PATH ALONG has staff accompany the patient throughout the hospitalization process and in to the home. There is a measurable power in having a consistent caring face helping the patient during an illness. The presence of another who can maintain an ongoing thoughtful direction toward stability in the community.
The Centers for Medicare and Medicaid have installed hospital admission assessments on a level that require the person to be severely ill to stay in the hospital. The Centers for Medicare and Medicaid have reduced hospital reimbursement rates when a patient is readmitted to the hospital within 30 days.
These changes push acuity down the continuum of care. Simply, the community will see more and more individuals who need the help of another. Families will be searching for a community provider capable (www.homecarepath.com )of supporting their loved one.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. When identifying one of the following assessments a referral to PATH ALONG is appropriate.
1. Person has a history of hospital readmission.
2. Person has a chronic disease process (COPD, Diabetes, CHF) and a change in physical function.
3. Person has a chronic disease process (COPD, Diabetes, CHF) and a change in cognitive function.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. Services include:
-inpatient advocacy provides a staff person to accompany the elder on their inpatient stay
-temporary help with a scheduled day surgery, staff accompany the elder to the hospital for the procedure and follow the person in the home setting until the senior can get by alone
-crisis intervention transitional counseling provides a staff person who helps the family with an immediate and long term plan. The focus is to bring needed service to the elder
The PATH ALONG model prepares known processes that offer an industry stability to the system standard. The services improve the accuracy of the information necessary for a safe and successful transition. Staff deliver active participation during the transition to support the achievement of common Transition of Care Coalition Goals.
PATH ALONG is a registered trademark of Home Care Path a leading senior care provider serving south central Wisconsin. Please check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, December 31, 2012
Sunday, December 30, 2012
Hospital Navigates Care To Hotel in Wisconsin
Remember part of the health system change is federal pay sources (The Centers For Medicare and Medicaid) adjusting admission criteria that requires the patient to be severely ill to stay in the hospital. If you are not admitted you are not going to be part of a hospital readmission. Acuity is being pushed down the continuum of care.
Individuals presenting to the hospital with exacerbating disease symptoms, may be in need of help but hospital assessments do not indicate eligibility for an admission to the hospital. The persons symptoms are no longer tolerable but their level of manifestation does not qualify for a hospital stay.
This leaves hospital care coordinators in a new area of practise. The individual is too ill to safely go home but not sick enough to be a hospital inpatient. The individual needs to be seen by an outpatient specialty provider housed within the Health (Hospital) Care Center. How does the care coordinator avoid the hospitalization but conect the person to the specialty provider. This reduces the risk of hospital readmission while preserving the revenue flow through attachment of the person to a specialty provider.
The answer for one Madison Wisconsin hospital is to buy a hotel to house outpatients. The patient would pay privately (room and board) for the hotel stay. Hospital staff will supplement the hotel stay with education. The hotel is close enough to the hospital to facilitate an admission if the patients symptoms worsen.
The hotel is now a hospital owned facility with an accelerated placement on the social services department outpatient resource referral list. The Doctor would like you to pay to stay in our hotel as an outpatient and we can serve you as the outpatient specialty providers schedule allows.
This is one Wisconsin hospital groups strategy to reduce hospital readmssion rates. Home Care Path www.homecarepath.com encourages seniors to watch this change at the hospital level as it unfolds.
Individuals presenting to the hospital with exacerbating disease symptoms, may be in need of help but hospital assessments do not indicate eligibility for an admission to the hospital. The persons symptoms are no longer tolerable but their level of manifestation does not qualify for a hospital stay.
This leaves hospital care coordinators in a new area of practise. The individual is too ill to safely go home but not sick enough to be a hospital inpatient. The individual needs to be seen by an outpatient specialty provider housed within the Health (Hospital) Care Center. How does the care coordinator avoid the hospitalization but conect the person to the specialty provider. This reduces the risk of hospital readmission while preserving the revenue flow through attachment of the person to a specialty provider.
The answer for one Madison Wisconsin hospital is to buy a hotel to house outpatients. The patient would pay privately (room and board) for the hotel stay. Hospital staff will supplement the hotel stay with education. The hotel is close enough to the hospital to facilitate an admission if the patients symptoms worsen.
The hotel is now a hospital owned facility with an accelerated placement on the social services department outpatient resource referral list. The Doctor would like you to pay to stay in our hotel as an outpatient and we can serve you as the outpatient specialty providers schedule allows.
This is one Wisconsin hospital groups strategy to reduce hospital readmssion rates. Home Care Path www.homecarepath.com encourages seniors to watch this change at the hospital level as it unfolds.
Saturday, December 29, 2012
PATH ALONG See Feel Change
I know you are saying the health care system has changed but I still do not see where. The main drive comes from federal pay sources (The Centers for Medicare and Medicaid) who are pushing acuity down the continuum of care. Another way of saying this same thing is an individual is required to be severely ill to be admitted to the hospital.
Here is an example. An 86 year old female begins having bright red bloody stools about 5pm in the evening. Throughout the evening and in to the next morning she has 5 bright red bloody stools with gel like floaters. She has never had blood in her stool before. Well the neighbors being concerned about blood loss contact the clinic and talk with a triage nurse. The triage nurse suggests an ambulance ride, but the neighbor states being comfortable with taking the elder female in to the emergency room of the hospital. The triage nurse sends communication to the ER they are sending her in.
On the ride the 86 year old female verbalizes her fear of having a bowel movement in her pants. When I have to go, I barely make it to the toilet. Despite the fresh snow on the road they arrive safely at the hospital ER.
Once registered and wrist band in place the ER staff begin to conduct their diagnostic tests. IV access, drawing blood to assess levels, digital rectal exam. The defined blood values are on the low end of normal but ok. The digital rectal exam confirms bright red blood, no need to venture further.
There is no staff capable of performing the next step, a scope which inserts a camera into the bowel which shows on a monitor for viewing. Despite being NPO (no food by mouth just sip of coffee) for 12 plus hours, the staff is not available to perform the needed diagnostic test.
The emergency room staff set up an appointment in four days with the outpatient GI department for the scope and possible repair. Because the senior is not in respiratory distress, or shocky a hospital admission is not appropriate. Social services determines the person could come in to the hospital so is not really home bound and not in need of skilled in home care with this contact.
The neighbor driving the 86 year old female becomes visibly upset, questioning since when does a hospital only care for the most severely ill in the community. The hospitals are turning away increasingly ill people who still require the help of another. The 86 year old female reaches over and clutches his hand and thanks him for being with her in the emergency room.
The 86 year old female with bloody stool and the scared neighbor stop at the pharmacy on the way home to pick up the Go Litely prescribed for the GI scoping procedure. This is about a gallon of laxative that she must drink to clean herself out before the outpatient procedure. The neighbor complains to the home town pharmacy staff that she is so weak now he is afraid to leave her alone. The neighbor explains that the ER staff said they could not admit her to the hospital just to provide supportive care.
The pharmacy staff suggest the neighbor contact a supportive care agency (www.homecarepath.com) who can send staff over and help her when you are busy. The pharmacy staff goes even further and suggests the 86 year old female talk to PATH ALONG about having help during the procedure. The pharmacy staff states the opinion that more and more people who are not sick enough to go to the hospital still need the help of another.
Hospital provides a skilled level of acute care defined by the source of pay. Supportive care agencies (www.homecarepath.com) deliver a service that helps individuals with chronic long term needs. PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions.
Here is an example. An 86 year old female begins having bright red bloody stools about 5pm in the evening. Throughout the evening and in to the next morning she has 5 bright red bloody stools with gel like floaters. She has never had blood in her stool before. Well the neighbors being concerned about blood loss contact the clinic and talk with a triage nurse. The triage nurse suggests an ambulance ride, but the neighbor states being comfortable with taking the elder female in to the emergency room of the hospital. The triage nurse sends communication to the ER they are sending her in.
On the ride the 86 year old female verbalizes her fear of having a bowel movement in her pants. When I have to go, I barely make it to the toilet. Despite the fresh snow on the road they arrive safely at the hospital ER.
Once registered and wrist band in place the ER staff begin to conduct their diagnostic tests. IV access, drawing blood to assess levels, digital rectal exam. The defined blood values are on the low end of normal but ok. The digital rectal exam confirms bright red blood, no need to venture further.
There is no staff capable of performing the next step, a scope which inserts a camera into the bowel which shows on a monitor for viewing. Despite being NPO (no food by mouth just sip of coffee) for 12 plus hours, the staff is not available to perform the needed diagnostic test.
The emergency room staff set up an appointment in four days with the outpatient GI department for the scope and possible repair. Because the senior is not in respiratory distress, or shocky a hospital admission is not appropriate. Social services determines the person could come in to the hospital so is not really home bound and not in need of skilled in home care with this contact.
The neighbor driving the 86 year old female becomes visibly upset, questioning since when does a hospital only care for the most severely ill in the community. The hospitals are turning away increasingly ill people who still require the help of another. The 86 year old female reaches over and clutches his hand and thanks him for being with her in the emergency room.
The 86 year old female with bloody stool and the scared neighbor stop at the pharmacy on the way home to pick up the Go Litely prescribed for the GI scoping procedure. This is about a gallon of laxative that she must drink to clean herself out before the outpatient procedure. The neighbor complains to the home town pharmacy staff that she is so weak now he is afraid to leave her alone. The neighbor explains that the ER staff said they could not admit her to the hospital just to provide supportive care.
The pharmacy staff suggest the neighbor contact a supportive care agency (www.homecarepath.com) who can send staff over and help her when you are busy. The pharmacy staff goes even further and suggests the 86 year old female talk to PATH ALONG about having help during the procedure. The pharmacy staff states the opinion that more and more people who are not sick enough to go to the hospital still need the help of another.
Hospital provides a skilled level of acute care defined by the source of pay. Supportive care agencies (www.homecarepath.com) deliver a service that helps individuals with chronic long term needs. PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions.
Friday, December 28, 2012
PATH ALONG The Dynamic Component
PATH ALONG staff are taught to focus on the dynamic component of each identified care transition with the hospital discharge process. The dynamic component is the primary aspect required to be completed to effectively reduce readmission to the hospital setting. The dynamic component has been called the supreme mandate, critical script, crucial task, main strength and more. Below is a list of transitions and their dynamic component.
1. in hospital lab (transition) clinic lab
Dynamic component: Have all pending labs reviewed by the hospitalist.
2. hospital pharmacy (transition) home town pharmacy
Dynamic component: Insurance pay for prescribed medication the way MD order written.
3. hospital nursing staff (transition) skilled RN home care
Dynamic component: Nursing complete discharge summary prior to patient leaving hospital.
