/ en Wed, 30 Apr 2025 07:57:53 -0500 Tue, 11 Feb 25 16:13:58 -0600 /news/headline/2025-02-11-nevada-confirms-its-first-human-case-bird-flu <p>The Central Nevada Health District yesterday <a href="https://www.centralnevadahd.org/press-release/" title="bird flu">announced</a> the state's first case of H5N1 bird flu, a dairy farm worker who was exposed to infected cattle. The agency said the individual had conjunctivitis and no other symptoms. The Centers for Disease Control and Prevention said the risk of bird flu to the public remains low. </p> Tue, 11 Feb 2025 16:13:58 -0600 Disease Management /role-hospitals-northern-light-mercy-hospital-living-well-after-cancer-maine-hospital-offers-support-and-services <div class="container"><div class="row"><div class="col-md-9"><div class="row"><div class="col-md-5"><p><img src="/sites/default/files/2024-12/ths-northern-light-surviviorship-700x532.jpg" alt="Bald female cancer patient working with a nutritionist to prepare a healthy dish" width="700" height="532"></p></div><p>Completing cancer treatment can be like crossing the finish line of one of life’s most difficult races. Yet after treatment, cancer survivors still face challenges, including mixed emotions, as they focus on living well and managing any lingering or new issues.</p><p>Northern Light Mercy Hospital’s Cancer Survivorship Clinic helps patients who have finished cancer treatment rebuild their health and enjoy a high quality of life. The survivorship team at the hospital in Portland, Maine, includes a nurse practitioner, nutritionist, physical therapist and social worker. Patients meet with a nurse practitioner to discuss the side effects of treatment and potential long-term effects and ways to prevent them as well as to review prevention of recurrence, secondary cancers and lifestyle modifications to decrease risk.</p><p>Patients also receive guidance and resources on eating well for cancer risk reduction and overall health; any rehabilitative services needed, such as physical, occupational and speech therapy; support on readjusting relationships with family, friends and coworkers and managing concerns and challenges; and other support and guidance.</p><p><a class="btn btn-primary" href="https://northernlighthealth.org/Cancer-Survivorship-Clinic" target="_blank">LEARN MORE</a></p></div></div><div class="col-md-3"><div><h4>Resources on the Role of Hospitals</h4><ul><li><a href="/center/population-health">Improving Health and Wellness</a></li><li><a href="/roleofhospitals">All Case Studies</a></li></ul></div></div></div></div> Fri, 13 Dec 2024 13:34:05 -0600 Disease Management /member-knowledge-exchange/2024-05-30-/navigating-patient-risk-and-engagement-genomic-precision <div> </div>header.jumbotron {display:none} <div> /* center_body */ .center_body { /*margin-top:50px;*/ /* margin-bottom: 50px;*/ } .center_body h3 {} .center_body p { font-size: 16px } p.center_Intro { color: #002855; line-height: 1.2em; font-size: 30px; margin: 10px 0 25px 0; font-weight: 700; font-size: 2em; } @media (max-width:768px) { p.center_Intro { line-height: 1.2em; font-size: 23px; font-size: 1.45em; } } .center_body .center_Lead { color: #63666A; font-weight: 300; line-height: 1.4; font-size: 21px; } /* center_body // */ /* Banner_Title_Overlay_Bar */ .Banner_Title_Overlay_Bar { position: relative; display: block; overflow: hidden; max-width: 1170px; margin: 0px auto 25px auto; } .Banner_Title_Overlay_Bar h1 { position: absolute; bottom: 40px; color: #003087; background-color: rgba(255, 255, 255, .8); width: 100%; padding: 20px 40px; font-size: 3em; box-shadow: 0 3px 8px -5px rgba(0, 0, 0, .6); } @media (max-width:991px) { .Banner_Title_Overlay_Bar h1 { bottom: 0px; margin: 0px; font-size: 2.5em; } } @media (max-width:767px) { .Banner_Title_Overlay_Bar h1 { font-size: 2em; text-align: center; text-indent: 0px; padding: 10px 20px; } } @media (max-width:530px) { .Banner_Title_Overlay_Bar h1 { position: relative; background-color: #63666A22; } } /* Banner_Title_Overlay_Bar // */ <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2024-05/Helix_NavigatingPatientRisk__banner_1170x250.png" alt="Banner Image" width="1170" height="250"><div><h1>Navigating Patient Risk and Engagement with Genomic Precision</h1></div></header>/* CntMenuSub */ .CntMenuSub{ margin:20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: .7em; } .CntMenuSub .CntMenuBar{ border-bottom: 1px solid lightblue; } .CntMenuSub .CntMenuBar a:after{ content: "|"; padding: 0 3px 0 6px; color: #555; } .CntMenuSub .CntMenuBar a:last-child:after{ content: ""; } .CntMenuSub .CntMenuSubHome, .CntMenuSub .CntMenuSubParent{ text-transform: uppercase; color: #555; opacity: .9; } .CntMenuSub .CntMenuSubParent{ } .CntMenuSub .CntMenuSubChild{ } .CntMenuSub .CntMenuSubCurrent{ opacity: .7; } .CntMenuSub .CntMenuSubHome:hover, .CntMenuSub .CntMenuSubParent:hover{ text-transform: uppercase; color: #d50032; } /* CntMenuSub // */ <div class="container CntMenuSub"><div class="col-md-1"> </div><div class="col-md-10 row CntMenuBar"><a class="CntMenuSubHome" href="/education-events/aha-virtual-executive-dialogues">AHA Knowledge Exchange</a> <span class="CntMenuSubChild" id="CntMenuSubChild">Navigating Patient Risk and Engagement with Genomic Precision</span></div><div class="col-md-1"> </div></div><div class="row spacer"><div class="col-sm-3"><div><a href="#DownloadFile" target="_blank"><img src="/sites/default/files/2024-05/Helix_Helix_NavigatingPatientRisk__cover_910x1220.jpg" alt="AHA