Care Transformation Center Blog

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

Is hospital care management stuck in the Stone Age?

Loren Mann, MBA, MS April 21, 2016

In many ways, we’re still in the Stone Age of inpatient care management. All too often, hospitals focus their care management activities on a singular episode of care within the acute setting, and then call it a day.

But the hospital is often only one stop in a patient’s total journey, and a narrow focus—by facility or even just by department—means missing out on other significant touchpoints. So, how do you know if your hospital’s care management functions are set up to deliver comprehensive and coordinated services, and promote success under value-based contracts?

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Having trouble with medication reconciliation? Try a pharmacist.

By Samantha Freedman and Jason Glaw April 8, 2016

Medication reconciliation, currently part of The Joint Commission’s (TJC) National Patient Safety Goal 3, has been required of hospitals for ten years. But there are still many medication errors. A 2010 study cited a 36% error rate in medication order errors.

While many of the discharge medications errors dealt with drugs such as aspirin, the impact of medication errors in the inpatient setting can be much more severe. A 2006 TJC publication reported that the approximately 1.5 million annual preventable drug adverse events cost the U.S. health system more than $3 billion.

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The impact of a community paramedicine pioneer on the state of New York

by Eric Sun April 7, 2016

In parts one and two of my interview with Dr. Kevin Munjal, Associate Director of Prehospital Care at Mount Sinai Health System, we talked about the community paramedicine programs that Mount Sinai has implemented. Here, we discuss Dr. Munjal’s role as founder of the New York Mobile Integrated Healthcare Association (NYMIHA) and the state of community paramedicine across New York State.

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No in-house EMS service? Here’s how to partner on community paramedicine.

by Eric Sun April 1, 2016

Last week, we shared the first part of our three-part interview with Dr. Kevin Munjal, Associate Director of Prehospital Care at Mount Sinai and chair of the New York Mobile Integrated Healthcare Association, where we discussed the details of Mount Sinai’s Transport PLUS community paramedicine program. Today, we learn about its newest community paramedicine program and Mount Sinai's partnership with a local EMS agency.

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You can tackle avoidable behavioral health spending—with help

Christina Wild March 24, 2016

We know that patients with behavioral health comorbidities use more health care resources than patients without those conditions and require additional spending to care for when their conditions are left untreated.

Nationally, the cost impact of ineffective treatment of comorbid behavioral health conditions has been estimated at $350 billion annually, indicating the significant impact that integrated care can have on avoidable admissions.

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Transport PLUS: How NYC EMTs give patients rides home—and support services

by Eric Sun March 23, 2016

Community paramedicine has emerged as an increasingly popular model for supporting health systems’ population health priorities and delivering care to hard-to-reach populations.

I recently sat down with Dr. Kevin Munjal, Associate Medical Director of Prehospital Care at Mount Sinai Health System in New York City and chair of the New York Mobile Integrated Healthcare Association, to discuss the innovative new pilot programs he oversees and the future of community paramedicine in the state.

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5 drug spending trends to pay attention to

Jason Glaw March 18, 2016

Express Scripts, a major pharmacy benefits manager, released its annual drug trend report this week. The report highlights 2015 changes in drug prices and use across both traditional (e.g., diabetes, high cholesterol, attention disorders) and specialty (e.g., oncology, hepatitis C, inflammatory conditions) therapy classes for all payer types.

Here are five key takeaways from the report.

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With PQRS penalty increases, it's time to rethink your quality strategy

by Steve Bloom, Clinovations and Nicole MacMillan March 17, 2016

We recently worked with a community health system in the Southeast that had acquired several independent medical practices over the last few years. Operating on four different electronic health record (EHR) platforms, with some practices still using paper records, Physician Quality Reporting System (PQRS) experience varied widely across this newly consolidated institution.

At the start of 2015, CMS began to apply penalties from the failure of several practices to report PQRS data in 2013. And the leadership team was surprised by how much PQRS impacted their bottom line. They quickly took action to improve 2015 reporting as much as possible before the year’s end to prevent penalties in 2017.

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