Care Coordination

Tracing the Path to Whole-person Care

Whole-person care is the coordination of health, behavioral health and social services with the goals of improving outcomes and making more efficient use of resources. But how does it work in practice across the post-acute and human services communities? Let’s take a look at what’s driving whole-person care, similarities between post-acute care and human services providers and explore preliminary results from programs that are already in place. Healthcare Costs Are Rising at Unsustainable Rates And the biggest chunk of the…

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Focused on Recovery With a Whole-Person Approach

We’ve come a long way in how our culture and our healthcare community treat individuals with severe mental illness (SMI). In the 1840s, people suspected of having a SMI were placed in an institution that closely resembled a jail … without the option to leave. This was culturally accepted because the belief was if they were out of sight, they were out of mind. In the early 1900s, providers began experimenting with radical treatments, with the ultimate goal to eliminate…

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ONC Meeting Recap

The Office of the National Coordinator for Health Information Technology (ONC) hosted its annual meeting last week. Netsmart attended this year’s event, themed “Tackling Barriers to Interoperability and Usability,” where we took part in conversations with other healthcare IT partners, clients and key ONC and CMS staff. The overwhelming takeaway is that interoperability is no longer an option, it is a critical component in the shift to value based care. In his opening keynote, Donald Rucker, M.D., national coordinator for the ONC, made the case…

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Post-acute Strategy: Using Technology to Attract and Retain Health System Relationships

Post-acute care has long been a fragmented sector of healthcare. In a recent report, a physician executive referred to it as “an archipelago of little islands.”1 But the disconnect between post-acute care and other care providers is becoming less distinct. Payer requirements and the trend toward shared risk payment models are driving health systems and hospitals to narrow their preferred partners lists and forge referral relationships with organizations that can help them save money, reduce potential penalties and improve patient…

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ONC Interoperability Pledge

You may have seen a recent announcement from the Office of the National Coordinator for Health Information Technology (ONC) showcasing healthcare technology vendors’ commitment to interoperability and information sharing. Netsmart is a long-time leader in automating and connecting behavioral health and social services communities and their acute and primary care partners; and over the last 18 months, we’ve been investing in the same technology for post-acute providers. Our powerful Netsmart network allows more than 560,000 providers across 25,000 organizations to…

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Value-Based Care: Building a Strategy for Improved Outcomes and Lower Costs

With healthcare making a shift from episodic to continuous, whole-person care, providers are focusing more on delivering the right care in the right acuity setting and in the most cost effective way. Organizations across the country are evaluating everything from their workflows and processes to their technology and network partnerships to make sure that they have what it takes to be successful in this new landscape. As a post-acute provider, where does your organization sit when it comes to making…

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Success in Long-term Care Through Care Coordination

Think about a time you’ve had to make a big decision. You took the facts you were aware of and you made your decision based off of the information you knew. What if a major piece of information wasn’t presented as an option or you were not given all of the details to consider the best choice? If you had access to all of the information before making the decision, you may have made a different choice. That’s not the…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part III

So now that you’ve brushed up on best practice how-tos and tips to maximize the information in your documentation, you might be thinking that your organization will be immune to ADR requests. Fact is, it’s not a matter of if it happens, more like when. All organizations receive ADR requests at some point or another. Part I and II of our series provide a good foundation to help prevent major headaches for when it does. Responding to ADR Even if…

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How to Survive Audits by Documenting Medical Necessity in Home Healthcare Part II

In part I of our series, we’ve explored common reasons for denial in various claim environments. We also established that an important way to avoid denials is to implement solid processes of quality assessment (QA) measures as well as best practices for both administration and staff to ensure complete, thorough and timely claim submission. In order to better understand how it all fits together, let’s dive in and get a better understanding of those reviewing our records as well as…

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Achieving Care Coordination in Home Health and Beyond

If you’ve ever heard the old adage, “It takes a village to raise a child,” then you now know that the same can be applied to healthcare. The most effective care one can receive happens when his or her provider has a full understanding of their health history from every healthcare community. Coordinating care between settings has become increasingly important for the successful treatment of individuals requiring care from all areas of healthcare, including home health. From referrals to admittance…

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