The PATH ALONG model encourages community members to watch as hospital service changes begin to unfold. With Medicare and Medicaid altering reimbursement (lowering) for readmissions hospitals will develop compensatory strategies to make up for the loss in revenue. Hospital systems understand private health insurance providers often follow Medicare and Medicaid guidelines to communicate a similar standard of delivery.
An immediate strategy will involve clinical staff meetings to help monitor supply utilization, length of patient stay, inpatient drug cost, readmissions within the 30 day window, and the use of outside diagnostic test providers. This is administration informing the staff everyones help is needed to compensate for this expected loss of revenue.
Documentation and delivery of care is the core activity of a hospital. Analysts will review claims and service records to understand margins of profit . How does a patient diagnosis receiving physician service generate a claim with a pay source (Medicare) resulting in a margin of profit for the hospital.
The analyst wants to know which physician inpatient services have an expense that is higher than the actual reimbursement. The data should indicate which physician service is performed most (highest volume), which physican service generates a large margin (highest profitability), and which physician service is costly to deliver (highest loss).
The analysist will communicate the derived values in a printed form and share the findings with the hospital administration. This helps participants comprehend factors of causation contributing to the profit and loss of the hospital location. Administrative leaders will form a working commitee with scheduled meeting times to devise a plan with specifics to improve the lower performing areas of physician delivered service.
The public relation marketing arm of the hospital will be assigned to develop communication that will capitalize on the defined high performing areas of service. Informing the community of the availability of (highly profitable) competent providers to deliver a much needed service.
One working commitee will be assigned to review Medicare and Medicaid clinical denials of payment. From this commitee will flow a hospital staff training focused on medical necessity and ICD-10 coding to help prevent future denials of reimbursement.
This essentially outlines the means a hospital will employ to better comprehend the change required to continue to care for the existing service area. This is the hospital using an evidence based approach to maintain the fiscal reserve required to deliver the needed service.
The PATH ALONG model connects inpatient providers to community staff who support the person during transitons of care. Simply call 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com to schedule service. Wisconsin's PATH ALONG model is designed to reduce hospital readmission rates. For more information please click on the site below with free access
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Thursday, January 31, 2013
Tuesday, January 29, 2013
PATH ALONG IRIS Wisconsin Partnership Family Care
Wisconsin's PATH ALONG model puts a stronger stitch in the fabric of care that blankets the south central Wisconsin community. Inherent in the PATH ALONG model resides aspects of communication which can be imperitive to the (CMS) Centers for Medicare and Medicaid initiative to maintain a reduction in hospital readmission rates.
Wisconsin's PATH ALONG model forges collaborative links with (IRIS) Include Respect I Self Direct, The Wisconsin Partnership Program, and the Family Care Program in efforts to reduce readmission rates. Establishing a comfortable rapport sharing care technique with the focus on reducing hospital readmission rates.
This is a long term approach to anchoring strategies of enhanced communication between multiple community providers to improve quality of care for the hospitalized individual. Simply multiple delivery providers are involved in caring for one individual at the same time. Recognizing this fact lets combine effort to reduce duplication and improve outcomes.
Wisconsin's PATH ALONG model embraces an inclusive practice which can elevate the consumers experience of care at the points of delivery. This is a welcome addition when quality surveys are being conducted to assess the service a (CBO) Community Based Organization provides to the population.
This is the PATH ALONG models participation with improving outcome with care transitions at the level of community system planning. This moves the service being delivered by the various south central Wisconsin providers closer to the changing needs of the population as a whole.
Wisconsin's PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care transitions. Simply call 608-432-4286 to schedule supportive care service. Email lkutzke@homecarepath.onmicrosoft.com Check out the site below with free access for more information
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wisconsin's PATH ALONG model forges collaborative links with (IRIS) Include Respect I Self Direct, The Wisconsin Partnership Program, and the Family Care Program in efforts to reduce readmission rates. Establishing a comfortable rapport sharing care technique with the focus on reducing hospital readmission rates.
This is a long term approach to anchoring strategies of enhanced communication between multiple community providers to improve quality of care for the hospitalized individual. Simply multiple delivery providers are involved in caring for one individual at the same time. Recognizing this fact lets combine effort to reduce duplication and improve outcomes.
Wisconsin's PATH ALONG model embraces an inclusive practice which can elevate the consumers experience of care at the points of delivery. This is a welcome addition when quality surveys are being conducted to assess the service a (CBO) Community Based Organization provides to the population.
This is the PATH ALONG models participation with improving outcome with care transitions at the level of community system planning. This moves the service being delivered by the various south central Wisconsin providers closer to the changing needs of the population as a whole.
Wisconsin's PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care transitions. Simply call 608-432-4286 to schedule supportive care service. Email lkutzke@homecarepath.onmicrosoft.com Check out the site below with free access for more information
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, January 28, 2013
PATH ALONG Model and Repetitive ER Loop
Wisconsin's PATH ALONG model identifies repetitive emergency department visits as a symptom related to the hospital readmission rate. When the frequency of emergency room visits is less than 30 days apart, the individual is asking for more help.
Often a family member will identify a scarey change in the elders thinking or physical function and present at the emergency room demanding their loved one be fixed. The family has not accepted where the elder now resides in the disease process.
Despite multiple emergency department visits the elder is always sent home with no medication changes or skilled care needs. Simply, the elder needs more help, the emergency department does not deliver that service.
The elder has needs that can be best met through a supportive care agency ( www.homecarepath.com) and the family needs therapeutic consultation to help them process the seniors changing capability and how that now fits in to their lives.
The emergency department sends the elder and family home with instructions to consult with social services. The result has been repetitive returns to the emergency department hoping varied staff can fix this once and for all. Hospital staff admit frustration, the family is upset, and the primary MD wants some help.
The PATH ALONG model provides intervention with a consistent message that moves family and the elder to embrace a service that will better meet their needs. PATH ALONG staff are trained to adapt delivery to the family and patients level of experience to shift focus toward proper care provision. This improves the emergency departments role in delivering a high quality care assurance.
This is crisis intervention with transitional counseling. The service formulates with the family and the medical providers an immediate and a long term plan. This describes how the service adjusts awareness with the individual and family.
PATH ALONG staff participate in processes designed to enhance community awareness and facilitate a paradigm shift toward ways of properly managing the changing health and social needs of an aging population. Home Care Path and the PATH ALONG model deliver an enhanced supportive care service to assist the community with the changing needs of an aging population. Improving understanding at the community level can support the medical providers ability to deliver their expert service.
Contact PATH ALONG at 608-432-4286 or email lkutzke@homecarepath.onmcirosoft.com
for more information click on the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Often a family member will identify a scarey change in the elders thinking or physical function and present at the emergency room demanding their loved one be fixed. The family has not accepted where the elder now resides in the disease process.
Despite multiple emergency department visits the elder is always sent home with no medication changes or skilled care needs. Simply, the elder needs more help, the emergency department does not deliver that service.
The elder has needs that can be best met through a supportive care agency ( www.homecarepath.com) and the family needs therapeutic consultation to help them process the seniors changing capability and how that now fits in to their lives.
The emergency department sends the elder and family home with instructions to consult with social services. The result has been repetitive returns to the emergency department hoping varied staff can fix this once and for all. Hospital staff admit frustration, the family is upset, and the primary MD wants some help.
The PATH ALONG model provides intervention with a consistent message that moves family and the elder to embrace a service that will better meet their needs. PATH ALONG staff are trained to adapt delivery to the family and patients level of experience to shift focus toward proper care provision. This improves the emergency departments role in delivering a high quality care assurance.
