Reducing Hospital Readmissions with Low-Cost Interventions

Low-Cost, Low-Tech Medical Home Approaches to
Reducing Readmissions

Evidence is mounting that low-cost interventions by primary care practices —
as basic as making a phone call to a patient — can dramatically reduce
hospitalizations and readmissions among individuals with chronic disease.
Patient-centered medical home (PCMH) activities focused on patient
education, engagement and empowerment are custom-built to reduce
readmissions of the chronically ill and the healthcare spend associated
with these hospitalizations.

Pre-publication savings on Low-Cost Low-Tech Medical Home Approaches to
Reducing Hospital Readmissions

Low-Cost Low-Tech Medical Home Approaches to
Reducing Readmissions
presents case studies
from four healthcare organizations whose use of low-cost,
low-tech tools in their medical homes is already reducing
hospitalizations by up to 36 percent and improving care
for Medicare beneficiaries in general and for patients
with heart failure and diabetes in particular.

To learn more or to order your copy today, contact HIN at
888-446-3530 or visit online at:

In this 60-page special report, get details on:

  • The Group Health Cooperative medical home pilot, which relies heavily
    on what a Group Health executive calls "the most underutilized technology
    in modern medicine, the telephone," and that reduced preventable
    hospitalizations by 11 percent, ER visits by 29 percent and in-person visits
    by 6 percent, according to results published this year in the American
    Journal of Managed Care. Michael Erikson, Group Health's VP of primary care
    services, walks through the Group Health primary care practices, staffing
    models and program rollout tips that have many calling the cooperative
    "a model for healthcare reform."

  • Geisinger Health System's medical home Transitions of Care teams, who
    have seized the opportunity to improve care delivery and outcomes. Janet
    Tomcavage, Geisinger's VP of health services, and Doreen Salek, director,
    business operations of health services for the health plan, share the
    essentials behind the transition teams for Geisinger's medical home pilot
    that have reduced 30-day hospital readmissions by 15 to 20 percent and
    overall healthcare costs by 7 percent while improving patient satisfaction
    and clinical quality indicators. Get the details on Geisinger's case manager
    staffing model, patient self-management action plans and more.

  • Henry Ford Health System's monitoring of high-risk patients by its advanced
    medical home that reduced all-cause hospital admissions among enrollees with
    heart failure by 36 percent after six months and a return of 2.3:1 vs. program
    costs. Katherine Scher, R.N., C.C.M., program manager for the Center for
    Clinical Care Design at Henry Ford Health System, shares the specifics of the
    Michigan non-profit's medical home initiative that improved outcomes while
    relieving some of the burden on Henry Ford's case managers, freeing them to
    work more closely with patients to try to move them into a healthier state.

  • The Community Care of North Carolina (CCNC) medical home case manager
    approach for Medicaid beneficiaries with diabetes that improved process
    measures and implementation of evidence-based best practice guidelines.
    Roberta Burgess, CCNC nurse case manager with Heritage Hospital in Tarboro,
    North Carolina, shares best practice care coordination strategies for diabetic
    patients, with special emphasis on the challenges of delivering disease
    management to Medicaid beneficiaries. This diabetes program was part of a
    larger CCNV initiative that saved the state an estimated $231 million in
    healthcare costs in 2005 and 2006. The benefit of CCNC's medical homes in
    the area of cancer screening and prevention were recently documented in
    the Archives of Internal Medicine.

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within your organization for a one-time fee. To have this valuable resource on your
network, or to inquire about ordering bulk copies in print or Adobe PDF, please e-mail or call at 888-446-3530.

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Low-Cost Low-Tech Medical Home Approaches to
Reducing Hospital Readmissions

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Low-Cost Low-Tech Medical Home Approaches to
Reducing Hospital Readmissions

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