/ en Wed, 30 Apr 2025 21:05:08 -0500 Mon, 15 Jul 24 11:55:47 -0500 /concord/case-studies/post-acute-analytics <div></div><div> /* 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 // */ .Banner_Title_Overlay_Bar h1 { color: #fff; background-color: rgba(255, 255, 255, .0); box-shadow: none; } @media (max-width:530px){ .Banner_Title_Overlay_Bar h1 { background-color:#000; } } <header class="Banner_Title_Overlay_Bar"><img src="/sites/default/files/2023-06/Concord_Investing_banner1_1170x250.jpg" alt="Banner Image" width="1168" height="250"><div><h1>Enabling More Efficient Clinical Review and Care Transitions</h1></div></header></div><div class="raw-html-embed"> /* CntMenuSub */ .CntMenuSub{ margin:20px 0px; padding-bottom: 5px; color: #afb1b1; letter-spacing: 1.5px; font-weight: 400; font-size: 11.2px; } .CntMenuSub a{ text-decoration:none } .CntMenuSub .CntMenuBar{ border-bottom: 1px solid lightblue; } /* if includes a logo */ @media (min-width:361px){ .CntMenuSub.CntMenuSubLogo .CntMenuBar{ margin-top: 10px; float: left; width: calc(100% - 425px); } } @media (max-width:767px) and (min-width:361px){ .CntMenuSub.CntMenuSubLogo .CntMenuBar{ float: left; width: calc(100% - 0px); } .CntMenuSub.CntMenuSubLogo img{ width: auto; } } /* // */ .CntMenuSub .CntMenuBar a:after{ content: "|"; 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display: block; box-shadow: 10px 10px 14px -6px rgba(0,0,0,0.75); -webkit-box-shadow: 10px 10px 14px -6px rgba(0,0,0,0.75); -moz-box-shadow: 10px 10px 14px -6px rgba(0,0,0,0.75); } @media (max-width:767px) { .sp_Resource1 .sp_Resource1_holder img { width: 100%; max-width: 150px; } } .sp_Resource1 .btn { margin-top: 20px; } .sp_Resource1_holder h2 span { color: #d50032; display: block; position: relative; font-size: .8em; } <div class="col-md-10 col-md-offset-1 sp_Resource1_holder"><div class="text-align-center col-sm-4 col-md-3"><a href="/system/files/media/file/2024/07/paa-responsible-ai-clinical-decision-making.pdf" target="_blank" title="Responsible AI: Clinical Decision Making"><img src="/sites/default/files/2024-07/paa-responsible-ai-247x320.jpg" alt="Cover image" width="247" height="320"></a> </div><div class="col-sm-8 col-md-9"> Scan </h3> --><h2><span>Case Study</span> <a href="/system/files/media/file/2024/07/paa-responsible-ai-clinical-decision-making.pdf" target="_blank" title="Responsible AI: Clinical Decision Making">Responsible AI: Clinical Decision Making</a></h2><p>Amid recent investigations into a major healthcare organization and heightened scrutiny of AI use in Medicare Advantage (MA) denials, PAA emphasizes the importance of transparent and accountable AI systems in healthcare.</p><p>The Anna™ platform empowers payors and providers to efficiently manage patients through real-time alerts and clinical insights derived from documentation. Anna’s™ AI and Machine Learning (ML) enhance resource optimization by enabling clinicians to review clinical documentation more efficiently, offering data-driven recommendations for optimal care transitions.</p><p><a class="btn btn-wide btn-primary" href="/system/files/media/file/2024/07/paa-responsible-ai-clinical-decision-making.pdf" target="_blank" title="Responsible AI: Clinical Decision Making"><span>Read Case Study</span></a><span> </span></p></div></div></div> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ <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 class="row spacer"><div class="col-sm-8 col-md-offset-2"><div><a href="https://www.paanalytics.com?utm_source=aha&utm_medium=web&utm_campaign=aha-concord-portcos&utm_term=2024&utm_content=casestudy" target="_blank" title="Learn to Live"><img src="/sites/default/files/2024-07/logo-paa-concord_834x313.jpg" alt="Post Acute Analytics logo" width="417" height="157"></a><h3><a href="https://www.paanalytics.com?utm_source=aha&utm_medium=web&utm_campaign=aha-concord-portcos&utm_term=2024&utm_content=casestudy" target="_blank" title="Post Acute Analytics">Post Acute Analytics</a></h3><p>Post Acute Analytics' solutions revolutionize patient care by replacing traditional processes that lead to longer acute stays, prior authorization denials, and repetitive manual work. Anna™ utilizes Responsible AI that is transparent and ties to established medical criteria, fostering seamless collaboration among care providers. PAA’s platform not only enhances efficiency but also results in improved patient outcomes, reduced costs, and eliminates the inefficiencies associated with manual workflows. With Post Acute Analytics, providers use a data-driven process to create more coordinated, cost-effective, and efficient episodes of care.