Sunday, September 15, 2013

Link Discontinuous Health System Changes

People are living longer.  The hospital today is treating more chronic exacerbations than acute conditions.  The chronic disease responds better to ongoing management than an occasional treatment visit.  So, health care delivery has shifted from acute to a chronic treatment process. 

Chronic disease requires ongoing management which works best when the population being served has a stable pay source.  This involves a greater integration of publicly collected funds being legislatively budgeted to supplement the health insurance expansion.  More insured can mean more users.

With the increased public money comes a more comprehensive utilization over sight.  Expect to experience a tighter benefit at the point of delivery.  Simply , no more paying skilled medical staff to perform non-medical tasks.

Along side this is a top down approach to encouraging more care to occur in the community.  The State of Wisconsin has implemented the Wisconsin Partnership Program, The Family Care Program, and the IRIS Program to facilitate the delivery of long term care in to the community and out of the institutional setting.

Many rural Wisconsin hospital's have built (health care center) out patient clinics on the property.  This is a cost containment approach, which moves acuity down the care continuum.  Many medical procedures can be performed outside of the hospital in the out patient clinic setting, and cost the health insurance plan less.

To efficiently serve a larger number of (patients) users and demonstrate a fiscally responsible approach to reimbursable claim submission the hospital provider will benefit from the help of a community based supportive care organization.

Hospital staff recognizing the patients need does not meet a skilled medical requirement means an immediate contact with a supportive care organization (www.homecarepath.com).  To effectively fulfill the care assurance role, hospital staff will complete a timely referral for the patient to a supportive care provider.

This will be incorporated in to the inpatient staff training sessions as a way to demonstrate the effort to manage loss secondary to :
1. preventable readmissions
2. repetitive ER visit loop
3. outpatient observational stays
4. funding skilled medical staff for non-medical tasks.

So the health system changes will involve closer communication across inpatient provision of hospital treatments coupled with this greater dependence upon supportive care providers serving the local community.

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Blog  http://homecarepathseniorcare.blogspot.com/

 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2013 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life

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