This is crisis intervention with transitional counseling. The service formulates with the family and the medical providers an immediate and a long term plan. This describes how the service adjusts awareness with the individual and family.
PATH ALONG staff participate in processes designed to enhance community awareness and facilitate a paradigm shift toward ways of properly managing the changing health and social needs of an aging population. Home Care Path and the PATH ALONG model deliver an enhanced supportive care service to assist the community with the changing needs of an aging population. Improving understanding at the community level can support the medical providers ability to deliver their expert service.
Contact PATH ALONG at 608-432-4286 or email lkutzke@homecarepath.onmcirosoft.com
for more information click on the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Saturday, January 26, 2013
Wisconsins PATH ALONG Model Reduces CMS Expenditures
Wisconsin's PATH ALONG model reduces CMS expenditures by managing patient participation as it relates to four cost elevating avenues. The PATH ALONG model works to reduce expense on the following four points.
1. Repetitive emergency department visit loop. PATH ALONG works with the beneficiary to accurately determine the perception driving repetitive visits and facilitates change to prevent the loop. The PATH ALONG model blends easily to support the Wisconsin Partnership Program and the Family Care Program.
2. Labor to audit observational stay status. PATH ALONG forges a rapid connection allowing patients to go home with needed support reducing a hospital providers use of observation status outpatient admission. If the inpatient room is 1554.00 per day, home with support at 20.00 per hour is a huge savings.
3. Hospital readmission. The PATH ALONG process delivers a needs based approach to an advanced process resulting in a higher quality inpatient stay and safer outpatient recovery. Staff use a flexible approach within a proven model to manage individual needs.
4. CMS certified in home care. The PATH ALONG dynamic components help determine accurate need avoiding duplication and waste with in home CMS certified delivery in the home setting. The PATH ALONG model prevents the use of CMS certified skilled provider delivery when supportive care can best fit the identified need.
The PATH ALONG model delivers an inpatient service with outpatient follow through to thoroughly attach needed service with each transitional flow. The timing and intensity of the service PATH ALONG staff deliver provides a very favorable outlook to the reduction of Medicare, Medicaid expenditures. This is inserting service with unfolding hospitalization to capture the support required for a proper recovery.
Contact us at 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com for additional information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
1. Repetitive emergency department visit loop. PATH ALONG works with the beneficiary to accurately determine the perception driving repetitive visits and facilitates change to prevent the loop. The PATH ALONG model blends easily to support the Wisconsin Partnership Program and the Family Care Program.
2. Labor to audit observational stay status. PATH ALONG forges a rapid connection allowing patients to go home with needed support reducing a hospital providers use of observation status outpatient admission. If the inpatient room is 1554.00 per day, home with support at 20.00 per hour is a huge savings.
3. Hospital readmission. The PATH ALONG process delivers a needs based approach to an advanced process resulting in a higher quality inpatient stay and safer outpatient recovery. Staff use a flexible approach within a proven model to manage individual needs.
4. CMS certified in home care. The PATH ALONG dynamic components help determine accurate need avoiding duplication and waste with in home CMS certified delivery in the home setting. The PATH ALONG model prevents the use of CMS certified skilled provider delivery when supportive care can best fit the identified need.
The PATH ALONG model delivers an inpatient service with outpatient follow through to thoroughly attach needed service with each transitional flow. The timing and intensity of the service PATH ALONG staff deliver provides a very favorable outlook to the reduction of Medicare, Medicaid expenditures. This is inserting service with unfolding hospitalization to capture the support required for a proper recovery.
Contact us at 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com for additional information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Thursday, January 24, 2013
Wisconsin PATH ALONG Readmission Reduction Quality Improvement
Wisconsin's PATH ALONG is a readmission reduction quality improvement model. Trademarked with detailed specifics under copyright and available to serve the south central Wisconsin community. Research driven to incorporate evidence based results in to the models delivery of service.
The PATH ALONG approach involves interaction that helps providers comprehend drivers of a repetitive emergency room visit loop. Repetitive ER visits are not listed as readmissions but can speak to quality. The returning to the emergency department is the patients way of saying more help is needed.
The PATH ALONG model defines structure that allows inpatient staff to effectively identify persons at high risk for a hospital readmission. Readmission can be defined as a patient admitted to a hospital within 30 days after being discharged from an earlier hospital stay. The 30 days post discharge from a hospital setting is a period of time containing elements of general risk. When a discharged patient has a history of readmission the risk increases. Knowing how and when to refer is critical.
The PATH ALONG model employs an integrative design that improves coordination and communication among the varied providers. This service lifts the health care delivery system to a functional level and improves the quality of care across the community being served. Model specifics focus on pertinent information the patient will need from the many participating departments to successfully transition to the desired level of independence.
The PATH ALONG model improves access to the supportive care todays hospital population needs to maintain health. The PATH ALONG model manages condition change through enhanced communication to support patients returning to a skilled nursing facility or residential assisted living dwelling. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
Simply call 608-432-4286 to schedule service. Email lkutzke@homecarepath.onmicrosoft.com
Check out the site below with free access for additional information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
The PATH ALONG approach involves interaction that helps providers comprehend drivers of a repetitive emergency room visit loop. Repetitive ER visits are not listed as readmissions but can speak to quality. The returning to the emergency department is the patients way of saying more help is needed.
The PATH ALONG model defines structure that allows inpatient staff to effectively identify persons at high risk for a hospital readmission. Readmission can be defined as a patient admitted to a hospital within 30 days after being discharged from an earlier hospital stay. The 30 days post discharge from a hospital setting is a period of time containing elements of general risk. When a discharged patient has a history of readmission the risk increases. Knowing how and when to refer is critical.
The PATH ALONG model employs an integrative design that improves coordination and communication among the varied providers. This service lifts the health care delivery system to a functional level and improves the quality of care across the community being served. Model specifics focus on pertinent information the patient will need from the many participating departments to successfully transition to the desired level of independence.
The PATH ALONG model improves access to the supportive care todays hospital population needs to maintain health. The PATH ALONG model manages condition change through enhanced communication to support patients returning to a skilled nursing facility or residential assisted living dwelling. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
Simply call 608-432-4286 to schedule service. Email lkutzke@homecarepath.onmicrosoft.com
Check out the site below with free access for additional information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Wednesday, January 23, 2013
Wisconsins PATH ALONG reduces hospital readmissions
The PATH ALONG model forges increased access to supportive services for Wisconsin's consumers. PATH ALONG design lends an ease of referral from the inpatient system. The service PATH ALONG delivers flows from a clear goal to reduce hospital readmissions and emergency department visits.
Health system planners reviewing readmission data soon discover a link to primary care is only a piece of the larger puzzle. The hospital discharged population is demonstrating a need for medical as well as social community programming to maintain stability in the home setting. Recovery progress often hinges on timely access to a supportive care service provider.
The primary medical care model can identify unmet needs on the inpatient assessment tools but it is the supportive care agency that will actually fill those needs. Recovering patients often need help with one or more daily tasks like meals, bath, dressing, medication reminders, toileting, ambulation, transfers, safety and sanitation, errands, bill paying, tracking appointments, memory loss, provider communication, and spiritual connections to name a few.
The PATH ALONG model utilizes a needs based approach which means the patient is encouraged to do what they can on their own. Supportive (www.homecarepath.com) staff is attached for specific unmet needs so time (20.00 per hour) as the measure of investment is managed to control monetary out put. This is a managed care strategy to reduce duplication.
Improving access for patients who need supportive care upon discharge helps health system planners comprehend hospital readmissions are not an unsolvable problem. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. Call 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com to schedule service. Please click on the link below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Health system planners reviewing readmission data soon discover a link to primary care is only a piece of the larger puzzle. The hospital discharged population is demonstrating a need for medical as well as social community programming to maintain stability in the home setting. Recovery progress often hinges on timely access to a supportive care service provider.