Knowledge Exchange | Navigating Patient Risk and Engagement with Genomic Precision" width="100%" height="100%"></a></div></div><div class="col-sm-9 center_body">.sponsortype { color: #9d2235; font-size: 1.5em; margin: 0px; font-weight: 700; } <p class="sponsortype">AHA Knowledge Exchange</p> Intro.............. </p> --> xxxxxx </p> --><h2>Delivering personalized, affordable care while prioritizing population health and health equity</h2><p>Understanding what makes each individual unique is key to achieving optimal health and engaging with patients for personalized, high-quality health care outcomes. Major health systems have been increasing patients’ access to genomics to holistically understand their predisposition to certain diseases, tailor care plans and provide proactive and preventive care rather than treating disease after it manifests. Through large-scale screening, organizations are developing the capability of identifying potential health risks that may be disproportionately affecting ethnically diverse individuals in their community to facilitate the development of proactive health initiatives. This knowledge exchange explores innovative strategies and applications of genomics data to enhance the precision of patient-risk stratification for a more preventive and individualized approach to care.</p><div class="row">@media (min-width:768px){ .EDsponsorFloat{ float:right; } } @media (max-width:767px){ .EDLinkFloat{ position:relative; left:27%; } .EDsponsorFloat { text-align:center } } <div class="col-sm-6"><a class="btn btn-wide btn-primary EDLinkFloat" href="#DownloadFile" title="AHA Knowledge Exchange | Navigating Patient Risk and Engagement with Genomic Precision" data-view-context="top-level-view">Download the Report</a></div><div class="col-sm-6"><div class="EDsponsorFloat"><strong>Sponsored by: </strong><a href="https://www.helix.com/" target="_blank" rel="noopener nofollow"><img src="/sites/default/files/2024-05/Helix_logo_transparent_834x313.png" alt="Helix Logo" width="100%" height="100%"></a></div></div></div></div></div>.sp_CTA5_holder { margin-top:0px; border-bottom: solid 1px #555; padding-bottom: 50px; } .sp_CTA5_holder_last { border-bottom: solid 0px #555; } .sp_CTA5_holder >div{ overflow: auto; } .sp_CTA5_holder ul { list-style: none; /* Remove default bullets */ padding-left: 0px; /*width: calc(100% - 15%);*/ /*margin: 50px auto 0;*/ margin:auto 50px; } .sp_CTA5_holder ul li{ margin-bottom:7px; line-height: 1.5em; font-size:16px; } .sp_CTA5_holder ul li::before { content: " "; font-size: 1em; margin-right: 10px; display: inline-block; height: 12px; background-color: #9d2235; width: 12px; position: relative; top: 0px; -webkit-transform: rotate(45deg); -moz-transform: rotate(45deg); -o-transform: rotate(45deg); } .sp_CTA5_holder ul li{ padding-left:23px; text-indent:-23px; } .body ol>li, .body ul>li{ font-size:16px: } .sp_CTA5_holder h2 { color: #002855; /*! line-height: 2em; */ font-size: 2.15em; margin: 0 0 15px 0; /*! font-size: 30px; */ } .sp_CTA5_holder h3 { /*color: #002855;*/ line-height: 1em; /*font-size: 1.5em;*/ margin-bottom: 25px; margin-top:5px; font-size: 28px; } .sp_CTA5_section{ margin-top: 25px } .sp_CTA5_ImgShadow { /*background-color:green;*/ /* just a visual */ text-align: center } .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; } .sp_CTA5_ImgShadow img{ width: calc(100% - 35px - 15px); -webkit-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); -moz-box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); box-shadow: 50px -75px 0px 0px rgba(185, 217, 235, 1); position: relative; top: 75px; max-width: 490px; } @media (max-width:990px){ .sp_CTA5_ImgShadow img{ max-width: 350px;} } @media (max-width:990px){ .sp_CTA5_ImgShadow { padding-bottom:75px; /* must match the padding on the img*/ margin: 0px; margin-right: 40px } } <div class="row spacer sp_CTA5_holder sp_CTA5_holder_last"><div class="col-md-12"><h3>5 steps health system leaders are taking in their genomics strategy to empower patients and health care providers</h3><div class="sp_CTA5_section"><ul><li>Investigate how to get on the front edge of integrating patients’ genomic information seamlessly into the standard of care.</li><li>Examine health systemwide programs for population health screenings to take preemptive measures aimed at delaying, mitigating or averting life-threatening conditions.</li><li>Pilot use cases in areas with evidence of actionable benefit: familial hypercholesterolemia, hereditary breast and ovarian cancers, Lynch syndrome [the most common form of hereditary colorectal cancer], pharmacogenomics for anxiety and depression.</li><li>Explore electronic health record (EHR) tools for data aggregation and reporting to help improve clinical workflows and create data strategies that may allow for opportunity assessments.</li><li>Engender trust and embed genomics into the health equity team with a community advisory board to build trust, to focus on research and bring novel discovery to Black, Indigenous and people of color. Be explicit with consent that patients own their data, have access to it and it is portable.