This breif list of dynamic components gives the reader a sense of how PATH ALONG staff intervene to enhance the integrity of the transition process. The over all goal of reducing hospital readmissions is methodically woven in to the fabric of each individual hospital experience. The characteristics of each dynamic component expands the existing effort to reduce the risk in each individual discharge process for a hospital readmission.
The comprehensive strategy takes a pragmatic approach to existing resources leveraging a more certain benefit to the target population. PATH ALONG staff maintain a physical presence with the patient during the hospital stay. An intermittent application with a measurable long term benefit for the community.
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 three defined services to help the hospitalist fulfill their continuity of care role. Focus is on care filled transitions.
Please check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
1. in hospital lab (transition) clinic lab
Dynamic component: Have all pending labs reviewed by the hospitalist.
2. hospital pharmacy (transition) home town pharmacy
Dynamic component: Insurance pay for prescribed medication the way MD order written.
3. hospital nursing staff (transition) skilled RN home care
Dynamic component: Nursing complete discharge summary prior to patient leaving hospital.
This breif list of dynamic components gives the reader a sense of how PATH ALONG staff intervene to enhance the integrity of the transition process. The over all goal of reducing hospital readmissions is methodically woven in to the fabric of each individual hospital experience. The characteristics of each dynamic component expands the existing effort to reduce the risk in each individual discharge process for a hospital readmission.
The comprehensive strategy takes a pragmatic approach to existing resources leveraging a more certain benefit to the target population. PATH ALONG staff maintain a physical presence with the patient during the hospital stay. An intermittent application with a measurable long term benefit for the community.
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 three defined services to help the hospitalist fulfill their continuity of care role. Focus is on care filled transitions.
Please check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wednesday, December 26, 2012
PATH ALONG Understand Changes In Care Transition
The focus on transitions of care as a way to reduce hospital readmissions is secondary to the new health system landscape in Wisconsin. CMS certified health care providers are being challenged to participate in the long term care that is being practised nationally. The traditional bubble of clinic to hospital to nursing home is no longer practised.
The Wisconsin Partnership Program and the Family Care Managed Model have clearly demonstrated an individual at nursing home level of care can be safely served in their home setting, saving the State money. This is federal pay sources pushing acuity down the continuum of care where the persons home is identified as the safer alternative to the big motel like buildings devoted to long term care.
Todays provider must transcend past experience to effectively participate in a role that facilitates the delivery of needed resources to the individuals chosen residence. This is a pardigm shift that the medical community and the over all service population will be going through in the next few years.
Supportive home care providers (www.homecarepath.com) recognize collaboration, cooperation and communication as the pertinent tasks for improving the quality of service. Individuals are being served by multiple providers at the same time. The challenge is to maintain contact while avoiding duplication.
The health care system as a whole must adapt to continue to serve more older individuals. Regions will look to community providers capable of adding (PATH ALONG) service to support existing basic health care delivery. Simply the populations size, age and needs are changing and the delivery of care model needs to update their practise to be reponsive and effective.
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 a registered trademark of Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin. Home Care Path and PATH ALONG are active participants in the coming changes designed to keep our seniors safe.
The Wisconsin Partnership Program and the Family Care Managed Model have clearly demonstrated an individual at nursing home level of care can be safely served in their home setting, saving the State money. This is federal pay sources pushing acuity down the continuum of care where the persons home is identified as the safer alternative to the big motel like buildings devoted to long term care.
Todays provider must transcend past experience to effectively participate in a role that facilitates the delivery of needed resources to the individuals chosen residence. This is a pardigm shift that the medical community and the over all service population will be going through in the next few years.
Supportive home care providers (www.homecarepath.com) recognize collaboration, cooperation and communication as the pertinent tasks for improving the quality of service. Individuals are being served by multiple providers at the same time. The challenge is to maintain contact while avoiding duplication.
The health care system as a whole must adapt to continue to serve more older individuals. Regions will look to community providers capable of adding (PATH ALONG) service to support existing basic health care delivery. Simply the populations size, age and needs are changing and the delivery of care model needs to update their practise to be reponsive and effective.
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 a registered trademark of Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin. Home Care Path and PATH ALONG are active participants in the coming changes designed to keep our seniors safe.
Tuesday, December 25, 2012
PATH ALONG and the Skilled Nursing Facility
PATH ALONG is an original Wisconsin model that performs a service capable of supporting skilled nursing facilites in the initiative to reduce avoidable hospitalizations. PATH ALONG is a model that supplements existing staff efforts. PATH ALONG design is easy access with no changes required of the operating structure of delivery.
PATH ALONG staff accompany the patient with the hospital stay and back to the skilled nursing facility. PATH ALONG staff utilze education, supportive strategy, ongoing choice, and track data to evolve best practise and demonstrate evidence of a postive impact.
A positive impact includes support that maintains access to existing care and continued choice of providers. The over all goal is to support the CMS initiative to reduce health care spending while assuring needed service.
The skilled nursing facility population targetted to benefit from this service can be identified through three assessments.
1. If the patient has a history of hospital readmission PATH ALONG could be beneficial.
2. If the patient has a chronic disease process (COPD, Diabetes, CHF) and a change in physical function PATH ALONG could be beneficial.
3. If the patient has a chronic disease process (COPD, Diabetes, CHF) and a change in cognitive function PATH ALONG could be beneficial.
PATH ALONG staff maintain a physical presence with the patient during the transition process. PATH ALONG staff take a collaborative, cooperative approach to communicating with all care delivery participants. The transition period is recognized as 48 hours prior to hospitalization on to 30 days post discharge. Evidence based support during the hospitalization and throughout the process.
PATH ALONG is a community based supportive care model (service set) with a design that improves the process of transitioning between inpatient hospitals and skilled nursing facilities.
Check out the site below with free access just point and click
http://www.homecarepath.com/Pages/PATHALONGInpatientAdvocacyReducesReadmissions.aspx
PATH ALONG staff accompany the patient with the hospital stay and back to the skilled nursing facility. PATH ALONG staff utilze education, supportive strategy, ongoing choice, and track data to evolve best practise and demonstrate evidence of a postive impact.
A positive impact includes support that maintains access to existing care and continued choice of providers. The over all goal is to support the CMS initiative to reduce health care spending while assuring needed service.
The skilled nursing facility population targetted to benefit from this service can be identified through three assessments.
1. If the patient has a history of hospital readmission PATH ALONG could be beneficial.
2. If the patient has a chronic disease process (COPD, Diabetes, CHF) and a change in physical function PATH ALONG could be beneficial.
3. If the patient has a chronic disease process (COPD, Diabetes, CHF) and a change in cognitive function PATH ALONG could be beneficial.
PATH ALONG staff maintain a physical presence with the patient during the transition process. PATH ALONG staff take a collaborative, cooperative approach to communicating with all care delivery participants. The transition period is recognized as 48 hours prior to hospitalization on to 30 days post discharge. Evidence based support during the hospitalization and throughout the process.
PATH ALONG is a community based supportive care model (service set) with a design that improves the process of transitioning between inpatient hospitals and skilled nursing facilities.
Check out the site below with free access just point and click
http://www.homecarepath.com/Pages/PATHALONGInpatientAdvocacyReducesReadmissions.aspx
Monday, December 24, 2012
PATH ALONG Your Personal Care Transition Information
PATH ALONG staff enhance the safety and productivity of an inpatient stay by assisting the person to develop their personal transition information. Establish knowable answers to identified unknowns as relates to each variation in the service specific transition.
Examples include:
Will the home town pharmacy have the prescribed medicine to despense in the home setting.
Have all the pending labs been reviewed by the hospitalist.
Is transportation available for the scheduled primary provider visit.
Is the patient sceduled to be home with the skilled nurse visit.
Will the supportive in home care service have staff available that day.
Counsel flows together with an Occam's razor like approach to assure actions are pragmatic and add to the frame work of the medical providers plan of care. PATH ALONG staff encourage the patient not to take things for granted as a way to deliver a standard level of care assurance. The personal transition information moves from the complex to an ordinary perfection. This projects steps in to the transition process allowing for the measure of compliance.
Ongoing interventions can be recorded within the individual structure of the transition to allow for a rapid adjustment while demonstrating a historical perspective. Data review can calculate similar manifestations of the need for individual transitional changes to support an over all best practice policy.
As an evidence based model one's individual transition (stays confidential) information contributes to activities that support future PATH ALONG patients. PATH ALONG is a quality driven model with three defined services designed to reduce hospital readmissions.
Please check out this site with free access for more information:
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Examples include:
Will the home town pharmacy have the prescribed medicine to despense in the home setting.
Have all the pending labs been reviewed by the hospitalist.
Is transportation available for the scheduled primary provider visit.
Is the patient sceduled to be home with the skilled nurse visit.
Will the supportive in home care service have staff available that day.
Counsel flows together with an Occam's razor like approach to assure actions are pragmatic and add to the frame work of the medical providers plan of care. PATH ALONG staff encourage the patient not to take things for granted as a way to deliver a standard level of care assurance. The personal transition information moves from the complex to an ordinary perfection. This projects steps in to the transition process allowing for the measure of compliance.
Ongoing interventions can be recorded within the individual structure of the transition to allow for a rapid adjustment while demonstrating a historical perspective. Data review can calculate similar manifestations of the need for individual transitional changes to support an over all best practice policy.
As an evidence based model one's individual transition (stays confidential) information contributes to activities that support future PATH ALONG patients. PATH ALONG is a quality driven model with three defined services designed to reduce hospital readmissions.
Please check out this site with free access for more information:
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Sunday, December 23, 2012
PATH ALONG Staff Confident In Hospital Lab Service
A hospital lab is an important part of the patient stay. The hospital lab is a testing center that consults with patients, physicians, hospital staff and is regulated by the department of health. PATH ALONG staff discuss lab activities with the patient to enhance participation in communication with test result driven changes in the plan of care.
PATH ALONG staff are taught the extra time, administrative effort, and money invested in the hospital lab service is done to insure lab results are accurate. Discussion with the patient involves recognizing how lab results correlate to support hospital staff assessments to insure interventions and prescribed treatments are appropriate.
PATH ALONG staff encourage the patient to remain in the hospital until all pending lab results have been reviewed by the attending physician. An abnormal lab result can involve hospital staff making an important change to the plan of care.
PATH ALONG staff discuss the transition from the hospital lab to the clinic lab where the patient goes to visit the primary medical doctor. PATH ALONG staff have confidence in lab results and encourage the patient to consider the labs role in keeping them healthy.
For more information check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG staff are taught the extra time, administrative effort, and money invested in the hospital lab service is done to insure lab results are accurate. Discussion with the patient involves recognizing how lab results correlate to support hospital staff assessments to insure interventions and prescribed treatments are appropriate.
