Remove Care Transition Remove Nursing Remove Prevention Remove Primary Care
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Revenue Up, Readmissions Down: Top Benefits of Care Collaboration Technology

Home Health Care

All of these capabilities support better care transitions, which Fischer calls “one of the biggest gaps in health care.”. Upon discharge of a patient, their primary care physician will get a CCD that can be 300-to-500 pages of details no one is interested in,” Fischer says. “We

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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. CDC Centers for Disease Control and Prevention. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. USPSTF United States Preventative Services Task Force. SPA State Plan Amendment.

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Community Health Worker Models

NASHP

Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program. The PCCM program incentivizes primary care providers to incorporate CHWs into their care coordination model by offering a higher per-member per-month (PMPM) case management payment.

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State Maternal Mortality Review Committees Address Substance Use Disorder and Mental Health to Improve Maternal Health

NASHP

MMRCs analyze these deaths that occur in their state each year and make recommendations to prevent them. [5] 5] These suggested changes often target individuals, hospitals, providers, and the broader health care system. Due to the pandemic, prenatal care visits decreased and maternal mental health conditions increased. [7]

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What Hospital Success Looks Like Under Value-Based Care

HIT Consultant

With the right technology, providers can monitor patients across the continuum, identify when patients present to the ED, intervene in a timely manner, and reroute patients to a less costly level of care. Identify the appropriate next site of care post-hospital discharge. Optimize skilled nursing facility length of stay.

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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Primary care clinical goal (dated).