to receive cpe credit - bkd · home health outcomes comparison monitored vs. nonmonitored acuity...

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HOME HEALTH ORGANIZATIONS – TECHNOLOGY FOR EPISODIC MANAGEMENT DECISIONS

BKD NATIONAL HEALTH CARE GROUP

April 24, 2017

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If all eligibility requirements are met, each participant will be emailed their CPE certificates within 15 business days of live webinar

TO RECEIVE CPE CREDIT

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PRESENTERS

Karen Vance, OTRSenior Managing Consultantkvance@bkd.com

Karen Thomas, BS, MBA, CMAPresident, Advanced Telehealth Solutions

OBJECTIVES

Identify data elements contributing to the success of CMS Triple AIM

Use data to redesign care models & improve outcomes

Recognize methods to track progress toward improvement within episodic payment models

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IDENTIFY DATA ELEMENTS CONTRIBUTING TO THE SUCCESS OF

TRIPLE AIM

HOME HEALTH & CMS TRIPLE AIM

Home health has the data to monitor & manage for success with Triple Aim

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DATA FOR MANAGING TRIPLE AIM

Improved efficiencyPayment per patient

Reduced hospitalization

Improved outcomesQuality measures

Patient experienceHHCAHPS scores

Oasis Data Set

Casper Reports

HHC

Star Ratings

USE DATA TO REDESIGN CARE MODELS &

IMPROVE OUTCOMES

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CARE REDESIGN

Data-Driven Episode Management

Assess at risk outcomes, target low-performing staff &

assure data accuracy

Manage utilization through care coordination;

monitor at risk outcomes

Measure clinical & financial

outcomes against benchmarks

EPISODE MANAGEMENT

Patient Engagement

Interdisciplinary collaboration Between visit

progress

Patient monitoring, managing own condition

Tapered visit frequency

Good outcomes, cost efficiency

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CARE TEAM INTEGRATION

Universal Understanding of Program Goals

1. Actionable Data

2. Timely Clinical Triage

3. Communication

4. CareCoordination

5. Timely Care Provider

Involvement

BEST PRACTICE ROADMAP

1. Create Goals

3. Clinical

Expertise4.

Define Equip-mentNeeds

6. Recognize Obstacles &

Missing Components

5. Understand Operational

Efficiencies & ROI

2. Design Program

Structure

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DRIVING OUTCOMES

Strong client collaboration

Effective call center – monitoring team

Appropriate patient selection

Coordinated care

Closing the Loop

Analysis

Documentation

Reporting

Internal audit

Performance improvement methodology

DATA SCENARIOS

Home health outcomesComparison

Monitored vs. nonmonitored

Acuity level & process control

Performance improvementCall center data & efficiency compared to outcomes

Coordination of careRehospitalizations – correlation to agency staff vacancies

Patient criteriaProper selection

Clinical appropriateness

Cost effectivity

Equipment needs

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OUTCOMESDiabetic Outcomes Average HgbA1c reduced 37% to 6.89

32% decreased glucose levels 24 points

52% decreased systolic blood pressure

18% lost greater than 5% body weight

69% improved score on Diabetic Knowledge Test

OUTCOMES

CHF Rehospitalization ProjectControl Study Group

Six-month hospitalization

reduction50% improved

30-day hospitalization

reduction73% improved

ER reductions68% improved

Improvement compared to control group

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CASE STUDIES

Program developmentCJR

Education observation of gait & movement

Incision care

Depression & isolationGeriatric population

Video visits

Presurgery program for CABG patientsEducation for patient & family

RPM after surgery

Resulting in a reduction of 0.7 day length of stay & rehospitalization rate of 50% less

Study to be published in near future

OUTCOMES

Multiple Co-Morbidities Improvement

Hospitalizations 56%

Hospitalization Days* 73%

ER Visits 56%

*Early detection of issues

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COST SAVINGSWorking with Advanced TeleHealth Solutions has the potential to drive

cost savings for clients & client program participants

RETURN ON INVESTMENT

Value-based purchasingPercentage – incentive or penalty

Bundled paymentsMaintaining referrals

Developing new services

Population health

Orthopedics

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REMOTE PATIENT MONITORING –THE BUSINESS CASE

Reimbursement changes in the futureValue-based purchasing

Bundled payment reimbursement

ACOs

Population health

Impact of telehealth –remote patient monitoring

Partnerships

ABOUT ADVANCED TELEHEALTH SOLUTIONS

Leader inremote patient monitoring for

14+ years

Advanced technologies& strategies

URACaccreditedhealth call

centerClients

include payors,providers &employers

Results: reduction in

hospitalizationsover 50%

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RECOGNIZE METHODS TO TRACK PROGRESS TOWARD IMPROVEMENT WITHIN EPISODIC PAYMENT MODELS

LEVERAGE DATA

Measure key data indicators

Monitor progress

Manage performance

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MEASURING, MONITORING & MANAGING

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CONTINUING PROFESSIONAL EDUCATION (CPE) CREDITS

BKD, LLP is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.nasbaregistry.org.

The information contained in these slides is presented by professionals for your information only and is not to be considered as legal advice. Applying specific information to your situation requires careful consideration of facts & circumstances. Consult your BKD advisor or legal counsel before acting on any matters covered.

CPE credit may be awarded upon verification of participant attendance

For questions, concerns or comments regarding CPE credit, please email the BKD Learning & Development Department at training@bkd.com

CPE CREDIT

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Karen A. Vance | Senior Managing Consultant | kvance@bkd.com

Karen R. Thomas | Advanced TeleHealth Solutions