Ten Essential Steps for Your Readmission Reduction Program (Executive Report)

Effective care management is essential during the first 30 days after discharge to prevent unnecessary readmission and associated costs. Care managers can follow a 10-step readmission reduction program to help patients stay on track with recovery and avoid acute care:

  1. Call the patient within two days of discharge.
  2. Assess the patient’s self-care capacity.
  3. Frontload homecare and ensure patient ‘touches’, if appropriate.
  4. Conduct a home safety evaluation.
  5. Order and install durable medical equipment prior to discharge.
  6. Order an emergency alert/medication reminder system and preprogram important phone numbers on patient’s phone.
  7. Implement fall prevention program, intervention, and education.
  8. Provide in-home education on new diagnoses or unmanaged chronic conditions.
  9. Connect the patient with community resources.
  10. Establish a best practice for follow-up phone calls after discharge.

Is Your Care Management Program Working: A Guide to ROI Challenges and Solutions (Executive Report)

Care management programs play a large part in many health systems’ population health strategies. However, these programs can consume a lot of resources. It is important to know if a care program is effective, and eventually, to show a positive ROI. Many roadblocks stand in the way:

  • Complexity of Environment
  • Prolonged Time to ROI
  • Lack of Access to Disparate Data
  • Difficulty Engaging the Patient

A thoughtful approach and a robust analytics platform can help organizations overcome these challenges. Care management ROI should be a long-term strategy, but cost savings and quick wins are possible using the Health Catalyst® Cost Management Suite.

A Guide to Care Management: Five Competencies Every Health System Must Have (Executive Report)

The goal and responsibility of every healthcare organization and provider using a care management approach is to deliver the right care at the right time to the right patients. This standard of care management can only be achieved if five competencies are in place:

  • Data Integration
  • Patient Stratification and Intake
  • Care Coordination
  • Patient Engagement
  • Performance Measurement

This guide to care management reviews each competency and shows how to put it all together into an effective program that gets results for organizations and patients alike.