Leaders' Guide to Care Coordination

Only $499 (a $1,356 value!)

With population health dictating many of today’s clinical decisions, providers are challenged to craft a service delivery plan that can improve outcomes and efficiency across the continuum.

The Leaders' Guide to Care Coordination combines the most effective and innovative strategies for strengthening care processes across the continuum, as tested by the industry’s top organizations.

Titles in the collection include:

• SIMULCAST - LIVE from Memorial Hermann: A Care Management ACO
• REPORT - Care Coordination: Closing the Gaps Along the Continuum
• WEBCAST - Integrating Behavioral Health: Decreasing Costs and Improving Care
• WEBCAST - How Ascension Senior Living Creates Successful Post-Acute Care Partnerships

LIVE from Memorial Hermann: A Care Management ACO 

Memorial Hermann reveals its multi-pronged approach for their successful Accountable Care Organization. How physician alignment, patient engagement methodologies, and a focus on community health has propelled them to the top.

Delivered via USB drive format, this on-demand webcast will help you:

• Learn how Memorial Hermann Accountable Care Organization led all MSSP ACOs in the program with savings of almost $58 million.
• Discover the power of an innovative care management system linking inpatient and primary care case management to close gaps in the care continuum
• Hear how Memorial Hermann used governance, shared savings and evidence-based best practices to drive successful clinical integration with independent physicians
• Hear Memorial Hermann’s preventative approach to future patient care with a community and school-based health program.

Care Coordination: Closing the Gaps Along the Continuum 

Coordinating care requires information—knowing which patients to focus resources on, which subsequent care steps are appropriate for each patient, the availability and capabilities of the next care provider, and whether the patient has adhered to provider instruction. This report tracks top providers' changing strategies and the essential roles of EHR and specialized coordinators in strengthening the care delivery chain. In this report, you will: 

• Find out how OhioHealth is improving post-operative recovery times and reducing readmissions for coronary artery bypass graft and heart valve patients by locating specialized nurse practitioners within select Skilled Nursing Facilities (SNFs). 
• Learn the strategies leading providers are pursuing to forge stronger collaborative links with PCPs. 
• Find out how specialized care coordinators and quality-assurance RNs can help identify ways to save costs, improve quality, and motivate patient engagement. 
• Find out how Sentara's care coordinators act as an essential communication and support link between patients and their PCPs.

Integrating Behavioral Health: Decreasing Costs and Improving Care 

Behavioral health issues can markedly increase healthcare costs, and with one in four Americans experiencing a mental health issue, finding ways to address patients’ mental health needs is a very real issue. Integrating behavioral healthcare into primary care is a proven means to decreasing costs and improving care, but the prevalence of mental health problems among patients paired with restricted access to behavioral health providers make integration seem daunting. Carolinas HealthCare System has tackled this issue and developed a strategy to optimize resources leading to a truly integrated and financially sustainable model. 

At the conclusion of this program, participants will be able to:

• Understand the growing need to integrate behavioral health into primary care 
• Explore the benefits of a virtual model vs. co-location model 
• Recognize the challenges to integration of behavioral healthcare into primary care models, including the patient-centered medical home 
• Identify tools and measurements for evaluating the effectiveness of an integrated behavioral health program 
• Articulate business reasons for integrating behavioral health into primary care

How Ascension Senior Living Creates Successful Post-Acute Care Partnerships 
With the introduction of 30-day readmission criteria, acute care providers can no longer function as a silo - they must form partnerships with post-acute care providers to improve quality of care across the care continuum. These partnerships can promote better communication, patient hand-off, and outcomes. 

In this 60 minute HealthLeaders Media live webcast, Mr. Jantzen will share his experiences at Ascension Senior Living including:

• The importance of post-acute care and acute care integration 
• Outcomes from the development of post-acute care and acute care relationships
• Managing the cost of care across the continuum
• The evolution of post-acute and acute care partnerships as fee-for-value evolves