The primary medical care model can identify unmet needs on the inpatient assessment tools but it is the supportive care agency that will actually fill those needs. Recovering patients often need help with one or more daily tasks like meals, bath, dressing, medication reminders, toileting, ambulation, transfers, safety and sanitation, errands, bill paying, tracking appointments, memory loss, provider communication, and spiritual connections to name a few.
The PATH ALONG model utilizes a needs based approach which means the patient is encouraged to do what they can on their own. Supportive (www.homecarepath.com) staff is attached for specific unmet needs so time (20.00 per hour) as the measure of investment is managed to control monetary out put. This is a managed care strategy to reduce duplication.
Improving access for patients who need supportive care upon discharge helps health system planners comprehend hospital readmissions are not an unsolvable problem. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. Call 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com to schedule service. Please click on the link below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Tuesday, January 22, 2013
Wisconsins PATH ALONG and dynamic component
One of the PATH ALONG models dynamic components involves a completed nursing summary. The Joint Commisssion's hospital certification process includes a nursing summary requirement. The UW Wisconsin School of Medicine and Public Health in December 2011 published study results in the Journal Of Internal Medicine "Discharge Summaries Play A Key Role In Keeping Nursing Home Patients Safe". The study supports the importance of having a completed nursing summary in the patients hands upon discharge.
The nursing summary will communicate details on the patients hospital stay and identify future care needs. The above study listed the critical importance of receiving the information delivered in this document within an immediate time frame. The more time that lapses between discharge and the delivery of the information in the nursing summary the less value the document has for patient recovery.
The nursing summary lists ongoing patient needs as the person transitions from the hospital setting. Have the medications changed, and new treatments been ordered. How does meal prep relate to the physical changes of the diagnosis for hospitalization. Activity specifics related to physical therapy. Follow up appointments that have been scheduled and those that still need to be made. Ongoing lab monitoring. Special individualized concerns hospital staff noted with the patient stay.
PATH ALONG staff expect the patient to receive a hard copy of the nursing summary and an electronic record to be retained in the hospital data storage. The information communicated should include patient status at admission and discharge, resolved and unresolved problems, and referrals that have been made.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. The goal is to reduce the hospital readmission rate. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
Check out the progress on the PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Call 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com to discuss scheduling service. 2013 rates are 20.00 per hour. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The nursing summary will communicate details on the patients hospital stay and identify future care needs. The above study listed the critical importance of receiving the information delivered in this document within an immediate time frame. The more time that lapses between discharge and the delivery of the information in the nursing summary the less value the document has for patient recovery.
The nursing summary lists ongoing patient needs as the person transitions from the hospital setting. Have the medications changed, and new treatments been ordered. How does meal prep relate to the physical changes of the diagnosis for hospitalization. Activity specifics related to physical therapy. Follow up appointments that have been scheduled and those that still need to be made. Ongoing lab monitoring. Special individualized concerns hospital staff noted with the patient stay.
PATH ALONG staff expect the patient to receive a hard copy of the nursing summary and an electronic record to be retained in the hospital data storage. The information communicated should include patient status at admission and discharge, resolved and unresolved problems, and referrals that have been made.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. The goal is to reduce the hospital readmission rate. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
Check out the progress on the PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Call 608-432-4286 or email lkutzke@homecarepath.onmicrosoft.com to discuss scheduling service. 2013 rates are 20.00 per hour. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, January 21, 2013
Wisconsins PATH ALONG app
PATH ALONG is in the process of developing an app http://appsmakerstore.com/appim/j6kcdet8xvwk4s which will enhance the ability of the model to communicate with the community. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions.
PATH ALONG places supportive care which uses evidence based content structure directly with the inpatient (care transition) need. This is important because (CMS) The Centers for Medicare and Medicaid have altered regulations to shape hospital delivered service to include a greater capacity for communicating with supportive care providers. Hospital readmissions are considered a product of the disconnect between inpatient departments and community providers who help the patient recover.
The (CMS) Centers for Medicare and Medicaid have reduced reimbursement rates for a hospital stay that results in a readmission within 30 days. This is scheduled to progress annually as a way to convince hospital boards to embrace measures that can reduce readmission rates. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
The future of Wisconsin medicine involves a strong enough connection to allow an inpatient provider to facilitate an in home supportive care service rather than risk an outpatient observational status hospital stay. An outpatient observational status hospital stay may be deemed unnecessary by CMS review resulting in the hospital claims department billing the patient directly.
An in home supportive care provider ( www.homecarepath.com) can deliver a similar service and sustain the means for rapid access throughout the process. This maintains quality while improving relations with the population being served by the hospital setting.
Please call 608-432-4286 to discuss scheduling service. Email lkutzke@homecarepath.onmicrosoft.com . 2013 rates are 20.00 per hour. For additional information click on the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG places supportive care which uses evidence based content structure directly with the inpatient (care transition) need. This is important because (CMS) The Centers for Medicare and Medicaid have altered regulations to shape hospital delivered service to include a greater capacity for communicating with supportive care providers. Hospital readmissions are considered a product of the disconnect between inpatient departments and community providers who help the patient recover.
The (CMS) Centers for Medicare and Medicaid have reduced reimbursement rates for a hospital stay that results in a readmission within 30 days. This is scheduled to progress annually as a way to convince hospital boards to embrace measures that can reduce readmission rates. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
The future of Wisconsin medicine involves a strong enough connection to allow an inpatient provider to facilitate an in home supportive care service rather than risk an outpatient observational status hospital stay. An outpatient observational status hospital stay may be deemed unnecessary by CMS review resulting in the hospital claims department billing the patient directly.
An in home supportive care provider ( www.homecarepath.com) can deliver a similar service and sustain the means for rapid access throughout the process. This maintains quality while improving relations with the population being served by the hospital setting.
Please call 608-432-4286 to discuss scheduling service. Email lkutzke@homecarepath.onmicrosoft.com . 2013 rates are 20.00 per hour. For additional information click on the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Saturday, January 19, 2013
PATH ALONG The Inpatient Supportive Care Model
PATH ALONG is Wisconsin's inpatient supportive care model. Utilizing a pragmatic evidence based format. Delivery structure improves care quality while reducing risk of a hospital readmission. Data review accomidates an adjustable frequency that supports the fluctuation in resources of labor.
The PATH ALONG method engages patient participation in formation of an appropriate path while embracing ongoing tasks as defined in the medical plan of care. A model with predictable structure upon data review will yield information that is consistent among hospital stays. This supports the CMS initiative to build a better care delivery system across the entire community.
Examining repetitive undesired occurances with a caring conviction can enlarge our knowledge of experiences that are significant in the lives of patients. This lends an inclusive characteristic to the PATH ALONG model and facilitates accomidation for individual preference.
An outside analyst can use the consistent parts of the PATH ALONG model to approach variation. This allows the researcher to adjust delivery in a productive manner while controlling the patients perception of change.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Inpatient providers can find a comfortable rapport with the PATH ALONG process as collaborative participation runs an ongoing similar course. Inpatient providers soon recognize the community appreciates the important contribution hospital staff make to reducing hospital readmissions.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. An evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG method engages patient participation in formation of an appropriate path while embracing ongoing tasks as defined in the medical plan of care. A model with predictable structure upon data review will yield information that is consistent among hospital stays. This supports the CMS initiative to build a better care delivery system across the entire community.
Examining repetitive undesired occurances with a caring conviction can enlarge our knowledge of experiences that are significant in the lives of patients. This lends an inclusive characteristic to the PATH ALONG model and facilitates accomidation for individual preference.
