Embedded Care Coordination for At-Risk Populations: A Case Study from Yale New Haven Health System

Embedded Care Coordination for At-Risk Populations:
A Case Study from Yale New Haven Health System

Yale New Haven Health System has a three-pronged approach to embedded care coordination for three distinct populations for which it has assumed financial accountability in an evolving value-based healthcare system.

From its self-insured employee covered lives to a patient-centered medical home within its employed physicians and a geriatric home-based care model, YNHHS' embedded care coordinators make face-to-face contact in its employee work sites, at primary care practices and with home-bound seniors, as well as conduct telephonic outreach via centralized locations.

During Embedded Care Coordination for At-Risk Populations: A Case Study from Yale New Haven Health System, 45-minute webinar on June 18th at 1:30 p.m. Eastern, Amanda Skinner, executive director, clinical integration and population health, Yale New Haven Health System, and Vivian Argento, executive director, geriatric and palliative care services, Bridgeport Hospital, will share the critical role that these various embedded care coordinators play as the organization takes on more financial risk for its employees and other covered lives.

Register for the webinar today or order your training DVD or CD:
http://store.hin.com/product.asp?itemid=5051

Embedded Care Coordination for At-Risk Populations: A Case Study from Yale New Haven Health System

You will learn:

  • How YNHHS uses health coaches and case managers embedded in its work sites to coordinate care, promote lifestyle changes and the dual wellness role of the health coaches;
  • The hybrid embedded care coordinator approach—at the practice site or via centralized location—that YNHHS has adopted in its PCMH primary care practices, with factors ranging from practice and panel size to population mix;
  • The key features of YNHHS' home-based care model for homebound seniors that pairs a geriatrician with a care coordinator in a team-based model of care;
  • How YNHHS is addressing the key challenges of embedded care coordination in a value-based reimbursement system, including "coordinating" the care coordinators, building trusting relationships between care coordinators and the patients they serve, demonstrating the value of the program and getting accurate, up-to-date patient information to provide true patient-centered care;
  • The impact embedded care coordinators are having on compliance with evidence-based standards of care, utilization patterns including emergency room visits, admissions, readmissions and length of stay and total cost of care and how YNHHS uses patient financial incentives to encourage appropriate utilization of healthcare services; and
  • How the embedded care coordinator program will benefit from planned enhancements at YNHHS, including the deployment of a clinically integrated network for its large base of community practices and the use of an automated outreach platform to help close gaps in care.

You can "attend" this program right in your office. It's so convenient! Invite your staff members to participate in the conference. We will send you a login to access the webinar or a DVD or CD-ROM of the conference proceedings once it's available for shipping.

You'll also have the opportunity to have all of your questions answered by Amanda Skinner during the interactive question and answer session. You'll get answers to your questions and challenges on using embedded care coordinators to manage at-risk populations.

To register for the conference, the on-demand re-broadcast or MP3 download file or order the training DVD or CD-ROM of Embedded Care Coordination for At-Risk Populations: A Case Study from Yale New Haven Health System, please visit:
http://store.hin.com/product.asp?itemid=5051

I hope you find it useful.

Cordially,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network

P.S. -- You may also be interested in these embedded case management resources: