#1 in klas healthcare it consulting - the solution illinois … · 2015. 11. 16. · using...
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The ResultsIBJI managed 4,500 patients in PinpointCare from October 2013 through September 2015. Since launching PinpointCare, IBJI has experienced improved efficiency and cost reduction in the following areas:
PinpointCare plays two primary roles to aid in IBJI's success. First and foremost, Pinpoint helps manage the outliers—it's essential for case management. The second component is Pinpoint’s ability to facilitate communication among the 50+ partners and managing care across the continuum.
“
”- Chad Beste Partner, PBC Advisors LLC
Figure 3
Reduced costs byan average of18% per case
(per DRG)
Increased patientsinitiating directlyto Home Health
by 17%
PATIENTS TO HH
17%
Saved approxi-mately $2,000per case since
program launch
SAVED OVER
$4MIL
Reduced averagelength of stay forpartner SNFs by
6 days
REDUCING SNF
6DAYS
LOWERING COSTS
18%
Lowered costlyhospital readmits
by 50%(lower partner
readmits)
LOWER PARTNERREADMITS
50%
Using PinpointCare, IBJI is able to complete a dynamic, personalized pre-op evaluation for each patient undergoing a joint replacement surgery (Figure 1). This enables better management of care across the continuum for high-risk, potentially costly patients (Figure 2).
With PinpointCare, IBJI is able to coordinate care with 50+ post-acute care partners and contracted providers, including hospitals, SNFs, home health facilities and physical therapy practices, at minimal cost without being on the same EMR. Each post-acute care partner or contracted provider involved in a patient’s care plan is then able to access the PinpointCare system to facilitate patient management throughout the continuum (Figure 3).
The Solution (continued)ILLINOIS BONE & JOINT INSTITUTE IMPROVES EFFICIENCY AND REDUCES COSTS WITH PINPOINTCARE
About Illinois Bone & Joint InstituteFounded in 1990, Illinois Bone and Joint Institute (IBJI) is one of the largest orthopedic group practices in Illinois. With more than 90 physicians in every orthopedic specialty, IBJI offers care for children and adults from a team of accomplished and respected orthopedists. IBJI has 20 locations throughout Chicago and the north suburbs.
The ProblemEffective January 1, 2014, IBJI elected to participate in the Centers for Medicare and Medicaid Services (CMS) Bundled Payments for Care Improvement (BPCI) Model 3 initiative for major joint replacement (DRGs 469 and 470). This initiative combines payment for the physician, hospital and other post-acute care providers into a single payment, creating an incentive for providers to lower the overall cost of care through efficiency and care coordination.
Knee or hip replacement surgery often requires care from multiple providers, including acute care, skilled nursing facility (SNF), home health and physical therapy, which has the potential for fragmented and disjointed care. Additionally, post-acute care is a critical aspect of a patient’s recovery from a major joint replacement.
In September 2013, IBJI chose PinpointCare as its platform for patient engagement, care coordination and management of the BPCI initiative.
Figure 1
The Solution
PinpointCare is a cloud-based, flexible soft-ware-as-a-service (SaaS) solution that facilitates ongoing communication between the care team in settings other than the physician’s office. The goal
is to involve patients in the creation of a custom-ized care plan and effectively monitor health
status, assess risk and improve time to recovery.
- Andre BlomDirector of RehabilitationServices, IBJI
By gathering and sorting patient and surgery specific information that feeds into the Pinpoint platform, IBJI is able to create an individualized care plan which it can use to monitor and subsequently manage cases in a real time environment rather than retrospectively. ”
“
Figure 2
The ResultsIBJI managed 4,500 patients in PinpointCare from October 2013 through September 2015. Since launching PinpointCare, IBJI has experienced improved efficiency and cost reduction in the following areas:
PinpointCare plays two primary roles to aid in IBJI's success. First and foremost, Pinpoint helps manage the outliers—it's essential for case management. The second component is Pinpoint’s ability to facilitate communication among the 50+ partners and managing care across the continuum.
“
”- Chad Beste Partner, PBC Advisors LLC
Figure 3
Reduced costs byan average of18% per case
(per DRG)
Increased patientsinitiating directlyto Home Health
by 17%
PATIENTS TO HH
17%
Saved approxi-mately $2,000per case since
program launch
SAVED OVER
$4MIL
Reduced averagelength of stay forpartner SNFs by
6 days
REDUCING SNF
6DAYS
LOWERING COSTS
18%
Lowered costlyhospital readmits
by 50%(lower partner
readmits)
LOWER PARTNERREADMITS
50%
Using PinpointCare, IBJI is able to complete a dynamic, personalized pre-op evaluation for each patient undergoing a joint replacement surgery (Figure 1). This enables better management of care across the continuum for high-risk, potentially costly patients (Figure 2).
With PinpointCare, IBJI is able to coordinate care with 50+ post-acute care partners and contracted providers, including hospitals, SNFs, home health facilities and physical therapy practices, at minimal cost without being on the same EMR. Each post-acute care partner or contracted provider involved in a patient’s care plan is then able to access the PinpointCare system to facilitate patient management throughout the continuum (Figure 3).
The Solution (continued)ILLINOIS BONE & JOINT INSTITUTE IMPROVES EFFICIENCY AND REDUCES COSTS WITH PINPOINTCARE
About Illinois Bone & Joint InstituteFounded in 1990, Illinois Bone and Joint Institute (IBJI) is one of the largest orthopedic group practices in Illinois. With more than 90 physicians in every orthopedic specialty, IBJI offers care for children and adults from a team of accomplished and respected orthopedists. IBJI has 20 locations throughout Chicago and the north suburbs.
The ProblemEffective January 1, 2014, IBJI elected to participate in the Centers for Medicare and Medicaid Services (CMS) Bundled Payments for Care Improvement (BPCI) Model 3 initiative for major joint replacement (DRGs 469 and 470). This initiative combines payment for the physician, hospital and other post-acute care providers into a single payment, creating an incentive for providers to lower the overall cost of care through efficiency and care coordination.
Knee or hip replacement surgery often requires care from multiple providers, including acute care, skilled nursing facility (SNF), home health and physical therapy, which has the potential for fragmented and disjointed care. Additionally, post-acute care is a critical aspect of a patient’s recovery from a major joint replacement.
In September 2013, IBJI chose PinpointCare as its platform for patient engagement, care coordination and management of the BPCI initiative.
Figure 1
The Solution
PinpointCare is a cloud-based, flexible soft-ware-as-a-service (SaaS) solution that facilitates ongoing communication between the care team in settings other than the physician’s office. The goal
is to involve patients in the creation of a custom-ized care plan and effectively monitor health
status, assess risk and improve time to recovery.
- Andre BlomDirector of RehabilitationServices, IBJI
By gathering and sorting patient and surgery specific information that feeds into the Pinpoint platform, IBJI is able to create an individualized care plan which it can use to monitor and subsequently manage cases in a real time environment rather than retrospectively. ”
“
Figure 2