Wednesday, February 27, 2013

PATH ALONG Disconnect and Hospital Readmissions

The common theme in discussions regarding preventable hospital readmissions is the idea of a disconnect.  Disconnect speaks to how all the players fit together to create the health system experiences. 

The main reason that patients return to the hospital after discharge is that their health has deteriorated.  Discharged elders return to the hospital because they are scared and believe they need the help of another.

Hospitals seem to lack productive relationships with community organizations that could support the discharged elder in caring for themselves upon discharge.  The actual hospital discharge is void of a significant process that results in the elder being helped during recovery.

Payers (health insurance plans) want empty hospital beds.  Insurance plans can pay a medical provider for treatment at a much lower level when the visit occurs as an outpatient session.   Health insurance plans want recovery to occur in the community, out of the inpatient hospital setting.

Hospitals primary business is providing inpatient treatments and documenting the delivery of that care.   The fiscal end of a hospital business thrives when the beds are full and the revenue is flowing from the individuals health insurance plan. 

One can see that reducing hospital readmissions will contribute to empty hospital beds.  Proactive hospital providers are remodeling inpatient space to accomidate an outpatient delivery of medical treatments.

The performed outpatient treatments will be chosen for the higher margin of profit they can produce.   This is a replacement revenue stream initiated to compensate for the expected loss of inpatient stays.

Wisconsin's PATH ALONG model helps seniors during the hospital stay and with outpatient treatment visits.   PATH ALONG is a strong arm of Home Care Path (www.homecarepath.com) a community based organization commited to performing a service that supports the changing needs of an older population.

You are cordially invited to down load your free PATH ALONG App today

http://appsmakerstore.com/appim/j6kcdet8xvwk4s




Tuesday, February 26, 2013

New App Reduces Hospital Readmission Rates

Wisconsin's PATH ALONG App is the newest, hottest teaching tool available to help families reduce the need for a hospital readmission.  You are cordially invited to download your free App today.

The PATH ALONG app


http://appsmakerstore.com/appim/j6kcdet8xvwk4s

Listed under iFrame on the PATH ALONG App is secret information describing how a consumer can best manage the transitions involved with a hospital stay.

PATH ALONG saves the patient from reacting to the varied hospital departments simultaneous operations and keeps the focus on pragmatic aspects present in all favorable outcomes of recovery.

The information on the PATH ALONG App adds predictable structure (PATH ALONG condensed under iFrame) to a changing flow respecting personal preference and supports an internal locus of control.

Documentation and delivery of care remain the core functions of a hospitalization.  Using the information on the PATH ALONG App to more effectively engage inpatient staff can improve quality and facilitate a readmission free recovery.

The staff at Home Care Path (www.homecarepath.com) and the PATH ALONG model invite you to download your free App today. 

Reach us at 608-432-4286
email lkutzke@homecarepath.onmicrosoft.com

Saturday, February 23, 2013

App Reduces Hospital Readmission Rates Free

Wisconsin's PATH ALONG App is the newest, hottest way to reduce hospital readmission rates. 

The PATH ALONG App http://appsmakerstore.com/appim/j6kcdet8xvwk4s

Listed under iFrame on the PATH ALONG App is secret information describing how a consumer can best manage the transitions involved with a hospital stay.  PATH ALONG saves the patient from reacting to the varied hospital departments simultaneous operations and keeps the focus on pragmatic aspects present in all favorable outcomes of recovery.

The information on the PATH ALONG App adds predictable structure (PATH ALONG condensed under iFrame) to a changing flow respecting personal preference and supports an internal locus of control.

Documentation and delivery of care remain the core functions of a hospitalization.  Using the information on the PATH ALONG App to more effectively engage inpatient staff can improve quality and facilitate a readmission free recovery.

The staff at Home Care Path www.homecarepath.com and the PATH ALONG model invite you to download your free App today!

Friday, February 22, 2013

PATH ALONG Care Transition Includes Supportive Care

Wisconsin's PATH ALONG model is unique in the inclusion of the supportive care aspect of an inpatients needs.  PATH ALONG is an original model that connects inpatient providers to community staff who support the patient during health system transitions. PATH ALONG is a design that reduces hospital readmission rates.

In the hospital setting a patient will receive the help of varied departments who share the suportive care aspect of the persons ongoing needs.

1.  A hospital nurse aide will help the senior with bathing, dressing, scheduled toileting, medication reminders, transfers, ambulation, hair care, oral care, and more.

2. A hospital dietary assistant will help with meal selection, preperation, serving, feeding, frequent fluids, washing dishes, and between meal snacks.

3. A hospital housekeeper will help with cleaning table tops, arranging furniture, taking garbage out, plant care, cleaning the bathroom, helping with messy spills and accidents.

Hospital discharge planners are challenged to determine the amount of supportive care needed to keep the senior safe once they exit the hospital setting.  Some hospital staff struggle with the referral for supportive care knowing it is private pay.   Long term care insurance is a privately paid plan that would help with in home supportive care needs.  Family Care and the Wisconsin Partnership Program are public plans that would help with in home supportive care needs.

Home Care Path  (www.homecarepath.com) is a supportive care organization that provides service through private pay,  long term care insurance, and contracts on an individual basis with (CMO) Care Management Organizations that are State of Wisconsin authorized to work with Medical Assistance.

The PATH ALONG model works with south central Wisconsin hospital emergency departments to facilitate a rapid supportive care connection.  This is most important when an elder is seen in the emergency room and the provider is considering an outpatient observational stay that may result in the senior privately paying for the hospitalization.  The emergency department staff is hesitant to send the elder home alone but they do not meet the required hospital admission assessment criteria.  If the senior stays over night in the hospital as an outpatient on observational status, a Medicare audtitor in a future review may deem the stay unnecessary and deny payment.  The hospital claims department then sends the bill for the stay to the senior who really does not understand what just happened. 