PATH ALONG staff encourage the patient to remain in the hospital until all pending lab results have been reviewed by the attending physician. An abnormal lab result can involve hospital staff making an important change to the plan of care.
PATH ALONG staff discuss the transition from the hospital lab to the clinic lab where the patient goes to visit the primary medical doctor. PATH ALONG staff have confidence in lab results and encourage the patient to consider the labs role in keeping them healthy.
For more information check out this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
William G. Bostic Jr. Contacts PATH ALONG
William G. Bostic Jr. in cooperation with Home Care Path (www.homecarepath.com) contacts PATH ALONG requesting additional information. William G. Bostic Jr. represents the United States Department of Commerce acting for the Federal Census Bureau of the Economics Statistics Administration.
Information from Home Care Path and PATH ALONG adds to the reliable data being reviewed for the health service industry. Collected and recorded on a five year frequency to establish existing service provision as it relates to Federal health policy.
This data store is becoming more important as the Health Care System adapts to provide needed service to an increasingly elder population. This data store is a foundation for a measure of how economic activity demonstrates shifts in revenue as the communities needs evolve.
Federal form HC-62106 clearly shows how local information connects to federal data storage for the purpose of ongoing review to guide development of health care policy. Information from Home Care Path and PATH ALONG an original Wisconsin model provides current information for the health care industry and the region of south central Wisconsin. Check out this site with free access for more information on PATH ALONG
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Information from Home Care Path and PATH ALONG adds to the reliable data being reviewed for the health service industry. Collected and recorded on a five year frequency to establish existing service provision as it relates to Federal health policy.
This data store is becoming more important as the Health Care System adapts to provide needed service to an increasingly elder population. This data store is a foundation for a measure of how economic activity demonstrates shifts in revenue as the communities needs evolve.
Federal form HC-62106 clearly shows how local information connects to federal data storage for the purpose of ongoing review to guide development of health care policy. Information from Home Care Path and PATH ALONG an original Wisconsin model provides current information for the health care industry and the region of south central Wisconsin. Check out this site with free access for more information on PATH ALONG
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Saturday, December 22, 2012
PATH ALONG Patient Centered Wisconsin Model
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG staff accompany the patient through the inpatient stay.
PATH ALONG staff take a pragmatic approach to supporting cultural tradition, personal preference, family values, chosen life style, and additional aspects of social living. PATH ALONG fulfills a supportive role that respects medical professionalism and values a providers scientific expertise.
PATH ALONG staff facilitate active patient engagement at each identified point of transition.
Inpatient pharmacist (transition) Outpatient pharmacist
Hospitalist (transition) Primary MD
Skilled nurse, PT, OT (transition) CMS certified skilled
ST home care agency
Nurse aide, dietary assistant (transition) Supportive in home
housekeeper agency
(www.homecarepath.com)
This allows the patient to discuss (meet in thought) how each separate transition will unfold prior to implementation. This enhances the patients participation as a partner with the varied departments providing service. PATH ALONG staff assist the patient to incorporate wants, needs, and preferences, in the ongoing inpatient stay and following outpatient recovery. This establishes opportunities for guidance on maximizing the benefit of available options. A more transparent approach to accessing information and resources.
The PATH ALONG process leaves the inpatient practitioner, the patient, the family, and the outpatient provider with a settling feeling knowing what is going to happen as the patient walks out the hospital door. The depth of the PATH ALONG focus goes beyond tracking follow up appointments and checking if presribed medications have been filled.
PATH ALONG delivers a community application to a supportive practise designed to:
1. Increase patients ability to be discharged to home
2. Reduce emergency room visits
3. Reduce readmissions to the hospital
4. Enhance rapport with the primary provider and clinc staff
In this way the patient remains central to the varied disciplines delivering care for the individual, while inserting a coordination component that reduces hospital readmission rates. The patient experiences a supportive connection throughout the continuum of understanding with the changes related to the medical condition. This falls neatly in to the care assurance role.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. Focus is on care filled transitions. For more information check out this site with free access:
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG staff take a pragmatic approach to supporting cultural tradition, personal preference, family values, chosen life style, and additional aspects of social living. PATH ALONG fulfills a supportive role that respects medical professionalism and values a providers scientific expertise.
PATH ALONG staff facilitate active patient engagement at each identified point of transition.
Inpatient pharmacist (transition) Outpatient pharmacist
Hospitalist (transition) Primary MD
Skilled nurse, PT, OT (transition) CMS certified skilled
ST home care agency
Nurse aide, dietary assistant (transition) Supportive in home
housekeeper agency
(www.homecarepath.com)
This allows the patient to discuss (meet in thought) how each separate transition will unfold prior to implementation. This enhances the patients participation as a partner with the varied departments providing service. PATH ALONG staff assist the patient to incorporate wants, needs, and preferences, in the ongoing inpatient stay and following outpatient recovery. This establishes opportunities for guidance on maximizing the benefit of available options. A more transparent approach to accessing information and resources.
The PATH ALONG process leaves the inpatient practitioner, the patient, the family, and the outpatient provider with a settling feeling knowing what is going to happen as the patient walks out the hospital door. The depth of the PATH ALONG focus goes beyond tracking follow up appointments and checking if presribed medications have been filled.
PATH ALONG delivers a community application to a supportive practise designed to:
1. Increase patients ability to be discharged to home
2. Reduce emergency room visits
3. Reduce readmissions to the hospital
4. Enhance rapport with the primary provider and clinc staff
In this way the patient remains central to the varied disciplines delivering care for the individual, while inserting a coordination component that reduces hospital readmission rates. The patient experiences a supportive connection throughout the continuum of understanding with the changes related to the medical condition. This falls neatly in to the care assurance role.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. Focus is on care filled transitions. For more information check out this site with free access:
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Thursday, December 20, 2012
PATH ALONG 20.00 Per Hour Private Pay
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 a self pay treatment in which the consumer pays the provider directly for the service.
The self pay equates to reduced time with the intake process. This is a consumer convenience that eliminates the costly labor attached to a lengthy prior authorization process with an insurance as the pay source.
The 20.00 per hour quantitatively attaches a measure of time to a monetary value. This provides a grade of quality application that facilitates an essential standard. This is a fixed characteristic common to all service and demonstrates a predictable conversion with analysis.
PATH ALONG service delivers patient benefits secondary to principles satisfactory to reason.
1. Insurance (payers) have required increased severity of illness to be admitted to a hospital. This strategy has as a side effect a patient who is more retractive throughout the hospital stay. The patient benefits from the presence of another (familiar face) who assists the patient with ongoing interactions of care with multiple varying departments of delivery. (continuity of care)
2. Insurance (payers) have required shorter stays which translate to a more rapid discharge process. The individual patients ability to heal varys in degree of time as a rate of recovery. Not everyone heals on the same schedule. PATH ALONG staff respect the patients right to ongoing assistance that expresses portions of the plan of care as the condition unfolds. (care assurance)
The patient is the beneficiary of the added support and pays a fixed fee to the service provider. The fixed fee is calculated at 20.00 per hour. This is different from the copay which was first spoken in 1959 and requires the patient to pay prior to the delivery of the service. Out of pocket is a term first spoken in 1885 and is often used in relation to an insurance deductible.
Check out more about PATH ALONG on this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The self pay equates to reduced time with the intake process. This is a consumer convenience that eliminates the costly labor attached to a lengthy prior authorization process with an insurance as the pay source.
The 20.00 per hour quantitatively attaches a measure of time to a monetary value. This provides a grade of quality application that facilitates an essential standard. This is a fixed characteristic common to all service and demonstrates a predictable conversion with analysis.
PATH ALONG service delivers patient benefits secondary to principles satisfactory to reason.
1. Insurance (payers) have required increased severity of illness to be admitted to a hospital. This strategy has as a side effect a patient who is more retractive throughout the hospital stay. The patient benefits from the presence of another (familiar face) who assists the patient with ongoing interactions of care with multiple varying departments of delivery. (continuity of care)
2. Insurance (payers) have required shorter stays which translate to a more rapid discharge process. The individual patients ability to heal varys in degree of time as a rate of recovery. Not everyone heals on the same schedule. PATH ALONG staff respect the patients right to ongoing assistance that expresses portions of the plan of care as the condition unfolds. (care assurance)
The patient is the beneficiary of the added support and pays a fixed fee to the service provider. The fixed fee is calculated at 20.00 per hour. This is different from the copay which was first spoken in 1959 and requires the patient to pay prior to the delivery of the service. Out of pocket is a term first spoken in 1885 and is often used in relation to an insurance deductible.
Check out more about PATH ALONG on this site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wednesday, December 19, 2012
PATH ALONG The Under Reporter
The under reporter is typically the patient who's condition has changed beyond the point of the individuals home management capability. In the clinc visit the patient may verbalize a level of participation that does not match with assessed values. The assistance of another in the home setting has been proven to help outcomes.
A non threatening presence can tie daily tasks to information to report as a helpful way to establish an effective partnership with your primary medical doctor. Discussing how information fits in to the chronic disease process to help in monitoring changes of condition.
The providers role in care assurance becomes more evident when treating an under reporter. PATH ALONG has a service that can compensate for the informational disconnect which is so often mired within the under reporters ongoing need for care.
Communication and sharing information will become more important at the clinic visit as health planners expand activities designed to reduce hospital readmission rates. 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 a registered trademark of Home Care Path a leading senior care provider serving south central Wisconsin.
Check out the web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
A non threatening presence can tie daily tasks to information to report as a helpful way to establish an effective partnership with your primary medical doctor. Discussing how information fits in to the chronic disease process to help in monitoring changes of condition.
The providers role in care assurance becomes more evident when treating an under reporter. PATH ALONG has a service that can compensate for the informational disconnect which is so often mired within the under reporters ongoing need for care.
Communication and sharing information will become more important at the clinic visit as health planners expand activities designed to reduce hospital readmission rates. 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 a registered trademark of Home Care Path a leading senior care provider serving south central Wisconsin.
Check out the web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Tuesday, December 18, 2012
PATH ALONG The Hospital Committee Is Formed
Your hospital is not going to be ambushed. Your hospital has formed a readmission reduction committee. The committee meets monthly to formulate an effective strategy to reduce hospital readmissions.
The hospital committee understands that (CMS) The Centers for Medicare and Medicaid will send review in the form of over sight. The over sight staff will want a detailed report on the significant programmatic progress being made to reduce hospital readmissions.
Participation in the reporting of significant information will be tied to maintaining certification as a Medicare and Medicaid provider. So compliance will be required to maintain the hospitals ability to accept Medicare and Medicaid money as payment for services.
