Managed Care

 

It's Just That Simple

It's Just That Simple

Steven Peskin, MD

After grand rounds this morning at the University Medical Center at Princeton, the director of the recently created transitional care program, Kathleen H. Seneca, MSN, was speaking with one of our nephrologists about the purpose of the program. It fills the transitional gap for people discharged from the hospital that do not qualify (in terms of reimbursement guidelines) for home care, but would benefit from additional education, care planning, and hands-on instruction.

The director noted that, for example, these patients might learn something as simple as recording daily weight. They might learn what to do in the event of weight gain in a person with congestive heart failure or advanced kidney disease.

Another example is the time-tested “brown bag” visit, whereby the clinician, in this case an advanced practice nurse, reviews medications — when to take them, how to take them — potentially finding duplications, medications that were to be discontinued after discharge, or ones that were to be re-initiated after discharge.

It's about time! To paraphrase the nephrologist, “I can’t tell you how many times a patient is admitted three, four, five or six times a year for the same issue” that was not properly addressed in the transition from hospital to home.

The readers of Managed Care are likely saying, “Tell me something that I don’t already know.” My point: Take action! It really is just that simple.

Steven Peskin, MD, MBA, FACP
Executive Vice President and Chief Medical Officer
of MediMedia, USA, which publishes Managed Care

Meetings

Pharmaceutical Pricing and Contracting Conference Philadelphia, PA September 22–23, 2014
Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014