An outside analyst can use the consistent parts of the PATH ALONG model to approach variation. This allows the researcher to adjust delivery in a productive manner while controlling the patients perception of change.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Inpatient providers can find a comfortable rapport with the PATH ALONG process as collaborative participation runs an ongoing similar course. Inpatient providers soon recognize the community appreciates the important contribution hospital staff make to reducing hospital readmissions.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. An evidence based model with 3 defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Thursday, January 17, 2013
PATH ALONG South Central Wisconsin Hospital Partner
The (CMS) Centers for Medicare and Medicaid is awarding contracts to groups of hospital providers who implement programing to improve outcomes for patients with complex situations. Under CMS funding the group of hospitals employ a staff to facilitate an enhanced discharge planning service.
The focus of the staff employed through CMS funding is to connect inpatient providers to community staff who support the patient during health system transitions. The CMS funded program is working with hospital staff and community providers to build a better care delivery system.
Hospital patients with complex health and social conditions are identified and linked with support services (www.homecarepath.com) capable of reducing the risk of a hospital readmission. The hospital becomes an effective partner in the work of managing individual health throughout the community being served.
PATH ALONG is a provider that the hospital staff would link the patient in need of additonal support with. PATH ALONG delivers the service the hospital staff are being trained by the CMS funded program to link in to.
HOSPITAL -- CMS Program facilates community links -- PATH ALONG
PATH ALONG is an inpatient and outpatient supportive care agency designed to support the Wisconsin hospital with reducing readmission rates. PATH ALONG is an evidence based model with three defined services to help the hospital staff fulfill their continuity of care role. The focus is on care filled transitions.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Check out this site with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The focus of the staff employed through CMS funding is to connect inpatient providers to community staff who support the patient during health system transitions. The CMS funded program is working with hospital staff and community providers to build a better care delivery system.
Hospital patients with complex health and social conditions are identified and linked with support services (www.homecarepath.com) capable of reducing the risk of a hospital readmission. The hospital becomes an effective partner in the work of managing individual health throughout the community being served.
PATH ALONG is a provider that the hospital staff would link the patient in need of additonal support with. PATH ALONG delivers the service the hospital staff are being trained by the CMS funded program to link in to.
HOSPITAL -- CMS Program facilates community links -- PATH ALONG
PATH ALONG is an inpatient and outpatient supportive care agency designed to support the Wisconsin hospital with reducing readmission rates. PATH ALONG is an evidence based model with three defined services to help the hospital staff fulfill their continuity of care role. The focus is on care filled transitions.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Check out this site with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wednesday, January 16, 2013
PATH ALONG WHA and Fixed National Hospital Wages
PATH ALONG continues to notice changes that effect the delivery of care at the hospital level. Wages are a component of the total money reimbursment hospitals receive for treating patients with Medicare as a pay source.
Senator John Kerry and Senator Robert Menendez had successfully negotiated the inclusion of an amendment in to the formulation of Health Care Reform law which moved hospital wage reimbursements from a fixed State based amount to a fixed National amount.
The Centers (CMS) for Medicare and Medicaid have long emphasized the importance placed on the financial performance of a hospital serving a rural population. CMS regulations translate payment for delivery through hospital classifications. (SCH) Sole Community Hospital, (MDH) Medicare Dependent Hospital, (RRC) Rural Referral Hospital, and (CAH) Critical Access Hospital. The CMS classification of the hospital and the affiliation with larger providers can effect the level of Medicare money being reimbursed.
In 2007 Nantucket (Massachusetts) Cottage Hospital merged with Partners Health Care. This Nantucket hospital then updated its CMS classification to a rural hospital payment system. Under the Kerry and Menendez amendment The Centers for Medicare and Medicaid (CMS) are required to reimburse all Massachusetts hospitals for employee wages at the same rate.
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Lifting authority from the State level up to the National level on fixed wage reimbursements clearly demonstrates how we are all in this together. When the Nantucket Hospital merged and then reclassified more public money flowed in to the service region. The sum of the shifting public dollars is large enough to grab the attention of the Wisconsin Hospital Association (WHA). Hospital Associations across the United States are collaborating to effect policy that contols the current distribution of health care dollars.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG encourages Wisconsin to follow this change at the hospital level as it unfolds. For additional information please check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Senator John Kerry and Senator Robert Menendez had successfully negotiated the inclusion of an amendment in to the formulation of Health Care Reform law which moved hospital wage reimbursements from a fixed State based amount to a fixed National amount.
The Centers (CMS) for Medicare and Medicaid have long emphasized the importance placed on the financial performance of a hospital serving a rural population. CMS regulations translate payment for delivery through hospital classifications. (SCH) Sole Community Hospital, (MDH) Medicare Dependent Hospital, (RRC) Rural Referral Hospital, and (CAH) Critical Access Hospital. The CMS classification of the hospital and the affiliation with larger providers can effect the level of Medicare money being reimbursed.
In 2007 Nantucket (Massachusetts) Cottage Hospital merged with Partners Health Care. This Nantucket hospital then updated its CMS classification to a rural hospital payment system. Under the Kerry and Menendez amendment The Centers for Medicare and Medicaid (CMS) are required to reimburse all Massachusetts hospitals for employee wages at the same rate.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Lifting authority from the State level up to the National level on fixed wage reimbursements clearly demonstrates how we are all in this together. When the Nantucket Hospital merged and then reclassified more public money flowed in to the service region. The sum of the shifting public dollars is large enough to grab the attention of the Wisconsin Hospital Association (WHA). Hospital Associations across the United States are collaborating to effect policy that contols the current distribution of health care dollars.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG encourages Wisconsin to follow this change at the hospital level as it unfolds. For additional information please check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Tuesday, January 15, 2013
PATH ALONG Identifies Post Discharge Stressors
The PATH ALONG model has noted an increased severity of illness needed for admission and a shorter inpatient stay. There are common stressors with a hospitalization that can contribute to the risk of a readmission. Common stressors evident in most hospital stays include:
-Decreased sleep
-Decreased food consumption
-Decreased fluid intake
-Decreased activity
-Emotional instability
-Narrow thought process
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Post discharge the person can usually benefit from strategies that support rest in a familiar setting. The person will want food they are accustomed to eating. The person will benefit from access to liquids for hydration. The person will want to progressively participate in ambulation and motion within the residence. The person will want the time and space to process the mental emotional aspects of the recent hospitalization.
PATH ALONG staff have been trained to understand how the process of being hospitalized can challenge the integrity of a persons body, mind and spirit. The unconscious, unspoken energetic shifts utilized to compensate for a medical inpatient stay. A person capitalizes on available strengths to endure needed treatment being delivered in an evolving care setting.
With the increased severity of illness needed for an admission and the shorter inpatient stays, the accompanying stressors can knock the patient off balance. Wisconsin's PATH ALONG model coordinates supportive effort to reduce the undesired effects inpatient stressors can produce. PATH ALONG is Wisconsin's inpatient supportive care service provider. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
-Decreased sleep
-Decreased food consumption
-Decreased fluid intake
-Decreased activity
-Emotional instability
-Narrow thought process
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
Post discharge the person can usually benefit from strategies that support rest in a familiar setting. The person will want food they are accustomed to eating. The person will benefit from access to liquids for hydration. The person will want to progressively participate in ambulation and motion within the residence. The person will want the time and space to process the mental emotional aspects of the recent hospitalization.
PATH ALONG staff have been trained to understand how the process of being hospitalized can challenge the integrity of a persons body, mind and spirit. The unconscious, unspoken energetic shifts utilized to compensate for a medical inpatient stay. A person capitalizes on available strengths to endure needed treatment being delivered in an evolving care setting.
