April 2015 Newsletter
Volume 4 Number 4
April 1, 2015
Anthem–Our final scorecard from Anthem has been received and was presented to the Board of Directors on Thursday, March 12th. SVHP scored well in the following composites: acute and chronic care management, preventive care and utilization metrics. Because we did well in those areas, we are excited to let our members know that we received a shared savings. The final amount that each practice will receive is being finalized by the Finance Committee on Monday, April 13th. The scorecard and the shared savings will be discussed at the Annual Meeting and then mailed to practices on May 12, 2015.
VCA-The VCA successfully negotiated a contract with Aetna, which went into effect on April 1, 2015. The terms and conditions of this contract are similar to the Anthem contract, in which there will be a Shared Savings and Care Coordination Fee.
The Value of Referring In-Network:
As part of SVHP’s Clinically Integrated Network, each provider has committed to working together to create the best possible outcomes for our patients. We have specialists in our network that want to work with you to help your patients. As providers within the network, they will provide the best care at the lowest out-of-pocket cost to your patients. Please consider referring to our providers so that our network can collaborate and communicate to provide the best care possible.
Each day we are working towards a more transparent and collaborative medical community. Our network is fostering this change through open communication and coordination. All providers in the network are connected and jointly responsible for the outcome of each patient. Referring in-network means that our medical neighborhood has more access to that patient’s information and can make more of an impact on him or her.
Laminated sheets with each member provider have been distributed during monthly care coordination meetings. You can also see who is a part of the network by logging onto our website at www.stvincentshealthpartners.org.
St. Vincent’s Health Partners Second Annual Meeting
Please save the date for our Second Annual Meeting and Board of Directors Elections. Below are the details. Invitations were sent out on March 12th. If you have not received your invitation, please contact Karen O’Driscoll at 203-275-0205. We look forward to seeing all our physician members at the meeting!
Meds2Beds Program Launched
St. Vincent’s Health Partners, together with Arrow Pharmacy and Nutrition Center and Lord Chamberlain Nursing and Rehabilitation Center have launched a Meds2Beds program that will deliver medications to the bedside of the resident prior to being discharged from Lord Chamberlain back to their home environment. Besides the delivery of medications to the bedside, the program will also provide medication reconciliation and education.
Under the Hospital Readmissions Reduction Program in the Affordable Care Act, CMS began to penalize hospitals with excessive readmissions starting on October 1, 2012. The proposed penalties for skilled nursing centers will take effect in 2017, and will be up to a 3% reduction in payment. A readmission may result due to many reasons. According to the Dartmouth Atlas Project, one of the top 5 reasons for readmissions is confusion over medications-which ones to take and which ones not to take, when to take the medications and overall understanding of what the medication is prescribed for. Other factors such as being able to afford the copay and being able to get to the pharmacy to pick up medications play a role as well.
In response to these findings, SVHP, Arrow and Lord Chamberlain have developed the Meds2Beds program to assure that prior to being discharged, the resident will have all of the medications that have been prescribed for them. Two days after the resident is transitioned back to their home environment, an Arrow Pharmacist will contact them to further discuss their medications, usage and coordinate refills that will be delivered directly to the home setting free of charge. An Arrow Pharmacist will continue to follow up the resident, every 30 days or sooner if needed to assure active participation in the program and to address any concerns that may arise.
“This bedside medication delivery service provides a tremendous convenience for patients and families. It also eliminates the common access barriers to medications that patients face when returning home from a nursing facility. The added professional guidance and education patients receive from the program will help ensure that they can continue their recuperation at home and avoid a preventable re-hospitalization,” stated Dr. Robert Sbriglio, MD, MPH, Assistant Medical Director, Lord Chamberlain Nursing and Rehabilitation Center.
Transitions Leadership Committee Update
The Transitions Leadership Committee continues to meet on a monthly basis to discuss opportunities to strengthen relationships to improve transitions of care. This month’s meeting was held on Tuesday, March 24th.
