In its 2014 report, Dying in America, the Institute of Medicine identified several areas for improvement in the care of those with life-limiting illness, including inadequate advance care planning and a lack of payment systems supporting high quality end of life care. Since then, we can point to two notable achievements in support the IOM report’s call for improvement: the proliferation of bundled payment programs and two E&M codes for advance care planning. I believe these developments will make it possible for more patients with serious illness to receive palliative care, as for the first time incentives are aligned between patients’ desires and how care is paid for.
Early Mobility is Key to Recovery and Home Discharge
We know that, more than principal diagnosis and comorbidities, patients’ functional mobility determines their trajectory during recovery.1 When patients are hospitalized, we impose a state of immobility in order to treat their acute illness. What results is a state of compromised independence that is associated with functional decline, falls, increased length of stay, delirium, loss of ability to perform activities of daily living and loss of ambulatory ability.
Remedy's Innovation Collaborative in Orlando
Remedy’s Transitional Care Institute hosted a Model 3 Skilled Nursing Facility Innovation Collaborative in Orlando, FL., with the generous support from sponsors, HealthMEDX, MatrixCare, and PointClickCare. More than 400 healthcare professionals, including leadership from over 90% of our SNF businesses, joined us for expert panels. The topics ranged from how to tell stories through data to how best to connect skilled nursing facilities with acute healthcare providers, keynotes from industry leaders, and even tai chi.
Remedy Partners has developed a complete operating system for managing bundled payment programs. Episode Connect is the only enterprise software for BPCI program administration.
We like to think of it as the connective tissue between administrators, nurses, physicians, case managers, patients and families.
This premier tool for enabling a quality value-based care program is delivered via web and mobile devices for your convenience. Episode Connect provides portals for patients, providers and administrators.
Actionable Intelligence. Decision Support. Only From Remedy
The June 2016 issue of Today's Hospitalist, the leading publication for inpatient physicians, extensively quotes Remedy Partners’ Chief Medical Officer Win Whitcomb, MD in How to Succeed with Bundled Payments.
Win Whitcomb, Chief Medical Officer of Remedy Partners shares his background and thoughts on the evolution of healthcare in Five Questions For...
Selecting the optimal next site of care (NSOC) after hospital discharge has emerged as a core skill for physicians in the era of value-based healthcare. The challenge is that few of us have received formal training in post acute care site selection. When I meet with physicians and discuss NSOC selection, they express a clear desire for guidance on discharge planning as they work with patients, caregivers and the healthcare team. Here is a framework to assist physicians in post acute care selection within the BPCI program.
The Perfect is the Enemy of the Good
Before I started working for Remedy Partners as a Transitional Care Specialist assisting a Model 2 Acute Care Hospital Episode Initiator (EI) in identifying, engaging, and tracking BPCI patients during their episodes of care, one of the nurses preparing me for the job told me that “if you accomplish nothing else… get them to pick up the phone.” Her point was that if we are not able to speak to our patients after discharge then it will be difficult, if not impossible, to influence the outcome of that patient’s recovery. This was some of the best advice that I received but it assumed that we had already identified the patient as a BPCI patient.
Home health care has become an increasingly viable option for individuals seeking post acute care in their own homes, and the selection of home care as the next site of care when appropriate can contribute to success in a bundled payment program. Because there are nuances to the use of home health services in a bundled payment program, Remedy Partners convened two events to address the intersection of the BPCI program and home health services in Florida: the first-ever Home Health Town Hall and a BPCI & HH Symposium.
Darien, CT, May 25, 2016 — Remedy Partners announced today the appointment of Carolyn Magill to the position of Chief Executive Officer. Carolyn assumes the leadership of Remedy at a time of dramatic growth, as the Company expands its software and services to manage bundled payment programs.
Steve Wiggins, Chairman & CEO, Remedy Partners shares his background and thoughts on the evolution of healthcare:
What led you to what you are doing now?
In 1975 my best friend, Mike Pesch, broke his neck and became a quadriplegic and I took a job as an orderly at the Rehabilitation Center he lived in. I worked there almost every day through college and did an Honors Project my senior year envisioning a network of residential environments for people with severe mobility impairments. It led me to create a non-profit organization called Accessible Space in 1978 when I graduated. I've been in healthcare ever since.
A key element of discharge planning - the selection of the next site of care - is more important and more complex than ever before, due in large part to the advent of the BPCI program and the episodic approach to care. Once the realm of laminated checklists, frayed brochures and quick conversations, hospitals are now finding technology to be a powerful tool to assist them in the selection of an appropriate next site of care.
Gene Huang, Remedy Partners Vice President of Business Development, was invited to speak on a panel at LTC 100, the premier leadership and strategy conference for C-level executives from large skilled nursing providers.