With the increased severity of illness needed for an admission and the shorter inpatient stays, the accompanying stressors can knock the patient off balance. Wisconsin's PATH ALONG model coordinates supportive effort to reduce the undesired effects inpatient stressors can produce. PATH ALONG is Wisconsin's inpatient supportive care service provider. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, January 14, 2013
PATH ALONG Connects Elders With Inpatient Stay
PATH ALONG utilizes model structure to engage the patient in the primary tasks of the care transition. The focus is on completing the core transition link to maintain continuity in the system of care delivery.
PATH ALONG service addresses the emerging elder population need created through the hospital infrastructures increased dependence on advanced technology. The elder residence lacking an answering machine and online computer access can be challenged by evolving hospital communication systems.
The (CMS) Centers for Medicare and Medicaid have embraced regulatory guidelines requiring a person to be severely ill to be admitted to the hospital. Individual hospital departments have employed technology to improve care delivery and shorten the inpatient stay.
PATH ALONG supports elders too ill or unequipped to connect with online reporting sytems to improve integration with todays version of a hospital stay. This shifts the patients energy from (loss of energy) the side effects of anxiety and frustration back to the process of supporting healing.
This is managing the perception of change to enhance patient engagement in the core aspects of each individual care transition. This reduces the number of patients getting stuck with the inpatient stay and abandoning medical plan of care treatments. PATH ALONG is an inpatient to outpatient supportive care link.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG service addresses the emerging elder population need created through the hospital infrastructures increased dependence on advanced technology. The elder residence lacking an answering machine and online computer access can be challenged by evolving hospital communication systems.
The (CMS) Centers for Medicare and Medicaid have embraced regulatory guidelines requiring a person to be severely ill to be admitted to the hospital. Individual hospital departments have employed technology to improve care delivery and shorten the inpatient stay.
PATH ALONG supports elders too ill or unequipped to connect with online reporting sytems to improve integration with todays version of a hospital stay. This shifts the patients energy from (loss of energy) the side effects of anxiety and frustration back to the process of supporting healing.
This is managing the perception of change to enhance patient engagement in the core aspects of each individual care transition. This reduces the number of patients getting stuck with the inpatient stay and abandoning medical plan of care treatments. PATH ALONG is an inpatient to outpatient supportive care link.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Saturday, January 12, 2013
PATH ALONG Congratulates UW Health Madison Newest ACO
On Thursday January 10, 2013 UW Health of Madison Wisconsin was named an Accountable Care Organization (ACO) . As an Accountable Care Organization (ACO) UW Clinics and UW hospital will share responsibility for providing care to individual patients with Medicare as a pay source.
The varied departments within the UW Health system of delivery will cooperate to best serve the individuals needs. A huge part of this involves the use of technology to facilitate timely communication.
The Federal Government requires the health network seeking designation as an (ACO) Accountable Care Organization to demonstrate an ongoing capability to serve a minimum of 5 thousand Medicare beneficiaries over a period of at least 36 months.
Financial incentives come from system savings after quality targets have been met. Medicare shares saved money with the (ACO) Accountable Care Organization. This model is different than rewarding providers for per service fee, which encouraged diagnostic menu's that enhanced revenue.
Wisconsin hospital and health care networks large enough to apply and receive designation as an ACO hope the shared savings revenue is significant to neutralize the readmission penalty. For this reason Wisconsin citizens will hear of community hospitals meeting to merge into a larger group.
PATH ALONG is an original Wisconsin model that provides the inpatient support needed with today's hospital stay. PATH ALONG connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist and advanced practice nurse fulfill their continuity of care role. The focus is on care filled transitions. For more information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The varied departments within the UW Health system of delivery will cooperate to best serve the individuals needs. A huge part of this involves the use of technology to facilitate timely communication.
The Federal Government requires the health network seeking designation as an (ACO) Accountable Care Organization to demonstrate an ongoing capability to serve a minimum of 5 thousand Medicare beneficiaries over a period of at least 36 months.
Financial incentives come from system savings after quality targets have been met. Medicare shares saved money with the (ACO) Accountable Care Organization. This model is different than rewarding providers for per service fee, which encouraged diagnostic menu's that enhanced revenue.
Wisconsin hospital and health care networks large enough to apply and receive designation as an ACO hope the shared savings revenue is significant to neutralize the readmission penalty. For this reason Wisconsin citizens will hear of community hospitals meeting to merge into a larger group.
PATH ALONG is an original Wisconsin model that provides the inpatient support needed with today's hospital stay. PATH ALONG connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is an evidence based model with 3 defined services to help the hospitalist and advanced practice nurse fulfill their continuity of care role. The focus is on care filled transitions. For more information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Friday, January 11, 2013
PATH ALONG Hospital Admission Registration
PATH ALONG staff are trained to provide the inpatient support needed with today's hospital stay. PATH ALONG staff will have a release of information (ROI) form signed by the patient.
The PATH ALONG staff will request an opportunity to review the recorded pre-registration information. The Medicare, VA, and personal health care insurance cards are noted within the information. The prior authorization process is discussed. This is because pre-registration typically occurs over the phone from an off site (St. Louis Corporate Office) phone center, not as a function of the local hospital.
A flat screen TV blares out the screams of a winning contestant on the popular game show Price is Right. To the left of the screen is the framed picture of a child saying SHHhhhhhh! quiet hospitals help healing.
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The patient identification band is placed on the wrist. PATH ALONG staff double check to be sure the wrist band is present and the ink is readable. This is to insure scanning reliability. Administered medications and utilized supplies are recorded through the bar code administration system.
PATH ALONG staff will request the medical diagnosis and if the hospital stay is an inpatient admission or an outpatient observational status. If the stay is outpatient observational, the question is would it be more cost effective for the patient to go home with the help (www.homecarepath.com) of a supportive care agency.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions. Check out the site below with free access for additional information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The PATH ALONG staff will request an opportunity to review the recorded pre-registration information. The Medicare, VA, and personal health care insurance cards are noted within the information. The prior authorization process is discussed. This is because pre-registration typically occurs over the phone from an off site (St. Louis Corporate Office) phone center, not as a function of the local hospital.
A flat screen TV blares out the screams of a winning contestant on the popular game show Price is Right. To the left of the screen is the framed picture of a child saying SHHhhhhhh! quiet hospitals help healing.
http://appsmakerstore.com/appim/j6kcdet8xvwk4s
The patient identification band is placed on the wrist. PATH ALONG staff double check to be sure the wrist band is present and the ink is readable. This is to insure scanning reliability. Administered medications and utilized supplies are recorded through the bar code administration system.
PATH ALONG staff will request the medical diagnosis and if the hospital stay is an inpatient admission or an outpatient observational status. If the stay is outpatient observational, the question is would it be more cost effective for the patient to go home with the help (www.homecarepath.com) of a supportive care agency.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions. Check out the site below with free access for additional information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Thursday, January 10, 2013
Wisconsin State Journal Documents Hospital Change
The Wisconsin State Journal Newspaper has reported Wisconsin hospitals have more advanced practice nurses on the job. The story lists a 55 percent increase in the number of advanced practice nurses employed in the hospital setting. How does this fit in with the health care system pushing acuity down the continuum of care.
Advance practice nurses are capable of providing care for more complex medical conditions. The patient must be severely ill to meet eligibility requirements for an admission to the hospital today. Advance practice nurses carry the education, certification, and insurance that allows an increased judgement and autonomy in their service. Advanced practice nurses are participating in the tasks once authorized by the medical system exclusively for doctors. Advanced practice nurses may prescribe, refer, have admission privileges, and be reimbursed through insurance for the service provided.