</p><p>To learn more about Post Acute Analytics <a href="mailto:cdurard@paanalytics.com?subject=I%20would%20like%20to%20learn%20more%20about%20your%20solution&body=I%20would%20like%20to%20learn%20more%20about%20the%20work%20your%20company%20is%20doing%20with%20hospitals%20and%20health%20care%20providers." title="contact Steven Reilly">contact Carrie DuRard</a>.</p></div></div></div> /* y-hr3 */ .y-hr3{ clear: both; } .y-hr3 div:nth-child(2) { border-top: solid 2px lightgrey; margin: 50px 0px; height: 0px } /* y-hr3 // */ <div class="row y-hr3"><div class="col-md-3"> </div><div class="col-md-6"> </div><div class="col-md-3"> </div></div> Mon, 15 Jul 2024 11:55:47 -0500 Care Transitions /education-events/paradigm-shift-health-care-learning-live-tomorrows-future <div class="webreplay"> .webreplay{ border: solid 2px #777; padding: 15px 5px; margin: 0 0 10px 15px; } @media (min-width:360px){ .webreplay{ min-width: 290px; float: right; } } <h2><small>On-demand Webinar</small></h2> MktoForms2.loadForm("//sponsored.aha.org", "734-ZTO-041", 5843); </div> <p><strong>The Paradigm Shift in Health Care — Learning to Live in Tomorrow's Future </strong></p> <p><strong>Thursday, November 12, 2020 </strong><br /> 1<em>1 a.m. -12 p.m. Eastern; 10 – 11a.m. Central; 8 - 9 a.m. Pacific </em></p> <p>Health care leaders face a growing litany of challenges. This year, in light of COVID-19, longstanding challenges — physician burnout, financial distress, regulation changes — have intensified while new ones have emerged. The resulting paradigm shift is an opportunity to rethink current strategies and make the most of available resources to support care teams, recover revenue, and employ technology to reinforce both patient and financial wellness.   <br />   <br /> <strong>Attendees Will Learn:  </strong>  </p> <ul> <li>How to advance the delivery of a more patient-focused, accessible, cost-effective, personalized health care experience, while capturing the full patient narrative.   </li> <li>Where change can come from, including personalization, expanded access, value-based care, technology adoption, empowerment to self-manage or advancing the use of predictive data for decision-making both clinically and operationally.   </li> </ul> <p><strong>Speaker:  </strong><br />   <br /> Robert Budman, MD, MBA, CDI-P  <br /> <em>CMIO  </em><br /> <strong>Nuance Healthcare  </strong></p> Thu, 01 Oct 2020 12:35:34 -0500 Care Transitions /advancing-health-podcast/2020-05-06-tidelands-health-series <p>The ���������� Association has a longstanding commitment to improving access to high quality, affordable treatment services for psychiatric and substance use disorders; commonly referred to has behavioral health disorders. This podcast series will explore one health system’s collaborative work with local and state agencies to collectively improve access to behavioral health care as well as employ preventive steps to reduce the overall need for services.</p> <hr /> <p></p> <div><a href="https://soundcloud.com/advancinghealth" target="_blank" title="Advancing Health">Advancing Health</a> · <a href="https://soundcloud.com/advancinghealth/sets/tidelands-health-series" target="_blank" title="Tidelands Health Series">Tidelands Health Series</a></div> <p> </p> Wed, 06 May 2020 10:02:49 -0500 Care Transitions <h3>What is it?