Care Transformation Center Blog

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

How NorthShore is integrating genetic testing in personalized care plans

by Dan Hood August 30, 2016

The World Health Organization estimates that 60% of factors impacting health and quality of life are correlated with lifestyle.

Successful population health managers acknowledge this fact and use data on non-clinical and psychosocial risk factors to customize treatment plans that reflect the day-to-day reality of their patients. NorthShore University HealthSystem in Evanston, Ill., is transforming that traditional framework by integrating patients' genetic information within their care plans.

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To invest, or not to invest: The full story on IV automation

by Molly Stein August 25, 2016

Recently, we were surprised to hear from several members who have "mothballed" expensive investments in IV automation technology. These investments ended up unused and unwanted after they failed to demonstrate obvious value to the organization. But still we hear from other organizations trying to decide whether to invest in these very same technologies. So what's the story?

A number of institutions have found that IV room workflow systems and IV robotics systems can improve patient safety and reduce hospital costs. As drug costs rise and health care organizations seek to show value, many institutions are looking at IV technology systems to help them reach their goals. However, implementation challenges rightfully give organizations pause when considering investment.

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3 pitfalls to avoid when assessing patient risk

Tracy Walsh August 24, 2016

Most population health managers already know that prioritizing patients by risk is a critical component of effective care management. So why is it so difficult to segment patients into "high," "moderate," and "low" risk categories?

There are several risk stratification tools that hospitals use to assess patient risk, but in many cases, care managers fall prey to three common missteps when developing and selecting the questions they ask.

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Still a value-based care skeptic? Why you need to get aggressive.

Dennis Weaver, MD, MBA August 18, 2016

“We want to be prepared for when the market tips, but we don’t want to tip the market.” —Quote from a health system member in the Midwest

I have been partnering with health care providers to transition to value-based care for nearly 10 years. And in that time, momentum for industry-wide transformation has increased year over year. But there are still some who remain unconvinced that value-based care will have a meaningful impact on their organization, so they’re either dipping their toe in the water or staying on the dock altogether. We’ve profiled these organizations and refer to them as “the intenders” and “the skeptics,” respectively.

If you’re in either one of these two stages, you need to act now to get to the next stage, regardless of where your market is.

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How well is your organization supporting senior patients?

Christina Wild August 17, 2016

Every 8 seconds, someone in the United States turns 65, and nearly two-thirds of adults 65 and older have at least one chronic health condition. It’s no surprise that senior patients need more resources (and often specially-tailored resources) at all stages of the care continuum, including the inpatient, outpatient, and post-acute care settings, and even in the ED. However, many health systems do not know where to begin reallocating resources or how to redesign their care offerings to meet the needs of this older population.

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4 ways to reduce drug diversion risk in the health care workplace

by Samm Freedman August 11, 2016

In 2014, almost two million Americans abused prescription opioids, resulting in more than 14,000 deaths and catching the attention of lawmakers and public health leaders across the country. While the federal government plays a role in addressing drug education, law enforcement, and the expansion of drug treatment programs, hospitals should also take active steps to protect their patients and communities from the harmful impact of drug diversion.

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Are providers satisfied with your care management program?

Christina Wild August 9, 2016

Here's the fourth part of our series on improving PCP referrals to care management. Check out part 1, part 2, and part 3.

Building support with physicians is an important part of successfully integrating care management into primary care practices. However, strong initial support does not guarantee long-term success. To help care management leaders evaluate the program, teams are conducting provider satisfaction surveys across a number of key dimensions of the program.

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Simple form redesign: The key to optimizing PCP referrals

Christina Wild August 3, 2016

Here’s the third part of our series on improving PCP referrals to care management. Check out part 1 and part 2.

Given PCPs' limited time and resources, care management leaders use common design principles to streamline the process by which providers submit referrals.

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