Advanced practice nurses are performing tasks for the patient population that used to be done only by a medical doctor. This is an example of how acuity is being pushed down the continuum of care. In the hierarchy of medical practice the advanced practice nurse now does functions similar to a doctor.
PATH ALONG recognizes these changes being initiated at the hospital level to best meet the larger influx of elders needing help. Individuals too ill to be home alone but not severe enough to meet eligibility for hospitalization will need the assistance of a supportive (www.homecarepath.com) care agency. Hospitalized patients must be severely ill to be admitted and will have a shorter stay. Discharge from the hospital does not mean the patient has fully recovered. Discharge simply means the hospital staff have determined the patients needs can now be met at a lower level (supportive care agency) of care delivery.
Hospital staff serve individuals with acute manfestations of complex medical conditions. Community members requiring help with chronic cognitive or physical functional changes will be increasingly referred to a supportive (www.homecarepath.com) home care provider.
PATH ALONG is an original Wisconsin model that connects inpatient providers (medical doctor, hospitalist, advanced practice nurse) to community staff who support the patient during health system transitions. Click on the site below with free access for more info
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Advance practice nurses are capable of providing care for more complex medical conditions. The patient must be severely ill to meet eligibility requirements for an admission to the hospital today. Advance practice nurses carry the education, certification, and insurance that allows an increased judgement and autonomy in their service. Advanced practice nurses are participating in the tasks once authorized by the medical system exclusively for doctors. Advanced practice nurses may prescribe, refer, have admission privileges, and be reimbursed through insurance for the service provided.
Advanced practice nurses are performing tasks for the patient population that used to be done only by a medical doctor. This is an example of how acuity is being pushed down the continuum of care. In the hierarchy of medical practice the advanced practice nurse now does functions similar to a doctor.
PATH ALONG recognizes these changes being initiated at the hospital level to best meet the larger influx of elders needing help. Individuals too ill to be home alone but not severe enough to meet eligibility for hospitalization will need the assistance of a supportive (www.homecarepath.com) care agency. Hospitalized patients must be severely ill to be admitted and will have a shorter stay. Discharge from the hospital does not mean the patient has fully recovered. Discharge simply means the hospital staff have determined the patients needs can now be met at a lower level (supportive care agency) of care delivery.
Hospital staff serve individuals with acute manfestations of complex medical conditions. Community members requiring help with chronic cognitive or physical functional changes will be increasingly referred to a supportive (www.homecarepath.com) home care provider.
PATH ALONG is an original Wisconsin model that connects inpatient providers (medical doctor, hospitalist, advanced practice nurse) to community staff who support the patient during health system transitions. Click on the site below with free access for more info
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wednesday, January 9, 2013
PATH ALONG 3 Day CMS Rule Has Expiration Date
The Centers for Medicare and Medicaid (CMS) have enacted policy to cause hospitals to commit to a higher level of care coordination in the community. This pay source is using law to shape hospital service delivery. Hospitals will form comprehensive connections with community providers to secure links of transition to demonstrate care assurance with the continuity of care role.
This converts planning discussion from the focus on patient behaviors to the importance of shaping the environment (clear path) to best meet the populations changing needs. Structure of delivery systems are being challenged to update practise as a way to better serve the community members.
The community is understanding that a person must be severely ill to be admitted to the hospital today. Recorded symptoms must demonstrate a defined level of severity before a person can be admitted to the hospital.
Hospital staff confronted with a patient too sick to be sent home alone, but not severe enough to be admitted to the hospital will place the patient in observation status. Observation status is an outpatient category that facilitates a stay in the hospital room with staff services. This is a hospital provider using a strategy to try to keep this person safe.
The difficulty in care coordination arises with the Centers for Medicare and Medicaid (CMS) 3 day rule. CMS (pay source) requires the person to be admitted to a hospital for 3 days for Medicare and Medicaid to pay for post acute care or rehab services in a skilled nursing facility. A stay in a hospital under observation status does not count toward the 3 day rule which would translate to access for service in a skilled nursing facility.
To further complicate matters The Centers for Medicare and Medicaid utilization review may find the outpatient observational status stay improper and deny payment. This results in the hospital claims department sending a bill for the hospital stay to the patient for private payment. The confused patient feels blamed for a system delivery difficulty.
The (CMS) Centers for Medicare and Medicaid take home message is the hospital staff need to form working relationships with community (www.homecarepath.com) service providers available to assist this person at home. As the hospital commits to this new vision of continuity of care the 3 day rule becomes obselete.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. Wisconsin's PATH ALONG is a bridge toward a hospital practise that reduces readmissions and improves community health. Check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
This converts planning discussion from the focus on patient behaviors to the importance of shaping the environment (clear path) to best meet the populations changing needs. Structure of delivery systems are being challenged to update practise as a way to better serve the community members.
The community is understanding that a person must be severely ill to be admitted to the hospital today. Recorded symptoms must demonstrate a defined level of severity before a person can be admitted to the hospital.
Hospital staff confronted with a patient too sick to be sent home alone, but not severe enough to be admitted to the hospital will place the patient in observation status. Observation status is an outpatient category that facilitates a stay in the hospital room with staff services. This is a hospital provider using a strategy to try to keep this person safe.
The difficulty in care coordination arises with the Centers for Medicare and Medicaid (CMS) 3 day rule. CMS (pay source) requires the person to be admitted to a hospital for 3 days for Medicare and Medicaid to pay for post acute care or rehab services in a skilled nursing facility. A stay in a hospital under observation status does not count toward the 3 day rule which would translate to access for service in a skilled nursing facility.
To further complicate matters The Centers for Medicare and Medicaid utilization review may find the outpatient observational status stay improper and deny payment. This results in the hospital claims department sending a bill for the hospital stay to the patient for private payment. The confused patient feels blamed for a system delivery difficulty.
The (CMS) Centers for Medicare and Medicaid take home message is the hospital staff need to form working relationships with community (www.homecarepath.com) service providers available to assist this person at home. As the hospital commits to this new vision of continuity of care the 3 day rule becomes obselete.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. Wisconsin's PATH ALONG is a bridge toward a hospital practise that reduces readmissions and improves community health. Check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Tuesday, January 8, 2013
PATH ALONG Initiative To Counter Hospital Readmissions
In the rapidly changing world of health care delivery patients can no longer cling to a traditional niche within a relatively static progression of service. PATH ALONG staff understand the patient perception secondary to utilization of advanced technology contributes to expressions of anxiety, conflict, and frustration. Seemingly invisible partners (varied pay sources) drive decisions resulting in received care.
PATH ALONG staff have been trained to communicate strategies in a non-threatening manner to instill a sense of control throughout the process. Pragmatic discussion designed to enable memory and learning. This is conversation to enhance the patients ability to make informed choices. Staff bolster the patients decision making ability which demonstrates as engagement with the medical plan of care.
PATH ALONG staff symplify content through the use of dynamic components. The focus is on completion of the core task which will deliver a broad healing quality to the body, mind and spirit. Teaching a self directed decision making process through indentification of the primary research based task within the transition of care.
Wisconsin's PATH ALONG model is a long term investment in a patient centered source of support designed to reduce hospital readmission rates. Staff deliver evidence based support from an evolving content of local level infrastructure. This lends credibility to practise design.
PATH ALONG is an original Wisconsin model that connects inpatients providers to community staff who support the patient during health system transitions. For additional information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG staff have been trained to communicate strategies in a non-threatening manner to instill a sense of control throughout the process. Pragmatic discussion designed to enable memory and learning. This is conversation to enhance the patients ability to make informed choices. Staff bolster the patients decision making ability which demonstrates as engagement with the medical plan of care.