</h3><p>For the last 16 years, North Mississippi Medical Center (NMMC) has hosted the annual Live Well Health Fair. During this event, NMMC and other community organizations partner to offer free seasonal flu shots and free health screenings for anxiety, blood pressure, glaucoma, depression, sleep apnea, body mass index and bone density. Low-cost screenings for blood tests and prostate cancer also are offered. Health professionals are available to provide educational resources, discuss health concerns and answer participants’ questions one-on-one.</p> <h3>Who is it for?</h3><p>Community members in the Tupelo service area.</p> <h3>Why do they do it?</h3><p>This event provides an opportunity to promote wellness through preventive screenings and educational resources.</p> <h3>Impact</h3><p>Attendance each year averages 5,000 to 6,000. NMMC has provided more than 60,000 free flu shots to residents in its service area via the annual Live Well Health Fair.</p> <p><strong>Contact:</strong> Liz Dawson<br>Director, Community Health<br><strong>Telephone:</strong> 662-377-4013<br><strong>E-mail:</strong> <a href="mailto:ldawson@nmhs.net">ldawson@nmhs.net</a></p> Thu, 02 Jan 2014 00:00:00 -0600 Care Transitions /case-studies/2013-01-02-kaweah-delta-medical-center-bridge <h3>What is it?</h3> <p>The Bridge assists patients by linking them with primary health care providers, continuous health insurance, mental health or substance abuse counseling and treatment, housing, and various other social and medical services. The program's main goals are to improve health outcomes, reduce the number of unnecessary emergency department (ED) visits, and stabilize patients' lives by addressing their unmet needs.</p> <h3>Who is it for?</h3> <p>Frequent users of the hospital's ED.</p> <h3>Why do they do it?</h3> <p>Thousands of Tulare County residents regularly use the ED as their primary care provider, resulting in sporadic health care.</p> <h3>Impact</h3> <p>To date, The Bridge has assisted more than 700 patients. For patients with one-year data, ED visits decreased by 44 percent (380 fewer visits) from the year prior to enrollment in the program. As a result, costs for ED visits for these patients decreased 39 percent ($113,049).</p> <p><strong>Contact:</strong> John Tyndal<br /> Program Coordinator<br /> <strong>Telephone:</strong> 559-624-2605<br /> <strong>E-mail:</strong> <a href="mailto:jtyndal@kdhcd.org">jtyndal@kdhcd.org</a></p> Wed, 02 Jan 2013 00:00:00 -0600 Care Transitions /case-studies/2013-01-02-sutter-medical-center-sacramento-interim-care-program <h3>Overview</h3> <p>The Interim Care Program (ICP) provides shelters in Placer and Sacramento counties that offer homeless men and women a place to recuperate from their medical conditions following hospital discharge. The same program, but under a different name – the Transitional Care Program (TCP) – is offered in Solano County. Without this innovative and collaborative program, many homeless adults would be discharged to the street or cared for in an inpatient setting. The program provides patients with a place to stay while they heal and also links them to vital community services. ICP has produced impressive client outcomes by providing “wrap-around” services including connection to a medical home, enrollment in benefits and other programs, and support services for clients.</p> <p>The ICP is designed to offer homeless patients a clean and safe place to heal for up to six weeks, providing comprehensive wrap-around services such as behavioral health services, permanent housing, and supported entry into a “medical home” in the community. Recent enhanced services include transition/processing meetings on-site each week facilitated by a counseling intern to address mental health issues and concerns. This program would not be possible without partnerships with local federally qualified health centers like WellSpace Health in the Sacramento region and La Clinica in Solano County.</p> <p>In addition, Sutter Medical Center and WellSpace Health provide a five-bed Interim Care Program “Plus” (ICP+) for discharged patients. ICP+ is an enhanced version of the ICP, increasing the level of need and accommodating greater support for activities of daily living compared with the ICP.