Care Transformation Center Blog

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

Fact: Offering rideshare services to patients does not improve the primary care appointment attendance rate

Tomi Ogundimu August 20, 2019

Health systems are increasingly investing in interventions to address social determinants—and transportation is often at the top of the list. The Altarum Institute estimates 3.6 million Americans miss or delay medical appointments each year due to a lack of transportation, and many more rely on medical transport with long-wait times and high rates of driver no-shows. Therefore, many provider organizations (and health plans) have begun to partner with popular rideshare companies like Uber and Lyft, aiming to get patients to their appointments more easily (and at lower cost than traditional NEMT services).

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How the US maternal mortality crisis is rooted in inequality (and 4 ways to combat it)

by Darby Sullivan and Tomi Ogundimu August 14, 2019

The United States is the only industrialized nation where the maternal mortality rate is increasing. Black and Native patients are four times more likely to die from pregnancy-related complications compared to white patients. Transgender men report discrimination and insufficient care when pregnant. And 60% of these deaths are preventable. Researchers directly attribute these worsening trends to a few factors—insufficient access to care, miseducation on the warning signs of complications, and missed or delayed diagnoses.

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Here's why you're behind in chronic disease management

by Darby Sullivan and Tomi Ogundimu August 7, 2019

Chronic disease care currently accounts for $1 trillion in spending across the United States. By 2030, the number of patients with three or more chronic diseases will nearly triple to 83.4 million. Can your chronic disease management program accommodate three times as many patients? Too often we find that providers rely on technology innovations to solve the challenge of scale. But there's no magic bullet to supporting successful self-management.

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Why Medicare's bundled payment model isn't changing SNF discharge patterns (and 6 ways to make a change)

by Clare Wirth and Tomi Ogundimu July 31, 2019

The Bundled Payment for Care Improvement (BPCI) Initiative accelerated the shift of financial responsibility for post-discharge care to hospitals. In response, we'd expect participating hospitals and health systems to develop tighter relationships with post-acute care (PAC) providers to improve care coordination and control costs. Yet, new research suggests that skilled nursing facility (SNF) discharge patterns from hospitals participating and not participating in BPCI are largely the same.

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Two ways natural language processing can transform mental health treatment

Andrew Rebhan July 25, 2019

Editor’s note: A version of this post previously ran on the IT Forefront blog.

Natural language processing (NLP) allows computers to analyze, understand, and derive meaning from text and speech similarly to how humans do. Part of the larger artificial intelligence (AI) landscape, NLP converts unstructured data into actionable information. NLP has various uses in health care today, such as supporting clinical documentation and decision-making.

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ICYMI: Should you move to less frequent checkups? Proceed with caution.

Tomi Ogundimu July 23, 2019

Editor's note: A version of this post previously ran in the Daily Briefing.

Annual checkups were originally designed to detect early signs of disease, but recent research has clinicians debating whether annual medical exams are worth it.

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Population health is on the C-suite's mind. What else is?

Yulan Egan , Andrea Martin July 17, 2019

Editor's note: This post was originally published on the "At the Helm" blog. For further insights on the survey's findings, read Rob Lazerow's interview with Modern Healthcare.

At the start of every year, the Health Care Advisory Board research team conducts the Advisory Board Research Annual Health Care CEO Survey to identify the top strategic priorities for hospital and health system leaders. In this year's survey, we asked respondents to rate 29 issues on a scale of "A" to "F," with "A" indicating the greatest interest in learning more from Advisory Board researchers about the topic.

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What 1,000+ of your peers want to know about social determinants of health

by Darby Sullivan and Tomi Ogundimu July 11, 2019

In June, the Population Health Advisor held two webconferences: Health Equity 101 and Social Determinants of Health 101. Member interest on the topics has amplified just in the past year. This increasing interest likely stems from the confluence of increased academic research, policy shifts towards value, and a growing Medicaid population.

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