The over sight staff will be looking for evidence of hospital participation in an active process with community provider involvement designed to reduce readmssion rates. The details of the plan should include four main points:
1. The process is inclusive
2. The process respects individual preferences
3. The process creates a care assurance benefit
4. The process demonstrates continuity of care
This is a challenge for hospital organizations to establish programming that facilitates a productive level of communication across the varied delivery settings. PATH ALONG is an operational model that provides the hospital committee with an ongoing avenue of program specific referrals aimed at reducing hospital readmission rates. PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions. 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.
For more information point and click on site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The hospital committee understands that (CMS) The Centers for Medicare and Medicaid will send review in the form of over sight. The over sight staff will want a detailed report on the significant programmatic progress being made to reduce hospital readmissions.
Participation in the reporting of significant information will be tied to maintaining certification as a Medicare and Medicaid provider. So compliance will be required to maintain the hospitals ability to accept Medicare and Medicaid money as payment for services.
The over sight staff will be looking for evidence of hospital participation in an active process with community provider involvement designed to reduce readmssion rates. The details of the plan should include four main points:
1. The process is inclusive
2. The process respects individual preferences
3. The process creates a care assurance benefit
4. The process demonstrates continuity of care
This is a challenge for hospital organizations to establish programming that facilitates a productive level of communication across the varied delivery settings. PATH ALONG is an operational model that provides the hospital committee with an ongoing avenue of program specific referrals aimed at reducing hospital readmission rates. PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions. 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.
For more information point and click on site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, December 17, 2012
PATH ALONG The Over Involved Care Giver
Occasionally inpatient providers will encounter an over involved care giver. A well intentioned family member sometimes can over do their care giving role with out even knowing it. The care giver invests so much of their time and labor coworkers and family begin to question work and home relationships.
Over involved care giving can become most evident when the patient's condition changes requiring additional help. Familiar statements of a person over involved in their role as care giver can include:
1. I know the patient better than anyone.
2. I can tell what the patient is thinking.
3. I have to be here with the patient.
4. The nurse and doctor do not get it.
5. I will just move this patient if we do not get what I want.
The unconscious acts of an over involved care giver are often directed at trying to (not realistic) get the providers to return the patient to a level of care when just the patient and care giver could safely function on their own. As the chronic disease process progresses requiring more help to manage the patient in the community, the over involved care giver is also greiving the loss.
The difficulty with chronic long term progressive disease processes is they cannot be fixed, only managed. As the disease process progresses (which they all do) the management can involve the need for more help and a lot of change. This can challenge an over involved care givers perception of control.
Inpatient providers will call in question the statements of an over involved care giver when they do not match up with the patients presenting symptoms. When the symptoms retreived through the scientifically supported medical assessment process do not equate to the over involved care givers verbalizations, tactful education follows.
The Centers for Medicare and Medicaid initiative to reduce hospital readmissions will involve educating the over involved care giver. The repetitive trek in to the emergency room that results in no hospital admission but instruction to follow up with your primary medical doctor. The admission to the hospital under observational out patient status with no treatments or medication changes.
The work in caring for a patient with an over involved care giver is teaching the care giver where the patient is in the disease process and what is really needed to manage the change in condition. The care communicated during the discussions is to help the over involved care giver return to the waiting self.
PATH ALONG is an original Wisconsin model that connects in patient providers to community staff who support the patient during health system transitions. PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role.
Check out the web site with free access point and click
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Over involved care giving can become most evident when the patient's condition changes requiring additional help. Familiar statements of a person over involved in their role as care giver can include:
1. I know the patient better than anyone.
2. I can tell what the patient is thinking.
3. I have to be here with the patient.
4. The nurse and doctor do not get it.
5. I will just move this patient if we do not get what I want.
The unconscious acts of an over involved care giver are often directed at trying to (not realistic) get the providers to return the patient to a level of care when just the patient and care giver could safely function on their own. As the chronic disease process progresses requiring more help to manage the patient in the community, the over involved care giver is also greiving the loss.
The difficulty with chronic long term progressive disease processes is they cannot be fixed, only managed. As the disease process progresses (which they all do) the management can involve the need for more help and a lot of change. This can challenge an over involved care givers perception of control.
Inpatient providers will call in question the statements of an over involved care giver when they do not match up with the patients presenting symptoms. When the symptoms retreived through the scientifically supported medical assessment process do not equate to the over involved care givers verbalizations, tactful education follows.
The Centers for Medicare and Medicaid initiative to reduce hospital readmissions will involve educating the over involved care giver. The repetitive trek in to the emergency room that results in no hospital admission but instruction to follow up with your primary medical doctor. The admission to the hospital under observational out patient status with no treatments or medication changes.
The work in caring for a patient with an over involved care giver is teaching the care giver where the patient is in the disease process and what is really needed to manage the change in condition. The care communicated during the discussions is to help the over involved care giver return to the waiting self.
PATH ALONG is an original Wisconsin model that connects in patient providers to community staff who support the patient during health system transitions. PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role.
Check out the web site with free access point and click
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Sunday, December 16, 2012
PATH ALONG Moving Wisconsin Forward
Wisconsin is primarily rural with hospitals evolving to health care centers as a way to better serve the increased number of baby boomers becoming Medicare eligible. Medicare is a federal insurance program that has taken a two tier approach to reduce the out flow of money and maintain some risk reserve funds. The two tiers are:
1. An increased severity of illness for eligibility to be admitted to a hospital.
2. A decreased level of reimbursement to hospitals for a patient that becomes readmitted within 30 days of discharge.
A larger percentage of the total patient population for a rural Wisconsin hospital is a Medicare beneficiary. The accounting department in these rural Wisconsin hospitals are dependent upon the Medicare revenue to maintain service budgets that keep needed care available. The identified risk to a community with decreased readmission reimbursements is the loss of a hospital location.
As the community ages residents demonstrate an increased need for hospital care in close proximity. Travel time represents a larger measure of meaning. The entire community benefits from a near by hospital location.
PATH ALONG research recognized a need for a service set (model) capable of supporting severely ill seniors (Medicare Beneficiaries) and reducing readmission rates to retain Medicare revenue for a tight rural delivery budget. PATH ALONG is an original Wisconsin model (service set) with structural and procedural details that stretch received Medicare money.
PATH ALONG is a symbol of Wisconsin's grow organically through smart economic expansion. The individual patient with Medicare as a pay source experiences a better outcome. The hospital accounting department is pleased with the stable influx of Medicare revenue. The community saves their hospital location and retains the flexibility to direct their service to best meet the populations changing needs. The federal Medicare program is thankful to the Wisconsin providers for being good stewards of public money.
PATH ALONG is a piece of the Wisconsin health care system cluster that is growing. 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 three defined services to help the hospitalist fulfill their continuity of care role. Specializing in care filled transitions.
Read more about PATH ALONG point and click free site access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
1. An increased severity of illness for eligibility to be admitted to a hospital.
2. A decreased level of reimbursement to hospitals for a patient that becomes readmitted within 30 days of discharge.
A larger percentage of the total patient population for a rural Wisconsin hospital is a Medicare beneficiary. The accounting department in these rural Wisconsin hospitals are dependent upon the Medicare revenue to maintain service budgets that keep needed care available. The identified risk to a community with decreased readmission reimbursements is the loss of a hospital location.
As the community ages residents demonstrate an increased need for hospital care in close proximity. Travel time represents a larger measure of meaning. The entire community benefits from a near by hospital location.
PATH ALONG research recognized a need for a service set (model) capable of supporting severely ill seniors (Medicare Beneficiaries) and reducing readmission rates to retain Medicare revenue for a tight rural delivery budget. PATH ALONG is an original Wisconsin model (service set) with structural and procedural details that stretch received Medicare money.
PATH ALONG is a symbol of Wisconsin's grow organically through smart economic expansion. The individual patient with Medicare as a pay source experiences a better outcome. The hospital accounting department is pleased with the stable influx of Medicare revenue. The community saves their hospital location and retains the flexibility to direct their service to best meet the populations changing needs. The federal Medicare program is thankful to the Wisconsin providers for being good stewards of public money.
PATH ALONG is a piece of the Wisconsin health care system cluster that is growing. 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 three defined services to help the hospitalist fulfill their continuity of care role. Specializing in care filled transitions.
Read more about PATH ALONG point and click free site access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Saturday, December 15, 2012
PATH ALONG Attributes Of Review Impact Rural Readmission Rates
When examining data it is valuable to identify design ascribed to recorded information as a measure of quality. The measure assigned to features of the study can shift the translation as relates to the degree of quality inherent in the result. Simply alter the features of the study design and you may receive a variation, unstable result.
The attributes of review related to the study of hospital readmission rates include:
1. The length of the post discharge time period examined.
2. Which diagnosis are included.
3. Include only those readmissions deemed potentially preventable or calculate all.
4. Carve out readmissions for Medicare patients or list all.
The attributes selected make a difference when the hospital serves a less densely populated rural area. Depending on the volume of admissions the diagnosis specific readmission rates may not provide an accurate measure of the quality of care. Low volume of admissions of a condition specific rate may generate a less than accurate value.
The helecopter flies out not in. Many rural hospitals have policy in place that results in critical care patients being emergently transported to a larger hospital. The larger hospital employs staff who are more comfortable with delivering the treatments needed to stabilize the patient. Advanced equipment is available. How does the study include the patients who are transferred from a smaller community hospital during their initial episode of illness.
Observation seems to indicate rural hospitals admit a significantly higher proportion of Medicare beneficiares making them more reliant on Medicare payments. Losing a percentage of needed Medicare revenue may have a larger impact on the fragile budget of a smaller rural community hospital.
PATH ALONG is by design an operational model capable of serving hospitals who deliver care in the rural setting. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions.
Look us up on the web
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The attributes of review related to the study of hospital readmission rates include:
1. The length of the post discharge time period examined.
2. Which diagnosis are included.
3. Include only those readmissions deemed potentially preventable or calculate all.
4. Carve out readmissions for Medicare patients or list all.
The attributes selected make a difference when the hospital serves a less densely populated rural area. Depending on the volume of admissions the diagnosis specific readmission rates may not provide an accurate measure of the quality of care. Low volume of admissions of a condition specific rate may generate a less than accurate value.
The helecopter flies out not in. Many rural hospitals have policy in place that results in critical care patients being emergently transported to a larger hospital. The larger hospital employs staff who are more comfortable with delivering the treatments needed to stabilize the patient. Advanced equipment is available. How does the study include the patients who are transferred from a smaller community hospital during their initial episode of illness.
Observation seems to indicate rural hospitals admit a significantly higher proportion of Medicare beneficiares making them more reliant on Medicare payments. Losing a percentage of needed Medicare revenue may have a larger impact on the fragile budget of a smaller rural community hospital.
