New payment models including bundled payment programs such as the Bundled Payments for Care Improvement (BCPI) initiative and Comprehensive Care for Joint Replacement (CJR) have created a heightened focus on delivering coordinated, high-quality and cost-efficient care throughout an entire episode of care. Despite the imminent change in the administration and the potential modifications to the Affordable Care Act (ACA), most agree that these types of models are here to stay. Few can argue with the goal of providing highly coordinated, quality care that drives positive health outcomes while containing cost.
Engaged patients are critical to success. The best chance of achieving optimal outcomes and reducing cost is to treat patients as full partners in their care - before preoperative preparation and beyond discharge. However, the spotlight is often on the transition of care, because if poorly managed, can lead to poor health outcomes, avoidable readmissions and higher costs.
Engaging patients beyond the acute setting and well into recovery is critical to reducing complications, avoiding readmission and understanding the patient recovery progress. People need to be consistently engaged throughout a care transition in order to have the confidence and ability to successfully manage their health at home. At the same time, providers need to know when patients are struggling, so they can provide them with the support they need.
Most clinicians view the notion of working with patients throughout the episode of care, including the care transition, as ideal. Patient care is what most clinicians want to do.
Yet, in today’s healthcare system, where resources are already stretched thin, it is often not feasible to stay connected and reach everyone.
When designed effectively, technology can be powerful tool to bridge the gap, by extending the reach of the care team and enabling them to have an ongoing conversation with patients. In a study of 27 hospitals Emmi partnered with to support transitions of care, data showed that Emmi was able to reach 72% of patients, a level of engagement that would have been costly – if not impossible – to replicate manually as it required 77,115 phone calls and nearly 5,000 staff hours. Additionally, in a survey of those who interacted with Emmi, more than 75% reported they were better prepared to manage their health. Anecdotally, our clients have reported that the technology helps them better identify those patients who need help or may be at risk for readmission.
To learn more, download the full case study “Emmi Increases Scalability to Drive Quality Care Transitions”.