Care Transformation Center Blog

The insights, tools, and resources you need to take on population health management

What CEOs don't know about pharmacy

Lindsay Conway August 18, 2017

Earlier this month, I sat down with my colleague Rob Lazerow from the Health Care Advisory Board to discuss what CEOs don't know about pharmacy. Our goals were to address some of the common misunderstandings about health system pharmacy and to equip C-suite leaders with new ideas for engaging pharmacy in achieving health system goals.

Below is a summary of five key takeaways from our conversation. You can also download a recording of the conversation here.

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5 easy steps to improve PCP engagement of high-risk patients

Tomi Ogundimu , Darby Sullivan August 15, 2017

Effective high-risk care management is built on the foundation of activating patients in primary care. But adding high-risk care management to an already demanding workload can fuel already high levels of burnout—a major concern, given that 45% of primary care physicians say they would quit if they could afford to.

Even the most advanced organizations struggle with the logistics of attributing high-risk patients to specific primary care clinics.

So how do you get PCPs to play an active role in high-risk patient care management without adding more their 'to-do' list? We've compiled five best practices to consider when devising your strategy:

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Want to develop a top community paramedicine program? Start here.

by Tomi Ogundimu and Clare Wirth August 8, 2017

Is your organization is ready to implement a community paramedicine program—but not sure what to do next? Below are three steps for how to proceed. (If you're not sure if you are ready, check out the diagnostic in our previous post).

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How to use IT effectively in risk-adjusting compliance

John Kontor, MD August 4, 2017

Earlier this year, in response to an article from Kaiser Health News and the Center for Public Integrity, Senator Chuck Grassley (R-Iowa) penned a letter to Centers for Medicare and Medicaid Services Administrator Seema Verma calling for CMS to tighten its examination of Medicare Advantage fraud.

Increased scrutiny of MA practices is also evident in the form of a number of high-profile lawsuits.

Providers that need to ensure adherence to compliance rules can improve performance with the information technology tools they have in place, but IT isn't sufficient alone to manage potential problems without an all-encompassing strategy.

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3 steps to cutting down on 100s of pages of paperwork

by Veena Lanka and Anna Johnston August 3, 2017

While many of us typically mark our calendars to remind us of birthdays and wedding anniversaries, there's another milestone anniversary happening this year that most of us probably didn't celebrate: the 10th anniversary of Ongoing Professional Practice Evaluation, or OPPE.

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The C-suite position you're forgetting

by Gina Lohr and Molly Stein July 31, 2017

Last month, Becker's Hospital Review published an article featuring definitions of 38 common hospital and health system executive roles. Absent from this list was the chief pharmacy executive, often called chief pharmacy officer (CPO) or VP of pharmacy services.

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Your guide to prioritizing behavioral health interventions

by Tomi Ogundimu and Petra Esseling July 25, 2017

There's a pressing need for behavioral health management: Nearly 20% of adults experience a mental health issue, and more than half of patients with a diagnosed behavioral health need also have chronic illnesses or other medical conditions' However, provider shortages, stigma, and limited reimbursement create significant barriers to timely, cost-effective care.

In light of these challenges, many organizations struggle to address their patients' behavioral health needs. Setting up an effective strategy can be difficult given the size of the population, access barriers, and the scarcity of available resources. Tailoring services based on patient need and highest impact are two strategies that will set you up for success.

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One hospital's secret weapon to tackling social determinants: Volunteer medical students

by Rebecca Tyrrell and Clare Wirth July 21, 2017

We know that social determinants of health can derail even the best clinical care, yet many organizations lack clearly defined processes and "owners" for the tasks of identifying non-clinical needs and connecting patients to services. Lankenau Medical Center, part of Main Line Health, recently told us how they incorporated medical students into their Patient-Centered Medical Home (PCMH) workflow to tackle patients' social needs.

Through a partnership with the Philadelphia College of Osteopathic Medicine (PCOM), Lankenau engages volunteer medical students to assess patients' non-clinical needs and connect them with community-based resources. The program serves a dual purpose: It helps patients overcome barriers to care and inspires future doctors to take a more holistic approach to treatment. 

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