Thursday, November 30, 2017, 10:00 a.m. to 11:00 a.m. PT.
Summary from 11/30 Pacing Event: “Impacting the Readmissions of High Utilizers: Addressing the Care Continuum”
This Pacing Event focused on impacting readmission rates by understanding themes that drive readmissions and then identifying and improving care for high utilizers of care. The session discussed high-needs, high-cost patients and interventions to impact their care through projects led by two national-level experts in this work. Each expert discussed how they identified these patients, the impact of behavioral health comorbidities, and the interventions they implemented to address care across the continuum. They demonstrated the results achieved on readmissions, as well as results around cost, length of stay, and use of primary care.
The session featured presentations from:
- Gregory Misky, MD, Associate Professor in the Hospitalist Division of the Department of Internal Medicine at the University of Colorado School of Medicine, who discussed his work to interview readmitted patients to identify the causes of readmissions, as well as his work on the community-based Bridges to Care (B2C) program, which was designed to impact ED use, hospital admissions, and primary care use among high ED utilizers, including those with behavioral health comorbidities; and
- Lauran Hardin, MSN, RN-BC, CNL, from the National Center for Complex Health and Social Needs, who presented her work on an interdisciplinary, cross-continuum intervention called the Complex Care Map© (CCM), including its impact on readmissions and costs around high-needs and high-cost patients. She also discussed the specific needs and results around patients with behavioral health comorbidities.
The session was moderated by Bruce Spurlock, MD (NCD). To view and download slides and recording from this Pacing Event, click here.