A hospital emergency department  collaborating with the PATH ALONG model could send the senior home with supportive care.  The staff would provide a close connection to the emergency room department, quickly returning to the facility should the seniors condition worsen.    This is an advanced delivery of a supportive care service.  PATH ALONG service continually evolves to meet the changing needs of an older population.

Wisconsin's PATH ALONG model helps seniors during the hospital stay and outpatient treatment visits.  PATH ALONG is a strong arm of Home Care Path a community based organization commited to performing  a service that supports the changing needs of an older population.

Call 608-432-4286 to schedule service. Email lkutzke@homecarepath.onmicrosoft.com
Check out the site below with free access for more information

The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s


http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx









Thursday, February 21, 2013

PATH ALONG Helps Seniors With Hospital Instruction

Wisconsin's PATH ALONG model helps seniors with the rapid ongoing transmission of instructions during a hospital stay.  The PATH ALONG model delivers a familiar structure to the process, helping seniors participate in post hospital care.  PATH ALONG provides needed support at the inpatient point of service which enhances the overall quality of the hospital stay.

With the increased severity of illness required for todays hospital stay seniors often cannot fully comprehend the lengthy systematic course being prescribed for them.  Hospital's have utilized technology to speed up the discharge and reduce the time of the inpatient stay. 

Many seniors do not recognize their own need for the help from another.  Seniors often perceive themselves as independent and with plenty of support, despite assessments that seem to indicate this is not true.   A hospitalized senior typically is sure of only one thing, they want to go back home.

Wisconsin's PATH ALONG model receives many referrals to help a senior from the family.  Family may notice multiple repeat visits to the emergency department of a hospital seeking help.  Family may see changes in hygeine, body weight, mobility , memory, awkward clothing, etc. that indicate the senior may benefit from the help of another.

Wisconsin's PATH ALONG model helps seniors during the hospital stay and outpatient treatment visits.  PATH ALONG is a strong arm of Home Care Path a community based organization commited to performing a service that supports the changing needs of an older population. 

Call 608-432-4286 to schedule service. Email lkutzke@homecarepath.onmicrosoft.com
Check out the site below with free access for more information

The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s


http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx

Wednesday, February 20, 2013

Wisconsins PATH ALONG Receives Call From CMS

Wisconsin's PATH ALONG Model had submitted form OMB No. 0938-1124 Community Based Care Transitions Program Applicant Data Sheet in January 2013.  The applicant data sheet was accompanied by a proposal to deliver a comprehensive approach to readmissions management for a south central Wisconsin hospital setting. 

Wisconsin's PATH ALONG is an original model that develops structure in four segments of service delivery to help reduce readmission rates.

1. PATH ALONG staff participate in strategies to manage the repetitive ER visit loop.

2. PATH ALONG staff participate in strategies to manage the use of observational outpatient status stays.

3. PATH ALONG staff accompany the consumer on the inpatient stay utilizing copyright content to improve quality and assure a safe recovery.

4. PATH ALONG staff adhere to an open needs based approach that connects supportive care when skilled care is not necessary.

PATH ALONG delivers an effective service which gives Wisconsin inpatient providers a quality referral source as response to federal regulations that reduce reimbursement rates for hospital readmissions.

On Wednesday, February 20, 2013 PATH ALONG received a call from CMS program administrator Juliana Tiongson who reports acceptance of recently submitted Community Based Care Transitions Program Applicant Data Sheets are on hold status for at least the next six months or more.

PATH ALONG is a privately paid service billed at 20.00 per hour.  PATH ALONG helps seniors during the hospital stay and outpatient treatment visits.   Staff accompany the consumer through the process. 

Call 608-432-4286 to schedule service. Email lkutzke@homecarepath.onmicrosoft.com
Check out the site below with free access for more information

The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s


http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx

Monday, February 18, 2013

PATH ALONG Readmission Risk Assessment

Wisconsin's PATH ALONG model spells out an assessment that can indicate an inherent risk for a hospital readmission.  If the patient experiences one of the following 3 assessments the risk for a readmission is too strong to ignore. 

1. The person has a history of a hospital readmission

2. The person has a diagnosis for a chronic disease (COPD, Diabetes, CHF) and a change in physical function

3. The person has a diagnosis for a chronic disease (COPD, Diabetes, CHF) and a change in cognition

Any of the three can measurably elevate the risk for a hospital readmission.   PATH ALONG helps the community manage the risk.   Regulations flowing from (CMS) The Centers for Medicare and Medicaid cause the loss of reimbursement with excessive hospital readmissions to progressively increase on an annual schedule.   A larger percentage of the total population in a rural community hospital location typically uses Medicare and Medicaid as a pay source.  Unchecked readmissions in a hospital caring for a rural community can mean the loss of a location.

Wisconsin's PATH ALONG model helps seniors during the hospital stay and outpatient treatment visits.  PATH ALONG is a strong arm of Home Care Path (www.homecarepath.com) a community based organization commited to performing a service that supports the changing needs of an older population. 

Call 608-432-4286 to schedule service. Email lkutzke@homecarepath.onmicrosoft.com
Check out the site below with free access for more information

The PATH ALONG app http://appsmakerstore.com/appim/j6kcdet8xvwk4s


http://www.homecarepath.com/Pages/PRESSRELEASEOriginalWisconsinModelToReduceHospitalReadmissionRates.aspx