Hospitals and health systems across the country are continuing to assess Bundled Payment programs, trying to determine how to manage and coordinate with physicians and post-acute players in order to avoid costly readmissions. Many are experiencing mixed results, struggling to unlock provider engagement, quickly identify the best post-acute setting for the patient, and leverage the right data to manage risk and drive better patient outcomes. It’s a moving target for many large organizations, especially as they try to work with cumbersome data systems and lack of connectedness to home and community-based providers of care. However, there a few organizations looking to new, innovative technology solutions to help.
Centegra Health System recently launched a partnership with Dina to connect its three hospitals to community and post-acute care resources in McHenry County, IL. By leveraging the technology to push proactive care recommendations, it can identify patients who need to be closely managed as part of the BPCI program and then make evidence-based care transitions to the post-acute community.
“When we looked closely at the BPCI program requirements, we found ourselves looking for a better way to extend care in a scalable manner outside the four walls of the hospital. Dina is helping us keep patients safe in their homes as they recover. Our missions are aligned in our approaches to quality and safety, and we share a commitment to supporting patients and families after their inpatient hospital stays are complete,” said Anthony Brown, Director of Clinical Quality and Effectiveness.
Centegra’s work is focused on patients who have been hospitalized with either Congestive Heart Failure (CHF) and/or a Comprehensive Joint Replacement (CJR) episode. Their program aims to keep patients from returning to the hospital by driving timely follow up and dispatch of home and community-based resources over a 90- to 120-day risk period following the hospitalization. The program encourages real-time communication between Centegra’s case managers, primary care providers and the post-acute care settings and extends the conversation beyond the hospital.
“Our work with Centegra Health System is advancing the capabilities of our technology to aid case managers in making the very best evidence-based care transition. We’re proud to be associated with an organization that has prioritized quality and patient choice from its inception. They’ve been an incredible partner,” said Ashish V. Shah, CEO of Dina.
Initial feedback from hands-on providers has been very encouraging. The three hospitals, two skilled nursing facilities and one home health agency were virtually onboarded to Dina in a day.
“Ease of use and user experience are really important to us. We believe technology needs to be invisible, so we have invested a lot of time and effort into making sure the platform can be easily inserted into the workflow and don’t feel like another large IT implementation,” said Erin Karam, Chief Technology Officer at Dina.
Learn more about Centegra Health System here.