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Prioritizing partners across the continuum.

Mary Beth Maly1, Susan Lawrence, M Kim Jordan

  • 1Maly Group LLC, Columbus, OH, USA.

Journal of the American Medical Directors Association
|September 29, 2012
PubMed
Summary
This summary is machine-generated.

Lehigh Valley Health Network developed a tool to prioritize skilled nursing facilities for collaboration, identifying top partners to improve patient care and reduce costs. This strategy enhances care continuum connections and prepares for healthcare policy changes.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Quality Improvement

Background:

  • Healthcare reform emphasizes value-based care and reduced readmissions.
  • Effective collaboration across the care continuum is crucial for patient outcomes and cost reduction.
  • Lehigh Valley Health Network (LVHN) sought to strengthen partnerships with skilled nursing facilities (SNFs).

Purpose of the Study:

  • To develop and implement a tool for prioritizing SNF partners for collaboration.
  • To identify SNFs with mutual interests in improving quality and reducing costs.
  • To strategically allocate resources and enhance care coordination.

Main Methods:

  • Developed a Collaborative Partner Prioritization Tool using six variables.
  • Variables included patient volume, readmission rates, quality ratings, medical director affiliation, physician presence, and program participation.
  • Assessed SNFs based on these criteria to identify top-tier partners.

Main Results:

  • Approximately 70% of LVHN patients utilized 20 SNFs for post-inpatient care.
  • Five SNFs were identified as
  • Tier 1 Facilities
  • based on the prioritization tool.
  • LVHN increased physician presence and provided EMR access to Tier 1 SNFs, initiating collaborative projects.

Conclusions:

  • The Collaborative Partner Prioritization Tool effectively identifies and prioritizes SNF partners.
  • Strategic collaboration with SNFs improves care quality, reduces costs, and aligns with healthcare policy shifts.
  • Ongoing adaptation of the tool is necessary as the post-acute market evolves.