</li></ul></div></div></div><h2>Participants</h2>/* people */ .people { margin-top: 50px; } .people img:nth-child(1) { border-radius: 200px; -moz-border-radius: 200px; -webkit-border-radius: 200px; margin-bottom: 10px; max-width:200px; /* for Transformation Talks */ display:block; /* for Transformation Talks */ margin:auto; /* for Transformation Talks */ } .people img:nth-child(1):hover { opacity: .7 } @media (max-width:991px) { .people { margin: auto; } .people p { text-align: center } } .ci_profile { margin-bottom: 30px; display: block; text-align:center /* this is for the "Executive Dialogue" page */ } @media (max-width:991px) { .ci_profile { text-align: center } } .ci_profile p { margin: 0 0 7px 0 } .ci_profile_name { font-weight: 700; font-size: 20px; } p.ci_profile_name { font-size: 1.5em; line-height:1.2em; margin-top:10px } .ci_profile_title { font-style: italic; line-height: 1.3em } 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profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-05/Hajek_Cassie_300x300.png" alt="Cassie Hajek" width="300" height="300"><p class="ci_profile_name">Cassie Hajek, M.D., FACP, FACMG</p><p class="ci_profile_title">Medical director</p><p class="ci_profile_company">Helix</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-05/Lecamwasam_Manoja_300x300.png" alt="Manoja Lecamwasam" width="300" height="300"><p class="ci_profile_name">Manoja Lecamwasam, PhD, MBA</p><p class="ci_profile_title">System vice president, intellectual property and strategic life sciences</p><p class="ci_profile_company">CommonSpirit Health</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-05/Newman_Craig_300x300.png" alt="Craig Newman" width="300" height="300"><p class="ci_profile_name">Craig Newman</p><p class="ci_profile_title">Senior vice president, health systems and strategic partnerships</p><p class="ci_profile_company">Helix</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div class="ci_profile_social"> profile_social </div> --></div><div class="col-md-4 col-sm-6 ci_profile"><img src="/sites/default/files/2024-05/Zsenits_Balazs_300x300.png" alt="Balazs Zsenits" width="300" height="300"><p class="ci_profile_name">Balazs Zsenits, M.D.</p><p class="ci_profile_title">Chief medical information officer and senior vice president</p><p class="ci_profile_company">Rochester Regional Health</p> profile_combined </p> <p class="ci_profile_award"> profile_award </p> <div 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Exchange</h2><p>Gain insights from the C-suite and health care leaders on the most pressing issues and transformational strategies.</p><p><a class="btn btn-wide btn-primary" href="/education-events/aha-virtual-executive-dialogues" data-view-context="top-level-view">Explore the Series</a> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ </p><div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div></div><div class="col-md-1"> </div></div><div class="row"><h2>Latest Knowledge Exchange</h2><div class="feedEmbedImg">.feedEmbedImg .views-element-container { background-color: #f6f6f6;; padding: 20px } .feedEmbedImg .views-element-container h2{ margin-top:0px; color: } .feedEmbedImg .views-element-container .views-field.views-field-created{ color: } .feedEmbedImg .views-element-container .views-field.views-field-title a{ font-size: 20px; 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class="views-element-container"> <section class="top-level-view js-view-dom-id-b6e0c25b3a1ba709734df08ca02d1171d52dd62538cb0636e7307332c1722443 resource-block"> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/member-knowledge-exchange/2024-12-11/resilient-health-system-operating-model" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-12/VED_Accenture_Governance_620x381.jpg?itok=viVBuq-l" width="200" height="123" alt="VED_Accenture_Governance_620x381-image" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-10T16:11:13-06:00">Dec 10, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/member-knowledge-exchange/2024-12-11/resilient-health-system-operating-model" hreflang="en">The Resilient Health System Operating Model</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Health system leaders are building a robust governance and resilient operating model to transform health care delivery models for the future.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-12/KnowEx_RI_RevenueCycle_620x381_rev1.jpg?itok=42C41VMq" width="200" height="123" alt="KnowEx_RI_RevenueCycle_620x381_rev1" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-12-05T14:26:53-06:00">Dec 5, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/member-knowledge-exchange/2024-12-06/optimize-your-hospitals-revenue-cycle-efficient-patient-centered-operations" hreflang="en">Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Optimizing hospital’s revenue cycle for efficient, patient-centered operations and enhancing critical KPIs using AI and robotic process automation.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-11-14/empowering-patient-engagement-and-behavior-change-improve-health-and-reduce-disparities" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-11/VED_PatientPoint_Engagement_620x381.jpg?itok=dHKIfRK6" width="200" height="123" alt="PatientPoint_Engagement_620x381" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-11-13T15:51:45-06:00">Nov 13, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-11-14/empowering-patient-engagement-and-behavior-change-improve-health-and-reduce-disparities" hreflang="en">Empowering Patient Engagement and Behavior Change to Improve Health and Reduce Disparities</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Empowering patient engagement and leveraging customized communication and education via digital technologies to improve health and reduce disparities.