PATH ALONG staff symplify content through the use of dynamic components. The focus is on completion of the core task which will deliver a broad healing quality to the body, mind and spirit. Teaching a self directed decision making process through indentification of the primary research based task within the transition of care.
Wisconsin's PATH ALONG model is a long term investment in a patient centered source of support designed to reduce hospital readmission rates. Staff deliver evidence based support from an evolving content of local level infrastructure. This lends credibility to practise design.
PATH ALONG is an original Wisconsin model that connects inpatients providers to community staff who support the patient during health system transitions. For additional information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, January 7, 2013
PATH ALONG Sedation Scope Missing Time
The patient has been sent to the hospital for a scheduled outpatient colonoscopy. This procedure involves sedation and insertion of a flexible tube with a camera. Pictures of the intestine wall are taken and small growths are tweezed and placed in a container.
The over identified pattern of similarity in all procedures (endoscopy, sigmoidoscopy, colonoscopy) using sedation is missing time. The administered medication creates a state of amnesia so the patient does not remember the treatment visit. The medication prevents the patient from remembering the past.
A sheet of camera images are printed out to show the patient what the provider has spotted on the bowel wall. The provider discusses their immediate findings. The patient views the camera images with the provider and the tweezed growths are shown as being on the way to the lab for further testing. During this post procedural consultation the patient is in a state of light sleep and will not remember the experience.
The drowsey patient is transported by wheel chair from the out patient floor to the hospital exit. Staff assure they will call the patient with the date and time of the scheduled primary provider visit. An arranged ride is required as the patient would not be safe to drive. The discharged patient is hungry.
The out patient hospital staff call to tell the patient her follow up appointment with the primary MD is in 4 days at 9am. The hospital staff instruct the patient to write this information on a post it note immediately so as not to forget.
The patient attends the scheduled primary provider visit. The first question from the primary MD is please tell me in detail what was discussed after the test with the scope. The patient responds, the last thing remembered was my ride pulling in to the subway parking lot to get a sub I could take home. I was so hungry.
Outpatient procedures have become proficient in strategies to move the patients through the process. The value to information being presented to this patient population for the purpose of continued care is in question. If the sedation inhibits memory storage and recall, the communication has not been effective.
PATH ALONG staff are trained to compensate for the missing time and assure the patient is accessing the needed care. PATH ALONG is an original Wisconsin model that connects inpatient providers with community staff who support the patient during health system transitions. For more information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The over identified pattern of similarity in all procedures (endoscopy, sigmoidoscopy, colonoscopy) using sedation is missing time. The administered medication creates a state of amnesia so the patient does not remember the treatment visit. The medication prevents the patient from remembering the past.
A sheet of camera images are printed out to show the patient what the provider has spotted on the bowel wall. The provider discusses their immediate findings. The patient views the camera images with the provider and the tweezed growths are shown as being on the way to the lab for further testing. During this post procedural consultation the patient is in a state of light sleep and will not remember the experience.
The drowsey patient is transported by wheel chair from the out patient floor to the hospital exit. Staff assure they will call the patient with the date and time of the scheduled primary provider visit. An arranged ride is required as the patient would not be safe to drive. The discharged patient is hungry.
The out patient hospital staff call to tell the patient her follow up appointment with the primary MD is in 4 days at 9am. The hospital staff instruct the patient to write this information on a post it note immediately so as not to forget.
The patient attends the scheduled primary provider visit. The first question from the primary MD is please tell me in detail what was discussed after the test with the scope. The patient responds, the last thing remembered was my ride pulling in to the subway parking lot to get a sub I could take home. I was so hungry.
Outpatient procedures have become proficient in strategies to move the patients through the process. The value to information being presented to this patient population for the purpose of continued care is in question. If the sedation inhibits memory storage and recall, the communication has not been effective.
PATH ALONG staff are trained to compensate for the missing time and assure the patient is accessing the needed care. PATH ALONG is an original Wisconsin model that connects inpatient providers with community staff who support the patient during health system transitions. For more information check out the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Saturday, January 5, 2013
PATH ALONG Source Of Community Education
An important aspect of the service PATH ALONG provides is the education throughout the community. PATH ALONG delivers information on the changing health care delivery system to improve the awareness in the community. Knowing how and when changes are occurring can help reduce the surprise when need for medical help arises.
The three commonly recognized changes occurring now include:
1. An increased severity of illness is required to be admitted to the hospital.
2. Hospital departments have evolved the delivery of their service to help reduce the time a patient would stay in the hospital.
3. The Centers for Medicare and Medicaid have enacted policy that reduces hospital reimbursement for a patient who is readmitted within 30 days of discharge.
The hospital staff need to record assessed values that fall within a defined range to demonstrate evidence of the need for a hospital stay. The patient may be ill but the symptoms do not indicate a severity that would require a hospital stay. Ill people in need of the help of another are being sent away because the hospital does not have the staff to provide this service. This service is delivered by a (www.homecarepath.com) supportive care agency.
Discharge from a hospital does not mean the patient has fully recovered. Discharge simply means the patient is stable enough to no longer need a hospital level of care. Hospitals have stream lined the service varied departments provide to shorten the time a patient stays in the hospital. Patients are being moved along while they still need the help of another. This is a service delivered by a (www.homecarepath.com) supportive care agency.
Wisconsin's rural community hospital budgets are much more dependent upon all their Medicare revenue. Rural community hospitals tend to serve a larger portion of Medicare patients in the over all patient population. Because the money being with held from the hospital with readmissions progresses annually the analysis translation is the potential loss of a hospital location. Hospital rates of readmissions have to be reduced. PATH ALONG is an original Wisconsin model designed to reduce hospital readmission rates.
For additional information check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The three commonly recognized changes occurring now include:
1. An increased severity of illness is required to be admitted to the hospital.
2. Hospital departments have evolved the delivery of their service to help reduce the time a patient would stay in the hospital.
3. The Centers for Medicare and Medicaid have enacted policy that reduces hospital reimbursement for a patient who is readmitted within 30 days of discharge.
The hospital staff need to record assessed values that fall within a defined range to demonstrate evidence of the need for a hospital stay. The patient may be ill but the symptoms do not indicate a severity that would require a hospital stay. Ill people in need of the help of another are being sent away because the hospital does not have the staff to provide this service. This service is delivered by a (www.homecarepath.com) supportive care agency.
Discharge from a hospital does not mean the patient has fully recovered. Discharge simply means the patient is stable enough to no longer need a hospital level of care. Hospitals have stream lined the service varied departments provide to shorten the time a patient stays in the hospital. Patients are being moved along while they still need the help of another. This is a service delivered by a (www.homecarepath.com) supportive care agency.
Wisconsin's rural community hospital budgets are much more dependent upon all their Medicare revenue. Rural community hospitals tend to serve a larger portion of Medicare patients in the over all patient population. Because the money being with held from the hospital with readmissions progresses annually the analysis translation is the potential loss of a hospital location. Hospital rates of readmissions have to be reduced. PATH ALONG is an original Wisconsin model designed to reduce hospital readmission rates.
For additional information check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Thursday, January 3, 2013
PATH ALONG Combines Positive Outlook With Action Triggers
PATH ALONG staff combine a postive outlook with action triggers to instill a sense of control in to the hospital stay. The patient is bigger and much more than the diagnosis. This shrinks the problem (diagnosis) facilitating a forward motion in strategies to self manage the symptoms. This provides the patient with comprehensible thought content for the concept of being a partner in the healing process.
