MD Diplomat ABIM IM Hospice and Palliative Care Sleep Medicine.
The Tahoe/Carson Valley Transitions in Care Collaborative “A Solution for Improved Care Management in Rural Environments”
For the Healthcare Provider
Funded in part by a grant from the EJC Foundation Presented in partnership by GERIATRIC EDUCATION SERIES.
Readmissions: Process Improvement using the INTERACT II Tools Linda Denison Bub MSN, RN, GCNS-BC Director of Senior Health Services.
A NEW REIMBURSEMENT STRUCTURE FOR AMERICA ADVANCED DISEASE CONCEPTS.
2014 Diagnotes, Inc. – Confidential & Proprietary Beyond HIPAA Compliance: How Efficient Care Team Collaboration Improves Patient Care November 17, 2015.
© 2015 Omnicell, Inc. Content is confidential and proprietary 1 The Benefits of Multimed Adherence Packaging Add Your Logo Here.
Memorial Hermann Healthcare System Clinical Integration & Disease Management Dan Wolterman April 15, 2010.
PREVENTION PLUS Brought to you by:. As of January 1, 2015, CMS has started paying MONTHLY reimbursement for care coordination services to eligible Medicare.
Name Company Date Chronic Condition Management Anand Gaddum iLink Systems March 3, 2010.
Care Transitions Intervention Model Concepts and Implementation through Lehigh Valley Home Health Services Vickie Cunningham, Tracey Wilds and Karen Panik.
Linda V. DeCherrie, MD Director, Mount Sinai Visiting Doctors Program ©AAHCM.
A Special Presentation for: Connecting Patients and Health Care Professionals Harvard Challenge.
Return of the House Call A Breakfast Forum Housecall Providers June 4, 2014.
PATIENT CARE NETWORK OF OKLAHOMA (PCNOK) Oklahoma Healthcare Authority ABD Care Coordination RFI Response August 17, 2015.
PUTTING THE PIECES TOGETHER: REDUCING AVOIDABLE READMISSIONS.
Mary D. Naylor, PhD, RN Marian S. Ware Professor in Gerontology Director, NewCourtland Center for Transitions and Health University of Pennsylvania, School.
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