PATH ALONG is by design an operational model capable of serving hospitals who deliver care in the rural setting. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions.
Look us up on the web
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Friday, December 14, 2012
PATH ALONG Lot Of Variables Drive Hospital Readmissions
The difficulty long term planners identify in establishing strategies to reduce hospital readmissions is the wide extending capacity of contributing factors. There is no individual, clear cut driver to the excessive hospital readmission rates.
Clearly the differences in the hospital case mix can result in a variation in readmission rates when comparing similar organizations of provision. Major teaching hospitals tend to have slightly higher readmission rates. Increased age and severity of illness collaborate with higher readmission rates.
The health organizations model for staffing may contribute to an identified risk for hospital readmission. Community hospitals have employed the hospitalist (Medical Doctor) to follow the inpatient population. Studies suggest a communicative gap between the hospitalist and the patients primary medical doctor.
The hospitalist's tasks are oriented toward documentation and not comprehensive verbal notification.
Data suggests this would leave the patients themselves as the main source of the detailed information on the hospital stay. With the increased severity of illness payers require for hospitalization this reduces the patients ability to process and store communicated instruction. In a typical discharge scenario everyone seems able to follow instructions and self monitor in the home setting.
Studies suggest effectiveness is tied to consistency from the hospital bed and in to the home bed room. Models with the consistent presence of another seem to demonstrate favorable statistical change. This is important, because the diversion of readmission revenue is not strong enough to cause a hospital accounting committee to invest in a readmission reduction model when the savings do not exceed the direct cost of the intervention.
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 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 our web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Clearly the differences in the hospital case mix can result in a variation in readmission rates when comparing similar organizations of provision. Major teaching hospitals tend to have slightly higher readmission rates. Increased age and severity of illness collaborate with higher readmission rates.
The health organizations model for staffing may contribute to an identified risk for hospital readmission. Community hospitals have employed the hospitalist (Medical Doctor) to follow the inpatient population. Studies suggest a communicative gap between the hospitalist and the patients primary medical doctor.
The hospitalist's tasks are oriented toward documentation and not comprehensive verbal notification.
Data suggests this would leave the patients themselves as the main source of the detailed information on the hospital stay. With the increased severity of illness payers require for hospitalization this reduces the patients ability to process and store communicated instruction. In a typical discharge scenario everyone seems able to follow instructions and self monitor in the home setting.
Studies suggest effectiveness is tied to consistency from the hospital bed and in to the home bed room. Models with the consistent presence of another seem to demonstrate favorable statistical change. This is important, because the diversion of readmission revenue is not strong enough to cause a hospital accounting committee to invest in a readmission reduction model when the savings do not exceed the direct cost of the intervention.
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 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 our web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Thursday, December 13, 2012
Wisconsins PATH ALONG Model and Consumer Noncompliance
PATH ALONG staff are trained to recognize non compliance as a product of the prevalence (increased choices) of medical provision within the designated programming valued exclusively by the paying health plan. The health plan navigates care flow through contracted medical providers but the consumer wants a more pragmatic alternative.
PATH ALONG staff are taught to yield to consumer desire for an alternative resource, as part of the federal mandate to "consider preferences". PATH ALONG staff insert rapport in to the ongoing relationship that goes beyond an accurate assessment of household resources.
PATH ALONG staff respect the individual characteristics related to processing the new information being delivered at a rapid rate to the consumer throughout the hospitalization. PATH ALONG staff have already talked with the consumer about allowing the mind to integrate the providers suggestions in to their desires and stored memories. Time allows for the consumer to reveal the hastily fragmented placement of the recorded visit with the representative from the department.
Further discussion reduces exaggerated fears, coaxing the image of the providers suggestion to a residence in the mind that makes it seem more possible. PATH ALONG staff insert newly suggested treatments in conversation with consumer accepted (anchors) familiar themes of care. This is an important strategy designed to insure the consumer is fully informed with each response to referred participation in a complex resource. This demonstrates a higher level of care assurance which improves over all quality.
PATH ALONG staff expect a measure of noncompliance as a normal part of todays hospitalization process. PATH ALONG staff monitor consumer progress along the continuum of understanding with an ongoing supportive approach that maintains a stronger connection throughout the varied transtions of care.
Check out our web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
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 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.
PATH ALONG staff are taught to yield to consumer desire for an alternative resource, as part of the federal mandate to "consider preferences". PATH ALONG staff insert rapport in to the ongoing relationship that goes beyond an accurate assessment of household resources.
PATH ALONG staff respect the individual characteristics related to processing the new information being delivered at a rapid rate to the consumer throughout the hospitalization. PATH ALONG staff have already talked with the consumer about allowing the mind to integrate the providers suggestions in to their desires and stored memories. Time allows for the consumer to reveal the hastily fragmented placement of the recorded visit with the representative from the department.
Further discussion reduces exaggerated fears, coaxing the image of the providers suggestion to a residence in the mind that makes it seem more possible. PATH ALONG staff insert newly suggested treatments in conversation with consumer accepted (anchors) familiar themes of care. This is an important strategy designed to insure the consumer is fully informed with each response to referred participation in a complex resource. This demonstrates a higher level of care assurance which improves over all quality.
PATH ALONG staff expect a measure of noncompliance as a normal part of todays hospitalization process. PATH ALONG staff monitor consumer progress along the continuum of understanding with an ongoing supportive approach that maintains a stronger connection throughout the varied transtions of care.
Check out our web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
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 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.
Tuesday, December 11, 2012
PATH ALONG Discusses HCAHPS and Hospital Discharge
HCAHPS is the hospital consumer assessment of health care providers and systems. The (NQF) National Quality Forum has endorsed the HCAHPS hospital survery. The HCAHPS is a standard survey designed to capture to patients perspectives on their hospital care.
Three recent additions help researchers assess discharge quality. The survey asks:
1. Did the hospital consider the patients preferences regarding post discharge health care needs.
2. Did the patient understand their responsibilities in managing their own care after being discharged.
3. Did the patient understand the purpose of the post discharge medications.
Most hospitals will contract with an approved survey vendor. In Wisconsin an approved survey vendor would be Rural Wisconsin Health Cooperative Sauk City, WI 53583. The surveys are submitted electronically to My QualityNet every quarter.
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 three defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
Scope out the PATH ALONG Web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Three recent additions help researchers assess discharge quality. The survey asks:
1. Did the hospital consider the patients preferences regarding post discharge health care needs.
2. Did the patient understand their responsibilities in managing their own care after being discharged.
3. Did the patient understand the purpose of the post discharge medications.
Most hospitals will contract with an approved survey vendor. In Wisconsin an approved survey vendor would be Rural Wisconsin Health Cooperative Sauk City, WI 53583. The surveys are submitted electronically to My QualityNet every quarter.
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 three defined services to help the hospitalist fulfill their continuity of care role. The focus is on care filled transitions.
Scope out the PATH ALONG Web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG Wisconsin Model Decompartmentalize Effect
PATH ALONG is an original Wisconsin model with three defined services to help the hospitalist fulfill their continuity of care role. The focus is on care transitions. At the point of inpatient discharge hospital providers say good bye to the patient as new faces take over the community care.
With the PATH ALONG model a consistent staff person follows the patient through the hospitalization and in to the home.
The primary concept evident in all models that effectively address hospital readmissions is when the same person present with the inpatient stay sees them after discharge. PATH ALONG staff are taught to discuss how the transitions occur allowing the patient to form a comfortable mental picture of the process. Consistent discussion that supports patient familiarity with the ongoing changes in care. Examples include:
In the hospital you see the inpatient pharmacist who helps you with questions you have about your prescribed medications. It is important for you to continue to take your medications as prescribed in the home setting. At home you can ask your long time pharmacist Elle at the Gas Stop Pharmacy about your medications.
In the hospital you see the hospitalist who is a doctor helping you with your inpatient stay. It is important for you to continue to have a doctors help to keep you getting healthier. At home you will go to the St. Judes Clinic and see your primary medical doctor MD Stanton.
In the hospital you see a registered nurse, a physcial therapist, an occupational therapist, and a speech therapist as part of your care. It is important that you continue to participate in the treatment plan. At home you will be receiving skilled care through a CMS certified home care agency which will be paid for through Medicare.
In the hospital you were helped by nursing assistants, dietary aides, and housekeeping staff. It is important that you continue to get the help you need at home to facilitate your healing and recovery. At home you will receive supportive (unskilled ) care through an in home supportive care provider like Home Care Path www.homecarepath.com .
Injecting time lags for the person to verbalize thoughts and feelings related to anticipatory changes supports the mental emotional aspect of processing ongoing tasks of care. This is the beginning of putting the patient in a position to supply in the absence of the hospital providers. Which has been a proper approach to improving a patients health since Florence Nightingale first stated it in a hand written note.
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 web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
With the PATH ALONG model a consistent staff person follows the patient through the hospitalization and in to the home.
The primary concept evident in all models that effectively address hospital readmissions is when the same person present with the inpatient stay sees them after discharge. PATH ALONG staff are taught to discuss how the transitions occur allowing the patient to form a comfortable mental picture of the process. Consistent discussion that supports patient familiarity with the ongoing changes in care. Examples include:
In the hospital you see the inpatient pharmacist who helps you with questions you have about your prescribed medications. It is important for you to continue to take your medications as prescribed in the home setting. At home you can ask your long time pharmacist Elle at the Gas Stop Pharmacy about your medications.
In the hospital you see the hospitalist who is a doctor helping you with your inpatient stay. It is important for you to continue to have a doctors help to keep you getting healthier. At home you will go to the St. Judes Clinic and see your primary medical doctor MD Stanton.
In the hospital you see a registered nurse, a physcial therapist, an occupational therapist, and a speech therapist as part of your care. It is important that you continue to participate in the treatment plan. At home you will be receiving skilled care through a CMS certified home care agency which will be paid for through Medicare.
In the hospital you were helped by nursing assistants, dietary aides, and housekeeping staff. It is important that you continue to get the help you need at home to facilitate your healing and recovery. At home you will receive supportive (unskilled ) care through an in home supportive care provider like Home Care Path www.homecarepath.com .
Injecting time lags for the person to verbalize thoughts and feelings related to anticipatory changes supports the mental emotional aspect of processing ongoing tasks of care. This is the beginning of putting the patient in a position to supply in the absence of the hospital providers. Which has been a proper approach to improving a patients health since Florence Nightingale first stated it in a hand written note.
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 web site with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Monday, December 10, 2012
How Are Hospital Readmissions Tracked
The National Quality Forum (NQF) was created in 1999 and serves the health care industry through quality measurement and public reporting. The National Quality Forum (NQF) holds meetings at 1030 15th Street NW, 9th floor conference center, suite 950 west, Washington DC. The National Quality Forum (NQF) is a voluntary consensus standards setting board with a mission to improve the quality of American health care. The National Quality Forum (NQF) is a nonprofit funded through Robert Wood Johnson Foundation, The Centers for Medicare and Medicaid (CMS) and many more both public and private sources.