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-10-30/aligning-payers-and-partners-value-based-care" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-10/KnowEx_CorroHealthh_Medicaid_620x381.jpg?itok=HS9Y48c8" width="200" height="123" alt="KnowEx_CorroHealth_Medicaid" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-10-29T15:17:14-05:00">Oct 29, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-10-30/aligning-payers-and-partners-value-based-care" hreflang="en">Aligning Payers and Partners for Value-based Care</a></span> </div><div class="views-field views-field-body"> <div class="field-content">As value-based care models grow, hospitals, providers and payers need to align goals and incentives to improve patient outcomes and reduce costs.</div> </div></div> <div class="article views-row"> <div class="views-field views-field-field-page-title-background"> <div class="field-content sed-thumb"> <a href="/2024-09-26/transforming-behavioral-health-journey" hreflang="en"><img loading="lazy" src="/sites/default/files/styles/small_200x200/public/2024-09/Iris-Telehealth-banner-620x381.jpg?itok=QQ9C-7Mp" width="200" height="123" alt="Iris-Telehealth-banner-620x381" /> </a> </div> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-09-25T14:49:38-05:00">Sep 25, 2024</time> </span> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/2024-09-26/transforming-behavioral-health-journey" hreflang="en">Transforming the Behavioral Health Journey</a></span> </div><div class="views-field views-field-body"> <div class="field-content">Transforming the behavioral health journey with strategic initiatives to build a sustainable and coordinated behavioral health services continuum.</div> </div></div> </div> </div> <div class="more-link"><a href="/aha-knowledge-exchange-archive">View All: AHA Knowledge Exchange</a></div> </section> </div> </div></div> Wed, 22 May 2024 11:06:59 -0500 Disease Management /news/headline/2024-01-31-cms-model-targets-medicaid-access-gene-therapies-sickle-cell-disease <p>The Cell and Gene Therapy Access Model, which seeks to increase access to treatments for Medicaid enrollees with rare and severe diseases, will initially focus on sickle cell disease, the Centers for Medicare & Medicaid Services <a href="https://www.cms.gov/newsroom/press-releases/biden-harris-administration-announces-action-increase-access-sickle-cell-disease-treatments" target="_blank">announced</a>. The genetic blood disorder affects over 100,000 Americans, most of whom are Black and at least half of whom are enrolled in Medicaid. The model will begin in 2025.</p><p>“Gene therapies for sickle cell disease have the potential to treat this devastating condition and transform people’s lives, offering them a chance to live healthier and potentially avoid associated health issues,” said CMS Administrator Chiquita Brooks-LaSure. “Increasing access to these promising therapies will not only help keep people healthy, but it can also lead to savings for states and taxpayers as the long-term costs of treating sickle cell disease may be avoided.”</p> Wed, 31 Jan 2024 15:00:52 -0600 Disease Management /news/headline/2023-06-02-update-patients-identified-25-states-reported-risk-fungal-meningitis-tied-mexican-health-clinics <p>The Centers for Disease Control and Prevention is <a href="https://emergency.cdc.gov/han/2023/han00492.asp" target="_blank">following up</a> on a previous alert of an outbreak of suspected fungal meningitis in Texas, which is now significantly expanded to multiple states. A total of 212 residents in 25 U.S. states and jurisdictions have been identified who might be at risk of fungal meningitis because they received epidural anesthesia at clinics in Matamoros, Mexico, during cosmetic procedures. The CDC is urging all patients, including those without symptoms, who underwent medical or surgical procedures under epidural anesthesia at River Side Surgical Center or Clinica K-3 in Matamoros, Mexico, since Jan. 1, 2023, should be evaluated for fungal meningitis as soon as possible. Health care providers should immediately report possible fungal meningitis cases possibly related to this outbreak to their state or local health department.</p> Fri, 02 Jun 2023 14:13:53 -0500 Disease Management /news/headline/2023-05-10-task-force-recommends-biennial-mammograms-starting-40 <p>The U.S. Preventive Services Task Force yesterday released for public comment through June 5 a draft <a href="https://uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/breast-cancer-screening-draft-rec-bulletin.pdf" target="_blank">recommendation</a> that all women get screened for breast cancer every other year starting at age 40. The panel previously recommended that women in their 40s make an individual decision about when to start screening based on their health history and preferences. The draft recommendation applies to women at average risk of breast cancer, including people with a family history of breast cancer and people who have other risk factors, such as having dense breasts. It does not apply to people who have a personal history of breast cancer; very high risk of breast cancer due to certain genetic markers or high-dose radiation therapy to their chest at a young age; or a high-risk lesion on previous biopsies. <br />  <br /> “New and more inclusive science about breast cancer in people younger than 50 has enabled us to expand our prior recommendation and encourage all women to get screened every other year starting at age 40,” said Carol Mangione, M.D., immediate past chair for the task force.