New Initiative Supports Cardiac Patients on a Better Path to Health
CARE TRANSITION: A CRITICAL PERIOD FOR CARDIAC PATIENTS
Nearly one in five Medicare patients hospitalized with heart attack and one in four hospitalized with heart failure (HF) are readmitted to the hospital within 30 days of discharge1. Accordingly, the American College of Cardiology (ACC) has launched a Patient Navigators program which empowers patients and their families—providing them an amplified role in patients’ care plans. Although this is certainly a groundbreaking program for patient care, it is only one of many quality improvement efforts MultiCare has been involved in or spearheaded over the years. In fact, this history of commitment to ongoing quality improvement and developing collaborative care partnerships in the community is a primary reason why the ACC selected the hospital.
PAVING THE WAY IN COLLABORATIVE CARE PARTNERSHIPS
There is indeed strength in numbers—and the more people and organizations invested in a patient’s return to better health, the stronger the patient’s likelihood of recovery. This philosophy drives MultiCare’s commitment to programs like the ACC’s Patient Navigator Program and to care delivery models such as accountable care organizations and population health management. The ACC Patient Navigator Program will provide additional support to MultiCare’s existing HF Collaborative.The current HF Collaborative, intentionally designed to include physicians, nurses, pharmacists, data analysts, and operations leaders, provides expertise in every stage of the patient’s journey to recovery.
Because MultiCare regards continuous improvement as an essential value, the HF Collaborative has spent the past three and a half years increasing the quality and standardizing the care for HF and acute myocardial infarction (AMI) patients. Through the efforts of this dedicated team, MultiCare has seen the following outcome improvements in HF patients (2011 to February 2015):
- HF readmission rates: Improved 24 percent—from 25.4 percent to 19.3
- Mortality rate: Improved 18 percent—from 4.5 to 3.7 percent
- Length of stay (LOS): Increased 8.7 percent—from an average of 4.6 to 5 days
- While an increase in LOS is usually considered a negative outcome, this increase has provided the necessary time for patients to receive the appropriate level of care before discharging and has contributed to reducing readmissions.
MultiCare credits these successes to having engaged clinicians with access to automated, near real-time healthcare analytics and other decision-making tools, as well as to the health system’s best-practice guidelines and framework of holistic care pathways.
MULTICARE’S VISION FOR THE PATIENT NAVIGATOR ROLE
While MultiCare has already seen success with designing and deploying best practices and care paths for cardiac patients, joining the ACC program presents a new opportunity to help patients navigate these pathways by providing them with an advocate—the role of Patient Navigator. “The ACC program is an important component that complements activity we’ve been involved in for some time to support our strategic focus—which is to deliver quality patient care, experience, and affordability,” says Dr. Christopher Kodama.
Certain elements are considered essential in optimizing the effectiveness of the Patient Navigator Program:
- The voice of the patient must be part of the process. The patient navigator will engage and support the patient and make sure their voice is heard.
- A multi-disciplinary team that represents, understands, and communicates the patient’s physical and social strengths, barriers, wants, needs, and desires must also be in place. Such a team will include a patient navigator to monitor program progress and intervene when necessary.
- The patient navigator will offer regular support to patients to make sure they understand their respective care pathways; receive and understand any needed education; make and get to their follow-up appointments; take their meds appropriately; and inform the care team of changes in their condition.
And, an equally essential component required to ensure the ACC Patient Navigator Program’s success: Implemented improvements must be sustained.
THE NEXT EVOLUTION IN PATIENT NAVIGATION
Through participation in the Patient Navigator Program, MultiCare will have the resources and the ability to bring the patient voice more directly to MultiCare’s cardiac program—and through their learnings, lay the groundwork for helping other vulnerable patient populations.
- American College of Cardiology. (2014). Patient Navigator Program brochure. Retrieved from http://cvquality.acc.org/~/media/QII/Patient%20Navigator/B14221%20Patient%20Navigator%20Brochure%203050615%20Electronic.ashx.
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