The National Quality Forum (NQF) retains a measure data base. Listed as number 1789 in the National Quality Forum (NQF) measure data base dated September 12, 2012 is (HWR) The Hospital Wide All Cause Unplanned Readmission Measure. The steward of the measure is (CMS) the Centers for Medicare and Medicaid. The measure estimates the hospital level, risk standardized rate of unplanned, all cause readmissions after admission for any eligible condition within 30 days of hospital discharge for patients 18 years of age and older.
All readmissions are counted as outcomes except those that are considered planned. For the readmission to be excluded it would need to contain characteristics of measurement endorsed by the National Quality Forum (NQF). As a certified Medicare and Medicaid provider manditory reporting is reviewed by the Centers for Medicare and Medicaid in accordance with the measurement listed through the National Quality Forum (NQF).
This defines the National level loop for consistently collecting manditory reporting of hospital readmissions. Reported values are reviewed and needed resources are assigned to regions that demonstrate higher than accepted hospital readmission rates. Increased over sight can include decreased hospital reimbursement rates.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. For additional information browse the website with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The National Quality Forum (NQF) retains a measure data base. Listed as number 1789 in the National Quality Forum (NQF) measure data base dated September 12, 2012 is (HWR) The Hospital Wide All Cause Unplanned Readmission Measure. The steward of the measure is (CMS) the Centers for Medicare and Medicaid. The measure estimates the hospital level, risk standardized rate of unplanned, all cause readmissions after admission for any eligible condition within 30 days of hospital discharge for patients 18 years of age and older.
All readmissions are counted as outcomes except those that are considered planned. For the readmission to be excluded it would need to contain characteristics of measurement endorsed by the National Quality Forum (NQF). As a certified Medicare and Medicaid provider manditory reporting is reviewed by the Centers for Medicare and Medicaid in accordance with the measurement listed through the National Quality Forum (NQF).
This defines the National level loop for consistently collecting manditory reporting of hospital readmissions. Reported values are reviewed and needed resources are assigned to regions that demonstrate higher than accepted hospital readmission rates. Increased over sight can include decreased hospital reimbursement rates.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. For additional information browse the website with free access
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG Model Chance For Hospitals To Do Better
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. The Centers for Medicare and Medicaid (CMS) have enacted policy that reduces reimbursement for a hospital when a patient is readmitted within 30 days. PATH ALONG is a model created to give the Wisconsin inpatient provider a quality referral source as response to Federal regulations that reduce reimbursement rates for hospital readmissions.
PATH ALONG is a model that defines for the hospitalist how to target high risk patients early. The pertinent risk factors include:
1. The person has a history of a hospital readmission
2. The person has a chronic disease process (COPD, Diabetes, CHF) and a change in physical function.
3. The person has a chronic disease process (COPD, Diabetes, CHF) and a change in cognitive function.
Identifying one of the above indicates the patient is at risk of a hospital readmission.
PATH ALONG is a model that helps the patient maintain communication with providers in the varied settings. Staff are trained to track follow up appointments and improve relations with the primary provider and clinic departments.
PATH ALONG is a model that encourages the person to participate in the treatment plan. Following hospital discharge staff discuss with the patient recommended daily at home changes. Home visits provide support to help maintain a level of stability.
PATH ALONG is a model that reinforces the instruction delivered by each participating discipline. The person has support to monitor their wellness progress. The ongoing discussion reviews the help each participating provider lends to the at home healing process. This enhances the preventive quality by improving participation in changes at home that seem to require help from outside.
PATH ALONG is a model that utilizes a consistent support person to follow the patient through the hospitalization process. This added support can help the hospitalist keep their ongoing task of developing electronic records in order.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. PATH ALONG is a trademarked model owned by Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin. Check out this site
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG is a model that defines for the hospitalist how to target high risk patients early. The pertinent risk factors include:
1. The person has a history of a hospital readmission
2. The person has a chronic disease process (COPD, Diabetes, CHF) and a change in physical function.
3. The person has a chronic disease process (COPD, Diabetes, CHF) and a change in cognitive function.
Identifying one of the above indicates the patient is at risk of a hospital readmission.
PATH ALONG is a model that helps the patient maintain communication with providers in the varied settings. Staff are trained to track follow up appointments and improve relations with the primary provider and clinic departments.
PATH ALONG is a model that encourages the person to participate in the treatment plan. Following hospital discharge staff discuss with the patient recommended daily at home changes. Home visits provide support to help maintain a level of stability.
PATH ALONG is a model that reinforces the instruction delivered by each participating discipline. The person has support to monitor their wellness progress. The ongoing discussion reviews the help each participating provider lends to the at home healing process. This enhances the preventive quality by improving participation in changes at home that seem to require help from outside.
PATH ALONG is a model that utilizes a consistent support person to follow the patient through the hospitalization process. This added support can help the hospitalist keep their ongoing task of developing electronic records in order.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. PATH ALONG is a trademarked model owned by Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin. Check out this site
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Sunday, December 9, 2012
PATH ALONG Wisconsin Model Utilizes Microsoft Office 365
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 needs based and delivers a service aimed at reducing hospital readmissions. PATH ALONG is a registered trademark of Home Care Path LLC www.homecarepath.com a leading senior care provider serving south central Wisconsin.
PATH ALONG will employ Microsoft Office 365 high in the sky web enabled cloud based data utilization. PATH ALONG has established virtual residence under the Home Care Path LLC umbrella on Microsoft Office 365. These familiar tools of technological communication readily adapt to the PATH ALONG subsequent setting model of delivery.
Microsoft Office 365 lends itself to informational programming that facilitates a needed service with evidence review capabilites. The PATH ALONG model is evidence based with three defined services to help the hospitalist fulfill their continuity of care role.
Look us up on the computer
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG will employ Microsoft Office 365 high in the sky web enabled cloud based data utilization. PATH ALONG has established virtual residence under the Home Care Path LLC umbrella on Microsoft Office 365. These familiar tools of technological communication readily adapt to the PATH ALONG subsequent setting model of delivery.
Microsoft Office 365 lends itself to informational programming that facilitates a needed service with evidence review capabilites. The PATH ALONG model is evidence based with three defined services to help the hospitalist fulfill their continuity of care role.
Look us up on the computer
http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Saturday, December 8, 2012
PATH ALONG Hospital Readmission Stats and Referral
Community health planners soon discover there are many factors contributing to the increase in hospital readmission rates. Several of the most evident include:
1. Aging population people are living longer
2. Increased severity of illness required to be admittied to the hospital
3. Decreased time per hospital stay related to pay source policy
The Centers for Medicare and Medicaid (CMS) have determined hospital readmission is expensive for everyone. CMS has enacted policy that reduces hospital reimbursment if a readmission occurs within the 30 day window. This is regulatory activity designed to shape Medicare and Medicaid certified provider services in a way that reduces the hospital readmission rate.
Calculations from 2008 (AHRQ) Agency for Health Research and Quality, and (HCUP) Health Care Cost and Utilization Project indicate a 30 day readmission rate of 19.0 percent among Medicare patients 65 and older. Nineteen percent would equate to about one in every five hospitalized patients with Medicare could return for a readmission.
PATH ALONG has examined the relationship between the statistics that demonstrate a high rate of hospital readmissions to list guidelines for implementing a practice of referral. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. A referral is recommended to PATH ALONG with:
1. The person has a history of readmission to the hospital
2. The person has a chronic disease process (COPD, Diabetes, CHF) with a change in physical function.
3. The person has a chronic disease process (COPD, DIABETES, CHF) with a change in cognitive function.
PATH ALONG staff would follow up with the person and family to arrange an interview. Simply call 608-432-4286.
Look us up on the web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
1. Aging population people are living longer
2. Increased severity of illness required to be admittied to the hospital
3. Decreased time per hospital stay related to pay source policy
The Centers for Medicare and Medicaid (CMS) have determined hospital readmission is expensive for everyone. CMS has enacted policy that reduces hospital reimbursment if a readmission occurs within the 30 day window. This is regulatory activity designed to shape Medicare and Medicaid certified provider services in a way that reduces the hospital readmission rate.
Calculations from 2008 (AHRQ) Agency for Health Research and Quality, and (HCUP) Health Care Cost and Utilization Project indicate a 30 day readmission rate of 19.0 percent among Medicare patients 65 and older. Nineteen percent would equate to about one in every five hospitalized patients with Medicare could return for a readmission.
PATH ALONG has examined the relationship between the statistics that demonstrate a high rate of hospital readmissions to list guidelines for implementing a practice of referral. PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. A referral is recommended to PATH ALONG with:
1. The person has a history of readmission to the hospital
2. The person has a chronic disease process (COPD, Diabetes, CHF) with a change in physical function.
3. The person has a chronic disease process (COPD, DIABETES, CHF) with a change in cognitive function.
PATH ALONG staff would follow up with the person and family to arrange an interview. Simply call 608-432-4286.
Look us up on the web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Friday, December 7, 2012
Rare Hospital Readmission Formula Emerges To Cause Quite A Stir
This is a formula discovered in Wisconsin, which has been unknown to the likes of Haisch, Sakharov, Huxley, Clarke, Puthoff, and Rueda to name a few. A simple mathematical formula with far reaching benefits. For your expert mind to contemplate:
Hospital readmissions
______________________ = Reduced rates
PATH ALONG
Hospital readmissions
______________________ = Reduced rates
PATH ALONG
PATH ALONG MD Visit Sheet
PATH ALONG model
810 Cedar Street
Wisconsin Dells, WI 53965
608-432-4286
lkutzke@homecarepath.onmicrosoft.com
www.homecarepath.com
PATH ALONG is a registered trade mark of Home Care Path LLC
Name and DOB
Santa Claus 12/25/31
---------------------------------------------------------------
Address
P.O. Box 1225
Lake Delton, WI 53940
------------------------------------------------------------
Phone
608-259-4444
------------------------------------------------------
Primary provider
MD Jack Tenoppe 715-333-2154
--------------------------------------------------------
Clinic address and phone
St. Judes eternal flame
888 combine court
Baraboo, WI 53913
715-333-2154
------------------------------------------------------
Pharmacy and phone
Walgreens Pharmacy
215 hwy 12
Wisconsin Dells, WI 53965
680-452-6075
---------------------------------------------------
MEDICATION dose and frequency DIAGNOSIS
multivitamin 1 per day supplement
-------------------------------------------------------------------------------------------------
metoprolol 100mg 1tab 2xday blood pressure
---------------------------------------------------------------------------------------------------
hydrochlorothiazide 12.5mg 1xday edema, water pill
-------------------------------------------------------------------------------------------------
Describe in home system: We drive to pick up medications from Walgreens and we set them up in 7 day medication box. We supplement with daily reminders.