</p> Wed, 10 May 2023 15:09:25 -0500 Disease Management /case-studies/2023-05-10-mlk-community-healthcare-california <div class="container"> <div class="row"> <div class="col-md-8"> <h2><span>Overview</span></h2> <p><img alt="MLK Community Healthcare, California." data-entity-type="file" data-entity-uuid="e4328679-be7a-4b3c-b3cb-38c3f985f17e" src="/sites/default/files/inline-images/MLK-Community-Healthcare-California.jpg" width="513" height="227" class="align-right">When MLK Community Healthcare – a hospital and health system – opened in South Los Angeles in 2015, its leadership made a bold promise: to deliver a state-of-the-art facility with talented and culturally-aligned clinicians and staff in one of the nation’s most marginalized communities. As its founding mission, MLK Community Healthcare provides quality collaborative care to its patients. Its vision is to improve the health of the entire community.</p> <p>Today, MLK Community Healthcare provides inpatient care that includes highly specialized services, including award-winning diabetes care and maternity care its all-digital, 131-bed hospital. Its nonprofit physician group, MLK Community Medical Group, provides community-based care through a network of outpatient practice sites, offering the kind of primary and specialty care, behavioral health, and education that residents throughout South Los Angeles have historically lacked to address chronic conditions that are prevalent at three times the state average.</p> <blockquote> <h3><span><em>"For MLK Community Healthcare, delivering quality care is an act of social justice.”</em></span></h3> <p><span><strong>Dyan Sublett</strong></span><br> President, MLK Community Health Foundation</p> </blockquote> <p>MLK Community Healthcare was established through a public-private partnership unique in the state of California. Largely due to its private management organizational structure, the hospital is able to innovate, respond nimbly to patient needs, invest in cutting-edge technology, and maintain high-quality standards. MLK Community Healthcare has earned multiple awards and distinctions for its commitment to quality care, including a HIMMS level 7 rating for its use of health information technology and a five-star rating for quality from the Centers for Medicare & Medicaid Services (CMS). Notably, only 6.4% of hospitals in the nation are at HIMMS 7. In addition, only 13% of all hospitals receive a CMS five-star rating; it is even more rare among hospitals whose patient populations are predominantly covered by Medicaid or Medi-Cal.</p> <h2><span>Patient–Payer Mix</span></h2> <p>As a Metropolitan Anchor Hospital (MAH), MLK Community Healthcare continues to be guided by the belief that all patients – no matter their insurance status – deserve access to high-quality primary and specialty care services. MLK Community Healthcare is located in federally designated Medically Underserved and Healthcare Professional Shortage Areas, and it experiences a challenging patient-payer mix. Ninety-six percent of MLK Community Healthcare patients are publicly insured or uninsured, placing an extreme burden on the finances of a health system unable to crosss-ubsidize with commercial insurance.</p> <p>MLK Community Healthcare serves one of the most diverse communities in the state—94% of its patients in 2022 were Black or Brown. Decades of systemic racism and neglect are reflected in the community’s disproportionately high health and social needs. For example, life expectancy in MLK Community Healthcare’s service area is ten years lower than the rest of California and the median per capita income is $16,927—less than half of the state average.</p> <p>Chronic health conditions are disproportionately prevalent in the MLK Community Healthcare service area. The rate of diabetes is three times that of the rest of the state, while mortality from diabetes is 72% higher. Amputations and diabetic wound care are among the most commonly performed procedures at the hospital. In 2022, the prevalence of substance use disorder among MLK Community Healthcare patients was three times the state rate, and the number of patients with heart failure was twice as high as the statewide average. This high prevalence of chronic conditions means that MLK Community Healthcare’s patients are at an increased risk for complications, including severe symptoms from COVID-19. During the height of the pandemic, MLK Community Healthcare saw more COVID-19 patients than hospitals three to four times its size throughout Los Angeles County and was included by Becker’s Review among the 14 most highly impacted hospitals for COVID-19 in the nation.</p> <h2><span>MLK Community Healthcare's Unique Approach to Care</span></h2> <p>MLK Community Healthcare offers numerous programs to promote equal access to care and address community members’ basic and emergent health care needs:</p> <h3><span>Emergency Department</span></h3> <p>Given the lack of health care resources outside the walls of MLK Community Healthcare, community members often come to the Emergency Department to receive basic services. Even women seeking routine pregnancy-related services are cared for—and given follow-up appointments— to ensure their health and recovery. The hospital is also renowned for its triage services. Due to the use of MLK Community Healthcare’s ED for both urgent and primary care services, a department designed for 40,000 patients each year has stretched its resources to serve up to 116,000 patients annually. Yet, this has not compromised its performance. Due to process innovations, wait times are less than two hours and the Left Without Being Seen rate is the lowest among all hospitals in the area.