The list of bundles that SVMC has selected to participate in was announced and are as follows:
Acute Myocardial Infarction
Congestive Heart Failure
Major joint replacement of the lower extremity
Percutaneous Coronary Intervention
Simple Pneumonia and Respiratory Infections
Chronic Obstructive Pulmonary Disease, bronchitis, asthma
Medical non-infectious orthopedic
Urinary Tract Infection
There will be a phased in approach to the implementation of the bundles with the first 6 starting on July 1st and the last 5 starting on October 1st.
A group exercise followed in which the committee broke into groups to discuss what would happen if we failed to solve pain points for transitions and what are our greatest risks. Take away from the exercise was that our failure to solve the pain points puts the strength of our network in jeopardy. Should we fail to solve our pain points for Transitions of Care one year from now, it will be partly because we knew what our pain points were and we did nothing to address them. We failed to look at the processes and make changes along the way. Let us continue to work collaboratively, driving these processes ourselves by identifying, addressing, and implementing the necessary changes, pathways, and resolutions to improve the health outcomes of our patient population while containing costs and improving the patient/family transition throughout the entire continuum.
There were updates on the Heart Failure program as well as the current pilot programs: Meds2Beds at Lord Chamberlain and the APRN House Calls.
We anticipate that the work that is done in these meetings will positively overflow to the transitions of all patients between each of the settings and across the clinically integrated network.
The next meeting will be held on Tuesday, April 21st from 1:00 PM-2:30 PM in Hawley 1 Conference Room.
National Healthcare Decision Day-April 16, 2015
National Healthcare Decisions Day exists to remind all people, regardless of age of current health of the importance of making these decisions known. Have you discussed advanced directives with your patients? Below are resources to assist in starting the conversation.
National Healthcare Decisions Day website: http://www.nhdd.org/
Aging With Dignity website: http://www.agingwithdignity.org/index.php
The Center for Disease Control and Prevention website: http://www.cdc.gov/features/advancedcareplanning/index.html
The Conversation Project website: http://theconversationproject.org/
Don’t wait until it is too late!
Please join us in welcoming two new Primary Care Practices to St. Vincent’s Health Partners: Primary Care Physicians of Fairfield and Complete Health, LLC!
Primary Care Physicians of Fairfield
Dr. Neil Smerling is the Chief Administrator and Attending Physician at Primary Care Physicians of Fairfield. Dr. Smerling and his healthcare team, Kevin McDonald, PA, Kristina LaBonte, PA and Christina Larsen, PA are located at 111 Beach Rd, Fairfield. New patients are welcome to the practice. To make an appointment, please call 203-259-7442.
Complete Health, LLC
Dr. Francis Boateng and Leon Hopkins, LCSW are the providers at Complete Health, LLC. Dr. Boateng’s office is located at 4699 Main Street, Bridgeport and will begin accepting new patients on April 27th. To make an appointment, please call 203-374-0277.
Dr. Thomas Raskauskas, President/CEO, (203 275-0205
Dr. Michael Hunt, Chief Medical Officer/Chief Medical Informatics Officer,
Anthony Brockman, Director of Information Technology, (203) 275-0206
Colleen Swedberg, MSN, RN, CNL, Director for Care Coordination and Integration,
Karen O’Driscoll, Director of Professional Relations, (203) 275-0205
Karen Julian, RN, BSN, Care Coordination and Integration Manager,
Sophia Jackson, RN, Care Coordination Associate, (203) 275-0212
Mina Gasdia, RN, Care Coordination and Integration Associate, (203) 896-0214
Kyle Lanning, JD, Integration Associate, (203) 275-0204
Asma Ahmed, Healthcare IT Applications Support Intern, (203) 275-0211, email@example.com
Erika Foster, Integration Associate, (203) 275-0208
Susanne, Salgado, Communications and Operations Associate, (203) 275-0201