2023年7月25日

依賴家裏,Kaiser Permanente領導人修複護理過渡問題護理急性過渡的麻煩卻是最多的一個地區的醫療生態係統。家庭健康提供者在中間的過渡,往往在衛生係統和衛生計劃的關係在試圖照顧病人的中心。最好的情況下一個病人是一個對齊的衛生係統,健康計劃和家庭健康提供者。不幸的是,最好的情況是罕見的。廣告“我想更快(見)授權,更豐厚的薪水,更多的推薦,更好的建立關係和互利的理解,“在家依賴首席運營官Jana快腳在Forcura研討會本周表示。“如果我們能到處都有,我們都從屋頂上大喊大叫。“龍門,德克薩斯州的依賴在家裏提供家庭健康、臨終關懷、家庭護理和康複服務跨12個地點。等家庭健康服務提供商的依賴,護理過渡過程往往是更可怕的,因為他們處理多個付款人來源,人事鬥爭,從推薦合作夥伴溝通不良。廣告超過44%的家庭健康保健提供者承認推遲或管理不善的汽車轉換了非常消極的——非常消極的影響對他們的病人,根據最近的一項調查由Forcura和家庭健康護理的消息。萊特福特指出,使用的衛生係統和衛生計劃,一個好的溝通者,是理想的,但並不總是可能的。 The California-based Kaiser Permanente – which is part health plan, part health system – is trying to do its part to become one of those partners. “From our perspective, we want to really focus on expediting our pre-service authorization protocols,” Bill Gammie, the senior director of post-acute utilization at Kaiser Permanente, said on the webinar. “We want to make sure that there’s technology access and information flowing so that member isn’t held up. So that discharge planner isn’t frustrated, and so agencies receiving that member aren’t wondering what’s going on as they’re trying to get out to see that member. That process flow has been critical to us.” Gammie used to be an executive director at Seasons Hospice & Palliative Care, which is now a part of AccentCare, one of the largest home health providers in the country. He also acknowledged that Kaiser Permanente has begun to trace its steps backwards in order to make care transitions smoother in the future. In the Patient-Driven Groupings Model (PDGM) specifically, a lot of insights can be gleaned after a care transition. “We’re able to gain a lot of insights, as far as what types of members our agencies are seeing, and what those agencies are constantly having to provide intervention on,” Gammie said. “We’re really evolving to take a more clinical alignment lens, and really start to help our agencies connect with resources we have within the Kaiser Permanente system to be able to support these types of members.” Though the relationships between all the parties involved in these care transitions aren’t always smooth, alignment is sensical. In a more value-based care world, a healthier patient benefits all parties. Further alignment on reimbursement should organically help care transitions. “If you really think about what we’re doing in the hospital, in … trying to take better care of patients, or avoiding them going back into the hospitals or getting sick,” Sandeep Sankineni, regional medical director of advanced care at home at Permanente Medicine, said on the webinar. “Home health is where it starts, and where it ends. That’s the focus, and there needs to be more focus there.” Because of that, Sankineni said that home health referral rates have naturally increased over time for his organization. “It’s a push in that direction, it’s a very conscious effort that we need more patients getting that type of care,” he said. “So, we need to work more closely with those partners.” Home health providers also need to be a part of bridging the gap in those health system and health plan relationships, Lightfoot said. Despite the administrative burden providers need to cut through, it’s imperative to be “easy to work with,” she said. “We have to be easy to do business with,” Lightfoot said. “And that is sometimes very hard for us to do, because we are burdened by all of those regulatory requirements. … But we need to be clear about what we’re bringing to the table, while also making it super easy to deal with us. And that’s always the goal.” Share