</p> <h3>Impact</h3> <p>The “wrap-around” services provided and the unique collaboration with community-based service providers have resulted in the program being cost-efficient while improving the health outcomes of its participants. The interventions significantly change client utilization patterns, improving clients’ quality of life, providing them with a healthy home in the community, and providing the health care system a significant return on investment. The utilization of both inpatient days and emergency department visits is significantly reduced while individuals are in the program and for six months post-program. In Sacramento and Placer counties, more than 928 patients have successfully discharged from this program, with an average length of stay of 23 days. The ICP provides an 81 percent reduction in inpatient bed days and 33 percent reduction in ED visits. This successful program recently received statewide recognition on California Public Radio. In Solano County, more than 75 clients have been served by the TCP. Of those served by this program, 100 percent of the clients enrolled in eligible programs, 60 percent connected to medical homes, and 60 percent have a new source of income. In 2012, 43 individuals were accepted into the TCP. Of these clients, 19 successfully completed the program and were linked to primary care services, health insurance, and a source of income. Eighty-four percent of these clients were linked to transitional housing or permanent home.</p> <h3>Challenges/success factors</h3> <p>The challenges presented by this patient population are universally unacknowledged outside of the hospital community. Local hospitals in Sacramento, Placer, and Solano counties wanted to be involved in creating a solution that would provide respite housing and, more important, focus on developing a community-wide approach to providing necessary services to the homeless population. After these efforts were initiated and fine-tuned at Sutter Medical Center, Sacramento, ICPs were then started in Solano and Placer counties. As a result, the program has made great progress in connecting a traditionally underserved and vulnerable population to medical care and important resources they wouldn’t have access to on the streets. The ICP model has proved to be a major success, not just for the participating hospitals but, more importantly, for the community as a whole.</p> <h3>Contact:</h3> <p><strong>Gwendolyn Jenkins</strong><br /> ICP Program Manager<br /> WellSpace Health<br /> <a href="mailto:gjenkins@wellspacehealth.org?subject=Interim Care Program query via AHA.org" target="_blank">jenkins@wellspacehealth.org</a></p> <p><strong>Angelina Parker</strong><br /> WellSpace Health<br /> <a href="mailto:aparker@wellspacehealth.org?subject=Interim Care Program query via AHA.org" target="_blank">aparker@wellspacehealth.org</a></p> Wed, 02 Jan 2013 00:00:00 -0600 Care Transitions /case-studies/2012-01-02-washington-regional-medical-system-faith-action <h3>What is it?</h3><p>Since 1996, this volunteer-based program has provided the Northwest Arkansas community with services for seniors, including transportation, shopping, chore assistance, minor home repair, community services linkage and friendly visits.</p> <h3>Who is it for?</h3><p>Area individuals age 60 and older who are homebound and not driving due to aging or disability.</p> <h3>Why do they do it?</h3><p>The program was started to enable seniors to remain in their homes and avoid unnecessary institutionalization. An estimated 70 percent of clients live at or below poverty level.</p> <h3>Impact</h3><p>In 2010, nearly 4,400 individual services and more than 300 group services were provided. Volunteers provided more than 4,250 hours of service. Future goals include developing a systematic approach to reaching the Hispanic community for both volunteers and clients.</p> <p><strong>Contact:</strong> Jaclyn Keeter<br> Program Manager, Faith in Action<br> <strong>Telephone:</strong> 479-463-7860<br> <strong>E-mail:</strong> <a href="mailto:jkeeter@wregional.com">jkeeter@wregional.com</a></p> Mon, 02 Jan 2012 00:00:00 -0600 Care Transitions