-------------------------------------------------------------------------------------------------
Emergency contacts:
Sara Claus 816-137-8326
Patrick Aver 823-654-9876
Dell Little Bear 234-765-5543
Stella Wallax 452-555-9082
The secret to the PATH ALONG visit sheet is, it is hand written and filled in with the patient prior to the visit. This facilitates an accurate, current sense of what is occurring in the home. 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 a fully operational model that reduces hospital readmission rates. 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 web site http://www.homecarepath.com/Pages/PATHALONGInpatientAdvocacyReducesReadmissions.aspx
810 Cedar Street
Wisconsin Dells, WI 53965
608-432-4286
lkutzke@homecarepath.onmicrosoft.com
www.homecarepath.com
PATH ALONG is a registered trade mark of Home Care Path LLC
Name and DOB
Santa Claus 12/25/31
---------------------------------------------------------------
Address
P.O. Box 1225
Lake Delton, WI 53940
------------------------------------------------------------
Phone
608-259-4444
------------------------------------------------------
Primary provider
MD Jack Tenoppe 715-333-2154
--------------------------------------------------------
Clinic address and phone
St. Judes eternal flame
888 combine court
Baraboo, WI 53913
715-333-2154
------------------------------------------------------
Pharmacy and phone
Walgreens Pharmacy
215 hwy 12
Wisconsin Dells, WI 53965
680-452-6075
---------------------------------------------------
MEDICATION dose and frequency DIAGNOSIS
multivitamin 1 per day supplement
-------------------------------------------------------------------------------------------------
metoprolol 100mg 1tab 2xday blood pressure
---------------------------------------------------------------------------------------------------
hydrochlorothiazide 12.5mg 1xday edema, water pill
-------------------------------------------------------------------------------------------------
Describe in home system: We drive to pick up medications from Walgreens and we set them up in 7 day medication box. We supplement with daily reminders.
-------------------------------------------------------------------------------------------------
Emergency contacts:
Sara Claus 816-137-8326
Patrick Aver 823-654-9876
Dell Little Bear 234-765-5543
Stella Wallax 452-555-9082
The secret to the PATH ALONG visit sheet is, it is hand written and filled in with the patient prior to the visit. This facilitates an accurate, current sense of what is occurring in the home. 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 a fully operational model that reduces hospital readmission rates. 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 web site http://www.homecarepath.com/Pages/PATHALONGInpatientAdvocacyReducesReadmissions.aspx
Thursday, December 6, 2012
PATH ALONG Wisconsins Answer To Readmissions
PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG secures the link between health system hand offs. Centers For Medicare and Medicaid (CMS) have enacted policy to reduce reimbursement for hospitals when a patient is readmitted within 30 days.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfull their continuity of care role. The PATH ALONG referral supports the CMS initiative to facilitate cost savings with improved quality. PATH ALONG is seen as one of the best ways for Wisconsin community planners to reduce health care costs and improve patient care in the process.
Social services in cooperation with the hospitalist can be mindful of lead indicators a person may benefit from the additional support a PATH ALONG referral can provide.
1. History of readmission to the hospital
2. A chronic disease process (COPD, Diabetes. CHF) with a change in physical function
3. A chronic disease process (COPD, Diabetes, CHF) with a change in cognition.
4. A scheduled hospitalization
PATH ALONG delivers inpatient, outpatient support that strengthens the connection with the primary clinic provider. Community health planners can recognize the patient population will experience fewer hospitalizations. Public money once invested on preventable hospital stays (readmissions) is now available as a risk reserve fund. Saved money will seem to accumulate rapidly with the defined window being readmissions within 30 days.
PATH ALONG is a unique model on three important points.
1. PATH ALONG is information driven.
2. PATH ALONG utilizes an expanded focus on inpatient and outpatient care transitions.
3. PATH ALONG is operational and requires no care re-design with physician hospital infrastructure.
PATH ALONG is a registered trademark of Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin. PATH Along can be reached at 608-432-4286.
Check out the web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfull their continuity of care role. The PATH ALONG referral supports the CMS initiative to facilitate cost savings with improved quality. PATH ALONG is seen as one of the best ways for Wisconsin community planners to reduce health care costs and improve patient care in the process.
Social services in cooperation with the hospitalist can be mindful of lead indicators a person may benefit from the additional support a PATH ALONG referral can provide.
1. History of readmission to the hospital
2. A chronic disease process (COPD, Diabetes. CHF) with a change in physical function
3. A chronic disease process (COPD, Diabetes, CHF) with a change in cognition.
4. A scheduled hospitalization
PATH ALONG delivers inpatient, outpatient support that strengthens the connection with the primary clinic provider. Community health planners can recognize the patient population will experience fewer hospitalizations. Public money once invested on preventable hospital stays (readmissions) is now available as a risk reserve fund. Saved money will seem to accumulate rapidly with the defined window being readmissions within 30 days.
PATH ALONG is a unique model on three important points.
1. PATH ALONG is information driven.
2. PATH ALONG utilizes an expanded focus on inpatient and outpatient care transitions.
3. PATH ALONG is operational and requires no care re-design with physician hospital infrastructure.
PATH ALONG is a registered trademark of Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin. PATH Along can be reached at 608-432-4286.
Check out the web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Wednesday, December 5, 2012
PATH ALONG History of Readmission Is A Risk Factor
When a patient has a history of hospital readmission, this is the identified risk. The red flag category is a history of a hospital readmission. This immediately indicates a need for more than discharge education. This is a lead indication of a high risk patient for whom additional support may be cost effective.
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 a three service set designed to reduce readmission frequency.
1. Inpatient advocacy provides a staff person to accompany the patient on their hospital stay.
2. Temporary help with a scheduled day surgery. Staff accompany the person to the hospital for the procedure and follow the patient in the home setting until the senior can get by alone.
3. Crisis intervention transitional counseling provides a staff person who helps the family with an immediate and long term care plan. The focus is to bring needed service in to the person.
PATH ALONG employs a non-medical staff lending an immediate cost effectiveness to the much needed service. The cost is 20.00 per hour which is paid by the consumer. The presence of another seems to simplify the prescribed regimen.
The three clearly defined needs based services establish an easy model to conduct the referral. Anyone, regardless of educational back ground or employment position could recognize a functional or cognitive deficit that would result in a person benefitting from the services PATH ALONG can provide.
Check out the web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
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 a three service set designed to reduce readmission frequency.
1. Inpatient advocacy provides a staff person to accompany the patient on their hospital stay.
2. Temporary help with a scheduled day surgery. Staff accompany the person to the hospital for the procedure and follow the patient in the home setting until the senior can get by alone.
3. Crisis intervention transitional counseling provides a staff person who helps the family with an immediate and long term care plan. The focus is to bring needed service in to the person.
PATH ALONG employs a non-medical staff lending an immediate cost effectiveness to the much needed service. The cost is 20.00 per hour which is paid by the consumer. The presence of another seems to simplify the prescribed regimen.
The three clearly defined needs based services establish an easy model to conduct the referral. Anyone, regardless of educational back ground or employment position could recognize a functional or cognitive deficit that would result in a person benefitting from the services PATH ALONG can provide.
Check out the web site http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
Tuesday, December 4, 2012
PATH ALONG Scholarly Approach To Readmissions
PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is a trademarked model owned by Home Care Path www.homecarepath.com a leading senior care provider serving south central Wisconsin.
PATH ALONG by its very function serves a rural population. Researchers pooled relative risk directly related to rural setting, seasonal economy with extreme fluctuations in population in developing this model. To summerize PATH ALONG concluded hospitals would need to align themselves with community services.
Home Care Path analysis of a hospitals need to align themselves with community service went further with identifying a frequency related to multidisciplinary. Multidisciplinary communication presented most often with strings of expanding management. This seems to capture the information exchange occurring with each individual department serving the patient during the hospital stay.
This speaks to quality of the inpatient stay. Each individual department delivers pertinent information which when secured for utilization will enhance over all patient benefit. The variant being the increased severity of illness required to be hospitalized. Researchers determined to bolster wellness between inpatient serving departments an ill person would benefit from the presence of another.
Researchers labeled favorable results with a C, which was a lead indication a consistent supportive person improved participation during the hospital stay. Simply patients benefit from a consistent support person throughout the hospital stay and into the home setting.
Researchers were stumped with need variation which would not fit neatly in to a single service. To develop a high performing model research indicated the need to verbalize three individual services. The stand alone services seem to possess an integrity for utilization that goes beyond an improved means to communicate with the hospital providers and the consumer population. Simply each defined service is needs based.
To operate the model would need a defined pay source. The team explained the tasks completed by the PATH ALONG staff would be non medical. The committee determined having non medical staff would provide an attractive cost reduction. An agreed upon initial fee for service would be 20.00 per hour. The consumer could contribute to the low out of pocket investment.
The 3 services are:
1. Inpatient advocacy provides a staff person to accompany the senior on their hospital stay.
2. Temporary help with a scheduled day surgery. Staff accompany the person to the hospital for the procedure and follow the person in the home setting until the senior can get by alone.
3. Crisis intervention with transitional counseling provides a staff person who helps the family with an immediate and long term care plan. The focus is to bring needed service to the person.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. Reach us at 608-432-4286.
PATH ALONG by its very function serves a rural population. Researchers pooled relative risk directly related to rural setting, seasonal economy with extreme fluctuations in population in developing this model. To summerize PATH ALONG concluded hospitals would need to align themselves with community services.
Home Care Path analysis of a hospitals need to align themselves with community service went further with identifying a frequency related to multidisciplinary. Multidisciplinary communication presented most often with strings of expanding management. This seems to capture the information exchange occurring with each individual department serving the patient during the hospital stay.
This speaks to quality of the inpatient stay. Each individual department delivers pertinent information which when secured for utilization will enhance over all patient benefit. The variant being the increased severity of illness required to be hospitalized. Researchers determined to bolster wellness between inpatient serving departments an ill person would benefit from the presence of another.
Researchers labeled favorable results with a C, which was a lead indication a consistent supportive person improved participation during the hospital stay. Simply patients benefit from a consistent support person throughout the hospital stay and into the home setting.
Researchers were stumped with need variation which would not fit neatly in to a single service. To develop a high performing model research indicated the need to verbalize three individual services. The stand alone services seem to possess an integrity for utilization that goes beyond an improved means to communicate with the hospital providers and the consumer population. Simply each defined service is needs based.
