Innovaccer’s Post

Identifying high-risk senior patients is not just a clinical priority but an operational one. By pinpointing these individuals, primary care physicians can ensure targeted care delivery and cost-effective healthcare management, leading to better health outcomes for their patients. Learn about the resources that our full-risk, #ValueBasedCare model provides physicians for effective risk identification:

Best Care in primary care, an innovative not-for-profit model made in Ontario, is transforming healthcare for vulnerable patients with chronic diseases like COPD. Currently serving 20,000 patients and collaborating with 1,100 primary care providers at 240 sites in Ontario, Best Care embeds a Certified Integrated Disease Management Clinician (CIC) within primary care practices to ensure top-quality care aligned with Health Quality Ontario standards. In the midst of unprecedented health system challenges in Ontario, with 1,326 people on stretchers in emergency departments daily by the end of 2023, Best Care's impact is pivotal. With over 900,000 individuals in Ontario living with COPD and related conditions, the program addresses acute health system expenditures exceeding $600 million annually while enhancing patients' quality of life and reducing hospitalizations. Best Care's success in Southwestern Ontario alone speaks volumes, avoiding 24,766 hospital bed days and replacing 22,000 primary care visits in Ontario Health West, saving over $31 million in hospitalization costs. With an initial $4.8 million investment from Ontario Health, the program has already generated a significant 4:1 return on investment, showcasing its efficiency and effectiveness. The expansion of Best Care province-wide holds the promise of bridging health disparities and promoting equity, especially in remote and rural communities. Ontario stands poised to set the standard for delivering optimal care to millions living with chronic conditions, paving the way for substantial cost savings and a healthier future for all.

https://lnkd.in/gS6EwaSj Quantifying sustained health system benefits of primary care-based integrated disease management for COPD: a 6-year interrupted time series study Published evidence on Best Care continues to grow and this article in BMJ is just one of many that demonstrates the impact of a primary care chronic disease program on health system usage and quality of care. Next steps: HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICY ⇒ Strong supporting evidence for the real-world effectiveness of COPD IDM highlights that a substantial opportunity to improve health system performance and patient outcomes may exist, warranting IDM evaluation in different settings globally.

📊 Care transitions play a critical role in patient outcomes—and it’s time we treat them as such. 📊 The latest study in the AJMC - The American Journal of Managed Care underscores the tangible impact of care transition activities (CTAs) and Transitional Care Management (TCM) on Medicare patient outcomes. The results speak for themselves: hospitals that emphasize comprehensive CTAs and #TCM saw significantly lower readmission rates, reduced spending, and better overall patient outcomes. In a healthcare system increasingly moving toward value-based care, these findings reinforce the importance of optimizing care transitions, reducing miscommunication, and enhancing follow-up care. As we continue to build smarter, more patient-centered systems, the value of well-implemented, evidence-based interventions can’t be overstated. Check out the full study here for deeper insights into how hospitals can not only improve outcomes but also lower costs by prioritizing these critical moments in care. 🔗 https://lnkd.in/eCNnfvPf #CareTransitions #ValueBasedCare #PatientOutcomes #HealthcareInnovation #TransitionalCare #Medicare #HealthcareLeadership #ResponsibleAI #ACO #AccountableCareOrganizations #VBC

Great information on the move to integrated chronic disease care in this Blog from our CMO!

🌟 Our CMO Dr. Arnold Saperstein discusses the shift from point solutions to integrated chronic care. With more than 2 in 5 adults in the U.S. managing multiple chronic conditions, it's time to rethink your chronic care management strategies. Discover how an #integratedchroniccare solution offers #personalizedcare, better #patientengagement, and more cost-effective outcomes across your population. Let's redefine #healthcare delivery together! Learn more: https://lnkd.in/eN6-CWqu

Let's explore a topic that could be very helpful for ACOs, especially new ACOs… Identifying, engaging, and managing ACO patients with poorly coordinated primary care. Read more here: https://okt.to/1dOjk2 #accountablecare

It took me years to understand the importance of tailoring care to meet kidney patients' unique needs effectively. It took me *months* to refine my approach. Now, I can empower patients to manage their health proactively in a fraction of the time. Here's my framework: 💥 Listen actively to patients' concerns and preferences. 💥 Customize care plans to address individual challenges and goals. 💥 Educate and support patients in self-management strategies. Accelerate your journey towards personalized kidney patient care with this proven framework. https://lnkd.in/ekkYVt2N #kidneypatientcare #patientempowerment #individualizedcare #kidneyhealth #ampinghealth

Structured support programs are transforming heart failure management, showing long-term benefits in reducing hospitalizations and mortality. Standardizing these interventions could enhance patient outcomes and healthcare efficiency. #IQWIG #RegulatoryAgencies #HeartFailure #Publications #HealthcareInnovation #MarketAccessToday #MarketAccess

Leveraging the huge quantity of data accessible, healthcare institutions can get useful insights about medication types, symptoms, and the frequency of medical visits, allowing them to deliver precise preventative treatment. This not only minimises hospital admissions, but it also guarantees that limited resources are directed towards those in most need, eventually saving lives and increasing patient care quality. #Nirmalya #NERP #HealthcareData #DataDrivenCare #PreventativeCare #MedicalInsights #PatientCare #HealthcareAnalytics #DataInHealthcare #HealthTech #ImprovePatientCare #ResourceAllocation https://lnkd.in/dURTgGZ3