• Principle Healthcare Associates


    Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse Practitioner, Physician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates stand head and shoulders above the competition.

    Contact us at PHA email and be sure to visit us at PHA Website

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HIMSS 2013: Mayhem or Magic?

HIMSS 2013:  Mayhem or Magic?

With the closing of the HIMSS13 annual conference, I am reminded of the question posed previously – can health ITs newest ideas reduce cost, improve quality and facilitate patient engagement?  In lieu of the recent sequestration events, continued emphasis on value-based purchasing and a still troubled economy, the battle will likely wage uphill.   On a positive note, providers continue to join the ranks of the digital world in terms of medical records and care coordination…but at an alarmingly slow pace.  And while patients are becoming more interested in accessing and sharing their healthcare data, numerous obstacles plague their efforts.

So, how do we find trifecta – where cost reduction, quality improvement and patient engagement peacefully co-exist?  After stumbling on a conversation with SETMA’s Larry Holly, I am reminded of a key overarching principle – perhaps the fulcrum – being the distinct need for both provider and patient behavior change.  As Dr. Holly shares, while healthcare data and technology have evolved at lightning speed, many of the processes associated with utilization have not.  In order to facilitate population management and patient engagement, systems must promote data exchange, add value to clinicians’ diagnostic/therapeutic processes and strengthen relationships with their patients.  Without these capabilities, even the highly customized EMR and mobile applications currently in existence will fail; instead igniting the angst and ire of their users.

Dr. Holly goes on to point out that organizations need to look internally to find the creativity and energy for change while continuing to leverage external experts in this field and others.  And according to Warner Thomas, Oschner Health System CEO, one such field to explore is the airline industry.  With costs spiraling out of control, the airline industry has been forced to automate and reengineer their processes in order to stay competitive – all in the midst of improving customer satisfaction.  A slippery slope, to say the least.  Healthcare, an inherently conservative and compassionate industry, has enabled  patients and providers seeking to maintain status quo.  And while there a select number of healthcare systems that have partnered with vendors to disrupt this mentality, it will be interesting to see how this theme carries over to the annual meeting of the American College of Healthcare Executives, premiering shortly at Chicago’s Palmer House Hilton.

Reading a quote by Arthur C. Clarke, “Technology, properly applied, is indistinguishable from magic.”, I am reminded that healthcare IT is one part art, one part science.  With the opportunity to realize Warner Thomas’ goals – better quality, lower cost and happier providers – the question is, do you believe in magic?

Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse PractitionerPhysician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates that stand head and shoulders above the competition.

Contact us at PHA email and be sure to visit us at PHA Website

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Collaborating for Care Management Innovation

Collaborating for Care Management Innovation

With the onset of sequestration, Texas stands to lose funding for Head Start services, children’s vaccines and meals for seniors.  Add to this potential losses in law enforcement and education funding, one can see that programs, once aiding children, seniors and the homeless by keeping them out of the emergency room, might cease to address this critical need.  Compound these losses with the pressure being exerted by value based purchasing, and the dilemma becomes magnified tenfold.  As if accountable care organizations, medical homes, hospitals and healthcare systems did not have enough on their plate, one wonders where they will find the resources to supplement these activities?

One enterprising non-profit has tackled this challenge head-on.   Billed as a nine-year old strategic initiative with a mission to improve the quality, capacity, and accessibility of the healthcare system for vulnerable populations in the City of Camden, the Camden Coalition has analyzed local healthcare system claims data for the purpose of building a repository and sharing data with regards to this typically transient population.  In addition, they operate several health project initiatives that demonstrate a collaborative approach to improving care delivery and patient outcomes in their area.  And by building relationships with executive leadership of the hospitals, social service/public health agencies, state government agencies, leaders at the statewide Medicaid health plans, and policymakers, they have taken a discretely modern approach to healthcare delivery.

Current innovative initiatives garnering attention include the Coalition’s Care Management and Care Transitions programs, aimed at reducing hospital utilization by directing outreach to the ‘high flier’ population whom frequently lack appropriate access to primary and mental health care.  Designed to target high cost, complex patients for improved care transitions and care coordination, the Coalition is steadfastly working to move these patients into a medical home model.  Upon presenting at the emergency room, patients are divided into one of two groups:  a) those with no primary care access and significant mental/social issues and b) patients with more stable primary care and mental health status.

In the Care Management program, patients meeting specific criteria receive assistance from a social worker, a health outreach worker/medical assistant and a nurse practitioner with primary/specialty care coordination, applying for government assistance, finding temporary shelter and enrolling in medical day programs.  Through stabilization of their social environment and health conditions, the team’s ultimate goal of finding a primary care medical home for the patient can begin.

Patients participating in the Care Transitions program are enrolled in and receive assistance from embedded care management nurses and health coaches from one of two Camden Federally Qualified Health Centers (FQHC) – CAMcare and Project HOPE.  On the path to becoming patient-centered medical homes, these FQHCs are fostering better care transitions and coordination with their hospital and health system partners.

These bold programs have been facilitated by city-wide use of health information exchange and electronic health record use for this targeted population, thereby allowing providers to share information and analyze data for additional care coordination.  Data analysis also remains integral for the monthly Care Management Committee meeting, held at rotating hospitals, in order to review and refine current processes for these programs. And by bringing together emergency room physicians, hospitalists, specialists, social workers, and nurse discharge planners across the city, more efficient and effective discharge planning and care coordination can help decrease utilization and improve safety, experience and ultimately, quality of care.

Principle Healthcare Associates is an expert resource and dedicated advocate for Nurse PractitionerPhysician Assistant, Physician and Healthcare Executive job seekers. With many years of recruiting experience, we deliver strategies to help clients identify diamonds in the rough and candidates that stand head and shoulders above the competition.

Contact us at PHA email and be sure to visit us at PHA Website