Action triggers simply say I will do X when Y happens. (Switches) This is essentially meeting the experience in thought before actually having the physical event. The script is set and the content propels the patient forward in a pragmatic fashion.
As we enter to register the clerk will ask you to sign a paper giving the hospital permission to treat and bill your insurance. When this happens you say as an addendum with this signature I give you permission to prescribe from the insurance medication formulary. The formulary is a list of medications the insurance plan agrees to pay for as part of your benefit.
When the nurse says I am having the hospital lab come in and draw the blood for the tests the hospitalist has ordered. You ask the hospital staff to please explain how the primary provider will be able to view the results of the labs at the next clinic visit.
When the hospitalist requests that you agree to meet with social services. You ask the hospitalist to direct you to the area designated to deliver detailed information on the many community resources that can be of help when you leave the hospital setting.
This is a breif sample of the discussion between PATH ALONG staff and the inpatient. These thoughtful discussions help anchor significant ideas in the person's mind. The behavior demonstrates a postive perspective for participating as an engaged partner in the healing process. Thoughts and actions unify as self management becomes understandable.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfull their continuity of care role. The focus is on care filled transitions. The result is a reduced hospital readmission rate.
Check out this site with free acess for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Action triggers simply say I will do X when Y happens. (Switches) This is essentially meeting the experience in thought before actually having the physical event. The script is set and the content propels the patient forward in a pragmatic fashion.
As we enter to register the clerk will ask you to sign a paper giving the hospital permission to treat and bill your insurance. When this happens you say as an addendum with this signature I give you permission to prescribe from the insurance medication formulary. The formulary is a list of medications the insurance plan agrees to pay for as part of your benefit.
When the nurse says I am having the hospital lab come in and draw the blood for the tests the hospitalist has ordered. You ask the hospital staff to please explain how the primary provider will be able to view the results of the labs at the next clinic visit.
When the hospitalist requests that you agree to meet with social services. You ask the hospitalist to direct you to the area designated to deliver detailed information on the many community resources that can be of help when you leave the hospital setting.
This is a breif sample of the discussion between PATH ALONG staff and the inpatient. These thoughtful discussions help anchor significant ideas in the person's mind. The behavior demonstrates a postive perspective for participating as an engaged partner in the healing process. Thoughts and actions unify as self management becomes understandable.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfull their continuity of care role. The focus is on care filled transitions. The result is a reduced hospital readmission rate.
Check out this site with free acess for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wednesday, January 2, 2013
Wisconsins PATH ALONG model reduces hospital returns for readmissions
The Centers for Medicare and Medicaid (CMS) have adjusted assessment criteria that results in a person needing to be very ill to be eligible for admission to a hospital. Hospital pharmacy staff utilize interventions at the inpatient level to reduce the length of hospital stay. A patient comes in sicker and leaves earlier.
The question is no longer "if" the discharged patient needs (cause they all do) follow up care, but rather how do hospital staff connect the person to the right community provider. The 2013 hospital staff mantra is we communicate with local resources.
Wisconsin's PATH ALONG is a successful model of a collaborative organization. The PATH ALONG model represents a longer term strategic investment on an integrated approach between hospital departments and community providers to coordinate care.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is evidence based with scheduled review that inserts findings in to policy and guideline update meetings. Staff accompany the person on the inpatient stay with ongoing discussion aimed at encouraging participation in appropriate follow up care.
The PATH ALONG model has three defined services to help the hospitalist fulfull their continuity of care role. The focus is on care filled transitons.
Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The question is no longer "if" the discharged patient needs (cause they all do) follow up care, but rather how do hospital staff connect the person to the right community provider. The 2013 hospital staff mantra is we communicate with local resources.
Wisconsin's PATH ALONG is a successful model of a collaborative organization. The PATH ALONG model represents a longer term strategic investment on an integrated approach between hospital departments and community providers to coordinate care.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is evidence based with scheduled review that inserts findings in to policy and guideline update meetings. Staff accompany the person on the inpatient stay with ongoing discussion aimed at encouraging participation in appropriate follow up care.
The PATH ALONG model has three defined services to help the hospitalist fulfull their continuity of care role. The focus is on care filled transitons.
Check out the site below with free access for more information
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Tuesday, January 1, 2013
Wisconsins PATH ALONG Model One To Watch In 2013
Wisconsin's service economy (medicine, education, agribusiness, tourism) depends on engaged employees who consistently report to their post. Investors are dependent on the employees to fuel productivity as a way to reduce financial risk. The performance of today's Wisconsin economy is intimately linked with stable employees.
Business leaders have identified employee absenteeism due to a family members disease process as being a main threat to company productivity. The trained employee must be present to position financial risk at a tolerable investment level. Employers are hearing that employees need to be present for a family members hospitalization due to the increased severity required to be admitted. The employer states that more time is lost if the ill family member is not hospitalized.
Simply, in the health care system an individual must be severely ill to meet the assessement criteria that deems them eligible for a hospital admission. If an ill person presents at the hospital and does not meet admission criteria, they still need the assistance of another.
Wisconsin hospitals will now receive less reimbursement from The Centers for Medicare and Medicaid (CMS) if the discharged patient is readmitted within 30 days. Historically privately paid insurance plans mimic benefit guidelines which have been forged by CMS. Simply hospitals are looking for solutions to reduce readmission rates now.
This creates high demand which is expected to push Wisconsin's PATH ALONG model to the fore front. PATH ALONG is an original Wisconsin model (service set) capable of reducing employee absenteeism and reducing hospital readmission rates.
PATH ALONG staff support the person during the inpatient stay and into the home setting. Staff maintain a close connection to family and medical providers to improve the patients independence. Staff use a cooperative, collaborative approach to insuring the dynamic component of each transition piece is completed.
The PATH ALONG model improves the business employees ability to continue to productively perform their work. The PATH ALONG staff deliver active participation during the transition to support the achievement of common Transition of Care Coalition goals.
Wisconsin's PATH ALONG model is the one to watch in 2013. PATH ALONG is a registered trademark of Home Care Path (www.homecarepath.com) a leading senior care provider serving south central Wisconsin. For more information try the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Business leaders have identified employee absenteeism due to a family members disease process as being a main threat to company productivity. The trained employee must be present to position financial risk at a tolerable investment level. Employers are hearing that employees need to be present for a family members hospitalization due to the increased severity required to be admitted. The employer states that more time is lost if the ill family member is not hospitalized.
Simply, in the health care system an individual must be severely ill to meet the assessement criteria that deems them eligible for a hospital admission. If an ill person presents at the hospital and does not meet admission criteria, they still need the assistance of another.
Wisconsin hospitals will now receive less reimbursement from The Centers for Medicare and Medicaid (CMS) if the discharged patient is readmitted within 30 days. Historically privately paid insurance plans mimic benefit guidelines which have been forged by CMS. Simply hospitals are looking for solutions to reduce readmission rates now.
This creates high demand which is expected to push Wisconsin's PATH ALONG model to the fore front. PATH ALONG is an original Wisconsin model (service set) capable of reducing employee absenteeism and reducing hospital readmission rates.
PATH ALONG staff support the person during the inpatient stay and into the home setting. Staff maintain a close connection to family and medical providers to improve the patients independence. Staff use a cooperative, collaborative approach to insuring the dynamic component of each transition piece is completed.
The PATH ALONG model improves the business employees ability to continue to productively perform their work. The PATH ALONG staff deliver active participation during the transition to support the achievement of common Transition of Care Coalition goals.
Wisconsin's PATH ALONG model is the one to watch in 2013. PATH ALONG is a registered trademark of Home Care Path (www.homecarepath.com) a leading senior care provider serving south central Wisconsin. For more information try the site below with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
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