To operate the model would need a defined pay source. The team explained the tasks completed by the PATH ALONG staff would be non medical. The committee determined having non medical staff would provide an attractive cost reduction. An agreed upon initial fee for service would be 20.00 per hour. The consumer could contribute to the low out of pocket investment.
The 3 services are:
1. Inpatient advocacy provides a staff person to accompany the senior on their hospital stay.
2. Temporary help with a scheduled day surgery. Staff accompany the person to the hospital for the procedure and follow the person in the home setting until the senior can get by alone.
3. Crisis intervention with transitional counseling provides a staff person who helps the family with an immediate and long term care plan. The focus is to bring needed service to the person.
PATH ALONG is an evidence based model with three defined services to help the hospitalist fulfill their continuity of care role. Reach us at 608-432-4286.
Monday, December 3, 2012
PATH ALONG Reduce Readmissions Alarm Sounds
PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG inserts a fully operational service set with scheduled evidence based loops that drive quality. PATH ALONG consists of three services thoughtfully selected out of a certain amount of evidence to deliver subsequent contact on a needs based assessment.
1. Inpatient advocacy provides a staff person to accompany the person on their inpatient stay.
2. Temporary help with a scheduled day surgery. Staff accompany the person to the hospital for the procedure and follow the patient in the home setting until the senior can get by alone.
3. Crisis intervention and transitional counseling provides a staff person who helps the family with an immediate and long term plan. The focus is to bring needed service to the person.
This menu of three services is an inpatient providers answer to reducing hospital readmission rates. Simple referrals to help the hospitalist fulfill their continuity of care role. The focus being on care transitions.
This is important because (CMS) The Center For Medicare and Medicaid believe that all hospitals should be working toward the goal of reducing readmissions on an ongoing basis regardless of perceived constraints. (CMS) Center for Medicare and Medicaid has not identified a need to postpone the implementation of the readmission payment adjustments.
Hospital industry representatives have argued that reduced reimbursement should be used only for aspects the hospital system can control. This costly readmission difficulty is not being seen as something only a hospital can solve. Hospital system planners are being required to reach out to the community providers for a collaborative solution.
PATH ALONG is an original Wisconsin model that utilizes a collaborative approach to managing the identified risk with health system hand offs. Simply call 608-432-4286 to schedule an interview.
1. Inpatient advocacy provides a staff person to accompany the person on their inpatient stay.
2. Temporary help with a scheduled day surgery. Staff accompany the person to the hospital for the procedure and follow the patient in the home setting until the senior can get by alone.
3. Crisis intervention and transitional counseling provides a staff person who helps the family with an immediate and long term plan. The focus is to bring needed service to the person.
This menu of three services is an inpatient providers answer to reducing hospital readmission rates. Simple referrals to help the hospitalist fulfill their continuity of care role. The focus being on care transitions.
This is important because (CMS) The Center For Medicare and Medicaid believe that all hospitals should be working toward the goal of reducing readmissions on an ongoing basis regardless of perceived constraints. (CMS) Center for Medicare and Medicaid has not identified a need to postpone the implementation of the readmission payment adjustments.
Hospital industry representatives have argued that reduced reimbursement should be used only for aspects the hospital system can control. This costly readmission difficulty is not being seen as something only a hospital can solve. Hospital system planners are being required to reach out to the community providers for a collaborative solution.
PATH ALONG is an original Wisconsin model that utilizes a collaborative approach to managing the identified risk with health system hand offs. Simply call 608-432-4286 to schedule an interview.
Sunday, December 2, 2012
WHA Wisconsin Hospital Association and PATH ALONG model
PATH ALONG is an original Wisconsin model (service set) that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is designed to help hospital administration improve their reported values for quality measure programming. PATH ALONG delivers three research based services that focus on readmissions and care transitions. http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
This is the time of year hospitals will evaluate price increases as they relate to gross patient revenues. Wisconsin law chapter 153 WI Stat requires hospitals to report certain price increases to (WHA) Wisconsin Hospital Association Information Center.
When a price increase causes a hospitals gross patient revenue to increase faster than the rate of inflation the hospital must report the price to its community by publishing in the local paper. The rate of inflation is measured by (CPI) Federal Consumer Price Index. Current (CPI) Consumer Price Index is 3.0 percent. Any hospital rate increase greater than 3.0 percent must be reported to (WHA) and posted in the local newspaper.
For example medical surgical floor semi private room in your community hospital was 1494.89 per day. The suggested rate increase is 4.0 percent. The new charge is 1554.68 per day a dollar increase of 59.79. Because the rate increase is greater than 3.0 percent this would need to be reported to (WHA) The Wisconsin Hospital Association Information Center and published in the local news paper. Above the newspaper posting will read Notice of Hospital Price Increase.
PATH ALONG provides a fully operational service that supports (CMS) Centers for Medicare and Medicaid quality initiatives that help hospitals increase Medicare payments while stabilizing reporting requirements. Quality care transitions with decreased hospital readmission rates.
This is the time of year hospitals will evaluate price increases as they relate to gross patient revenues. Wisconsin law chapter 153 WI Stat requires hospitals to report certain price increases to (WHA) Wisconsin Hospital Association Information Center.
When a price increase causes a hospitals gross patient revenue to increase faster than the rate of inflation the hospital must report the price to its community by publishing in the local paper. The rate of inflation is measured by (CPI) Federal Consumer Price Index. Current (CPI) Consumer Price Index is 3.0 percent. Any hospital rate increase greater than 3.0 percent must be reported to (WHA) and posted in the local newspaper.
For example medical surgical floor semi private room in your community hospital was 1494.89 per day. The suggested rate increase is 4.0 percent. The new charge is 1554.68 per day a dollar increase of 59.79. Because the rate increase is greater than 3.0 percent this would need to be reported to (WHA) The Wisconsin Hospital Association Information Center and published in the local news paper. Above the newspaper posting will read Notice of Hospital Price Increase.
PATH ALONG provides a fully operational service that supports (CMS) Centers for Medicare and Medicaid quality initiatives that help hospitals increase Medicare payments while stabilizing reporting requirements. Quality care transitions with decreased hospital readmission rates.
Saturday, December 1, 2012
PATH ALONG Model Friend To The Wisconsin Hospitalist
Many Wisconsin hospitals have employed a hospitalist staff to care for the inpatient population. Hospitalist is a term used for doctors who specialize in the care of patients in the hospital. A person must be quite ill to be admitted to a hospital. Hospitalists are challenged to care for higher numbers of people with more complicated conditions. Hospitalists are trained to better meet the increasing need for more specialized and coordinated care for hospital patients.
The Centers for Medicare and Medicaid (CMS) have enhanced current procedural terminology codes (CPT) to more accurately capture billable services related to a hospital stay. Today the hospitalist is responsible for collecting the medical data required to insure the hospital is reimbursed for all the good care. The hospitalist provides over sight to process that results in appropriate electronic medical documentation. Five important data checks include:
1. Collected information supports the diagnosis for the hospital admission.
2. Collected information gives insight into justification for the treatment and procedures.
3. Collected information provides the reviewer a chronicological sense of the course of care.
4. Collected information lists the diagnostic test results and defines treatment.
5. Collected information demonstrates the promotion of continuity of care among needed provders both inpatient and beyond the hospital door.
Hospitalists are challenged to comprehend medical necessity and proper setting and tactfully communicate this to both staff and consumer. In today's hospital services and treatments may be medically necessary but if the services could also be performed in a less intense setting, this leaves the hospital at risk for reduced reimbursement.
A person must be quite ill to be admitted to a hospital today. Factors that may result in an inconvenience to a patient or the family do not by themselves justify an inpatient admission. When a hospitalist is unsure about the patients need for inpatient services and needs additional time for evaluation the person can stay in the hospital but not actually be admitted.
The patient may be placed in out patient observation (OBS) rather than admitted as inpatient. There must be medical necessity for the observation services, and the medical necessity must be documented in the persons electronic health record. The hospital would like the patient to remain in the room for at least 8 hours, which seems to be the magic number to demonstrate a reimbursable stay. The codes can remburse at a higher amount cause the required discharge (to prevent hospital readmissions) service is included in the payment.
Today's hospitalist participates in discharge planning that promotes continuity of care throughout the community. Medical necessity and proper setting encourages the hospitalist to develop a referral practice that utilizes an evidence based (PATH ALONG) model capable of reducing hospital readmissions. Get the patient the medical service through the appropriate level of care delivery to best meet the defined need. Facilitate access to supportive services designed to keep the person safe upon discharge (PATH ALONG) and reduce hospital readmissions.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. For additional information on PATH ALONG http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
The Centers for Medicare and Medicaid (CMS) have enhanced current procedural terminology codes (CPT) to more accurately capture billable services related to a hospital stay. Today the hospitalist is responsible for collecting the medical data required to insure the hospital is reimbursed for all the good care. The hospitalist provides over sight to process that results in appropriate electronic medical documentation. Five important data checks include:
1. Collected information supports the diagnosis for the hospital admission.
2. Collected information gives insight into justification for the treatment and procedures.
3. Collected information provides the reviewer a chronicological sense of the course of care.
4. Collected information lists the diagnostic test results and defines treatment.
5. Collected information demonstrates the promotion of continuity of care among needed provders both inpatient and beyond the hospital door.
Hospitalists are challenged to comprehend medical necessity and proper setting and tactfully communicate this to both staff and consumer. In today's hospital services and treatments may be medically necessary but if the services could also be performed in a less intense setting, this leaves the hospital at risk for reduced reimbursement.
A person must be quite ill to be admitted to a hospital today. Factors that may result in an inconvenience to a patient or the family do not by themselves justify an inpatient admission. When a hospitalist is unsure about the patients need for inpatient services and needs additional time for evaluation the person can stay in the hospital but not actually be admitted.
The patient may be placed in out patient observation (OBS) rather than admitted as inpatient. There must be medical necessity for the observation services, and the medical necessity must be documented in the persons electronic health record. The hospital would like the patient to remain in the room for at least 8 hours, which seems to be the magic number to demonstrate a reimbursable stay. The codes can remburse at a higher amount cause the required discharge (to prevent hospital readmissions) service is included in the payment.
Today's hospitalist participates in discharge planning that promotes continuity of care throughout the community. Medical necessity and proper setting encourages the hospitalist to develop a referral practice that utilizes an evidence based (PATH ALONG) model capable of reducing hospital readmissions. Get the patient the medical service through the appropriate level of care delivery to best meet the defined need. Facilitate access to supportive services designed to keep the person safe upon discharge (PATH ALONG) and reduce hospital readmissions.
PATH ALONG is an original Wisconsin model that connects inpatient providers to community staff who support the patient during health system transitions. For additional information on PATH ALONG http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx
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