</p> <h3><span>Investment in a Service-Oriented Health Care Workforce</span></h3> <p>Wealthy communities in Los Angeles have ten times the number of physicians located in the community than that which MLK Community Healthcare serves. To bridge this gap, MLK Community Healthcare secured over $20 million in private philanthropy to subsidize doctors’ and nurses’ salaries – helping attract a strong, service-oriented workforce, including specialists in the chronic health conditions that are disproportionately prevalent among MLK Community Healthcare’s patients.</p> <h3><span>Disease Management</span></h3> <p>For many MLK Community Healthcare patients living with multiple chronic conditions, health care services must extend beyond primary care. That’s why MLK Community Healthcare has invested in the creation of a Diabetes Center of Excellence, implementing a range of services designed to prevent avoidable ED visits and slow the progression of disease through self-management, specialized education, peer support, and a fresh produce program for food insecure patients.</p> <h3><span>Integrated Behavioral Health</span></h3> <p>An average of 10,000 patients come to the MLK Community Healthcare ED with behavioral health needs each year. With philanthropic support, MLK Community Healthcare tested an innovative pilot program integrating medical and behavioral health care in the emergency and inpatient environment with long-term follow-up treatment in the outpatient environment. The pilot program was successful and is now a signature approach for effective behavioral health care.</p> <h2><span>Metropolitan Anchor Hospitals Need Support</span></h2> <p>Since its opening, MLK Community Healthcare has provided consistent, quality care to individuals in the historically underserved communities of South Los Angeles. Serving 1.3 million residents, MLK Community Healthcare continues to be guided by the unwavering belief that all communities deserve equal access to quality care and services. Its five-star CMS rating, cutting-edge technology, culturally aligned staff and renowned medical professionals demonstrate its commitment to this principle of health equity.</p> <p>The costs of treating highly complex patients without supplemental payments necessary to adequately cover their care exacerbate the heightened financial challenges MLK Community Healthcare faces from rising labor costs and inflation – threatening its ability to invest in new technologies, attract staff through competitive compensation packages, and offer much-needed preventive and specialized care services.</p> <p>While MLK Community Healthcare is committed to providing a high standard of care and is taking steps to halt decades-long trends of neglect and poor health outcomes, a federal Metropolitan Anchor Hospital designation and more adequate, sustained financial support are critical to realizing this mission.</p> </div> <div class="col-md-4"> <div class="external-link spacer"><a class="btn btn-wide btn-primary" href="/guidesreports/2022-10-21-exploring-metropolitan-anchor-hospitals-and-communities-they-serve" target="_blank" title="Click here to read the Exploring Metropolitan Anchor Hospitals and the Communities They Serve report and download the PDF.">Read the Exploring Metropolitan Anchor Hospitals and the Communities They Serve report</a></div> <p><a href="/system/files/media/file/2023/05/MLK-Community-Healthcare-California-MAH-Case%20Study-" target="_blank" title="Click here to download the MLK Community Healthcare, California: Metropolitan Anchor Hospitals (MAH)case study PDF."><img alt="MLK Community Healthcare, California: Metropolitan Anchor Hospital (MAH) case study page 1." data-entity-type="file" data-entity-uuid="6155c4ad-1696-45a4-8897-4ffe55dccd7d" src="/sites/default/files/inline-images/Page-1-MLK-Community-Healthcare-California-MAH-Case%20Study.png" width="695" height="900"></a></p> <hr><div class="views-element-container"> <section class="top-level-view js-view-dom-id-179856ff5cd2c845092b5c0dae95c448f7ae0f27e91423281aefbfd64f7314fb resource-block"> <h2 id="mahcasestudies">Metropolitan Anchor Hospital Case Studies</h2> <div class="resource-wrapper"> <div class="resource-view"> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/2024-01-04-adventist-health-bakersfield-california" hreflang="en">Adventist Health Bakersfield | California</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2024-01-04T08:41:22-06:00">Jan 4, 2024</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-12-05-henry-ford-hospital-michigan" hreflang="en">Henry Ford Hospital | Michigan</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-12-05T10:22:49-06:00">Dec 5, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-field-access-level"> <div class="field-content"> <div class="meta custom-lock-position"> <div class="views-field-access-level access-type-public" data-toggle="tooltip" data-placement="bottom" title="Members only"><a href="/taxonomy/term/278" hreflang="en">Public</a></div> </div></div> </div><div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-10-25-denver-health-system-colorado" hreflang="en">Denver Health System | Colorado</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-10-25T06:00:00-05:00">Oct 25, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-05-12-broadlawns-medical-center-iowa" hreflang="en">Broadlawns Medical Center | Iowa</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-05-12T15:13:18-05:00">May 12, 2023</time> </span> </div></div> <div class="article views-row"> <div class="views-field views-field-title"> <span class="field-content"><a href="/case-studies/2023-05-10-mlk-community-healthcare-california" hreflang="en">MLK Community Healthcare | California</a></span> </div><div class="views-field views-field-created"> <span class="field-content"><time datetime="2023-05-10T08:48:40-05:00">May 10, 2023</time> </span> </div></div> </div> </div> <div class="more-link"><a href="/mah-case-studies">More MAH Case Studies</a></div> </section> </div> </div> </div> </div> Wed, 10 May 2023 08:48:40 -0500 Disease Management /news/headline/2022-10-28-aha-justlead-podcast-joining-forces-beat-back-type-2-diabetes <p>In the latest podcast in AHA’s Advancing Health podcast series on leading initiatives to transform care and advance equity, leaders from Montage Health and Salinas Valley Memorial Healthcare System in California share how the health systems collaborated to reduce Type 2 diabetes in their communities, an initiative AHA recognized with a 2022 Dick Davidson NOVA Award. <strong><a href="/advancing-health-podcast/2022-10-28-justlead-featuring-salinas-valley-memorial-health-and-montage-health" target="_blank">LISTEN NOW</a></strong></p> <p>AHA encourages hospitals and health systems to apply for its 2023 Dick Davidson NOVA Award by Nov. 16. <strong><a href="/about/awards/aha-nova-award" target="_blank">LEARN MORE</a></strong></p> Fri, 28 Oct 2022 14:35:42 -0500 Disease Management /news/headline/2022-09-14-cdc-confirms-vaccine-derived-poliovirus-circulating-us <p>The recent paralytic polio case in an unvaccinated adult in Rockland County, N.Y. and wastewater samples from communities near the patient’s residence meet the World Health Organization’s criteria for circulating vaccine-derived poliovirus, the Centers for Disease Control and Prevention <a href="https://www.cdc.gov/media/releases/2022/s0913-polio.html">announced</a> yesterday. Genetic sequences from the virus in the patient and wastewater specimens have been linked to wastewater samples in Jerusalem and London, indicating community transmission, CDC said.<br />  <br /> Thirty other countries have circulating vaccine-derived poliovirus, which is not caused by the polio vaccine but occurs when local immunity to poliovirus is low enough to allow prolonged transmission of the original weakened virus in the oral polio vaccine. Oral polio vaccine has not been used or licensed in the U.S. since 2000 but continues to be used in some countries. N.Y. Governor Kathy Hochul last week declared a state emergency to help expand vaccination efforts and surveillance. <br />  <br /> “Polio vaccination is the safest and best way to fight this debilitating disease and it is imperative that people in these communities who are unvaccinated get up to date on polio vaccination right away,” said Dr. José R. Romero, director of CDC’s National Center for Immunization and Respiratory Diseases. “We cannot emphasize enough that polio is a dangerous disease for which there is no cure.”</p> Wed, 14 Sep 2022 15:43:26 -0500 Disease Management /aha-center-health-innovation-market-scan/2022-05-03-how-uofu-health-benefiting-intensive-behavioral <div class="container"> <div class="row"> <div class="col-md-8"> <p><img alt="How UofU Health Is Benefiting from Intensive Behavioral and Physical Health Care. A multi-color swirling pattern revealing two faces in profile within it." data-entity-type="file" data-entity-uuid="13040a6e-1e3c-4b65-8699-f6b3f73c9758" src="/sites/default/files/inline-images/How-UofU-Health-Is-Benefiting-from-Intensive-Behavioral-and-Physical-Health-Care.jpg" width="620" height="381"></p> <p>Like many health systems, <a href="https://healthcare.utah.edu/" target="_blank" title="University of Utah Health homepage">University of Utah Health</a> has been focused on the best ways to treat patients with multiple risks that include physical, psychiatric and substance-use disorders.</p> <p>Taking an intensive integrated approach to primary and behavioral health care has enabled the system to improve outcomes and reduce costs. Through its <a href="https://healthcare.utah.edu/locations/intensive-outpatient-clinic/" target="_blank" title="University of Utah Health: Intensive Outpatient Clinic landing page">intensive outpatient care program</a> (IOCP), UofU Health is taking a deeper look at patients with multiple, complex medical and behavioral health issues, notes Peter Weir, M.D., executive medical director of population health.</p> <h2>UofU’s Intensive Outpatient Clinic Model</h2> <p>UofU’s IOCP is a primary care clinic for high-risk, high-need Medicaid patients. The clinic was designed to demonstrate financial sustainability while providing comprehensive care to patients with multiple needs. It features a team of multidisciplinary clinicians including both primary care, behavioral health and substance-use treatment providers as well as social workers with experience in providing trauma-informed care. These clinicians all work together to treat both the physical, mental and social needs of a defined patient population.</p> <h2>The Benefits of an Intensive Approach to Outpatient Care</h2> <p>UofU Health established the IOCP in response to a need for innovative care models for the highest-risk and highest-cost patients. Weir, a pioneer in integrated health care, and his colleagues based their approach on other integrated clinical models that were successful in reducing hospitalizations while improving patient adherence to treatment protocols — a key factor in improving patient outcomes.</p> <p>Weir was an author of a study that was published in <a href="https://academic.oup.com/tbm/article/10/5/1187/5921055" target="_blank" title="Translational Behavioral Medicine: A systematic review of intensive outpatient care programs for high-need, high-cost patients">Translational Behavioral Medicine</a>. The study examined the effectiveness of IOCPs in achieving overarching goals of reducing emergency department visits and hospitalizations, and improving care continuity and patient outcomes.</p> <h3>The study found that IOCPs improve patient outcomes by:</h3> <ul> <li>Significantly lowering hospital admissions — with a 54% reduction of admissions at six months and a 46% reduction in admissions at 12 months.</li> <li>Lowering emergency department visits — with a 25% reduction at six months.</li> <li>Reducing length of hospital stays.</li> </ul> <h2>How Establishing an Integrated Approach Impacts Costs</h2> <p>The cost of developing a multidisciplinary care team is a perceived obstacle to creating an integrated model. However, just the opposite is true. “Our hypothesis was that we could reduce unnecessary costs by more than what we would internally cost to function. That’s what ended up working out,” Weir said in a recent <a href="https://stateofreform.com/featured/2022/03/qa-u-of-u-medical-director-discusses-clinic-successfully-addressing-sdoh/" target="_blank" title="State of Reform: Q&A: U of U medical director discusses clinic successfully addressing SDOH ">interview</a>.</p> <p>A 2019 <a href="https://jamanetwork.com/journals/jama/fullarticle/2755315" target="_blank" title="JAMA: To Control Costs Expand Managed Care and Managed Competition">Journal of the American Medical Association (JAMA) study</a> reported that large health systems can save millions annually by providing comprehensive integrated health services. A separate <a href="https://jamanetwork.com/journals/jama/fullarticle/2545685" target="_blank" title="JAMA: Association of Integrated Team-Based Care With Health Care Quality, Utilization, and Cost">JAMA study</a> reported on a 10-year study of Intermountain Healthcare’s integrated team-based care practices. The study, one of the largest of its kind, found that payments to providers in team-based practices resulted in a savings of 3.3% over traditional practices. The provider payments amounted to less than the investment costs Intermountain incurred in creating a team-based model.</p> <p>Some health systems find external funding sources to support behavioral health integration. New Jersey-based <a href="/system/files/media/file/2021/11/FINAL_mia_cs_behavioral_hackensack-meridian.pdf" target="_blank" title="Members in Action Case Study: Intregrating Physical and Behavioral Health—Hackensack Meridian Health | Hackensack, NJ">Hackensack Meridian Health</a> secured more than $5 million annually in federal and state primary care funding to develop specialized programs with integrated behavioral health services.</p> <p>An <a href="/system/files/media/file/2019/05/aha-trendwatch-behavioral-health-2019.pdf" target="_blank" title="Trendwatch: Increasing Access to Behavioral Health Care Advances Value for Patients, Providers and Communities">AHA Trendwatch report</a> offers additional examples of the cost benefits of integrating behavioral and physical care.</p> <p>In a normal fee-for-service environment, hospitals don’t have the resources to adequately address the social factors influencing health, Weir notes. “It’s a mismatch between the payment model and the care model,” he said. “We flipped the equation. We changed it so that success is improving health and reducing costs — not generating revenue.”</p> <p><strong>LEARN MORE:</strong> <em>Visit the <a href="/behavioral-health-physical-behavioral-health-integration-resources">AHA’s Physical and Behavioral Health Integration Resources webpage</a> for information on how hospitals and health systems successfully integrate behavioral health into their existing care, as well as research and thought leadership resources on the impacts of that integration. And listen to an <a href="/advancing-health-podcast/2022-04-26-live-aha-annual-meeting-importance-integrating-behavioral-and" target="_blank" title="Live from AHA Annual Meeting: Importance of Integrating Behavioral and Primary Health">AHA podcast</a> on the importance of integrating behavioral and physical care.</em></p> </div> <div class="col-md-4"> <p><a href="/center" title="Visit the AHA Center for Health Innovation landing page."><img alt="AHA Center for Health Innovation logo" data-entity- data-entity-uuid="7ade6b12-de98-4d0b-965f-a7c99d9463c5" src="/sites/default/files/inline-images/logo-aha-innovation-center-color-sm.jpg" type="file" class="align-center"></a></p> <a href="/center/form/innovation-subscription"><img alt data-entity-type data-entity-uuid src="/sites/default/files/2019-04/Market_Scan_Call_Out_360x300.png"></a></div> </div> </div> .field_featured_image { position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } .featured-image{ position: absolute; overflow: hidden; clip: rect(0 0 0 0); height: 1px; width: 1px; margin: -1px; padding: 0; border: 0; } Tue, 03 May 2022 06:15:00 -0500 Disease Management