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Prisma Health is working to deploy customer relationship management technology so that everyone in the organization knows which patients need, for example, a chatbot nudge to schedule a mammogram or a telephone call to check on their status. Adopting a single electronic medical record system for the entire system in 2017 set the foundation needed to be an early adopter of technology that moves care delivery closer to patients where they live says Pankaj Jandwani, MD, regional vice president for medical affairs and chief innovation officer. [...]experience, MidMichigan is currently working to implement a systemwide tele-ICU model to serve its smaller hospitals. In early 2022, the Centers for Medicare & Medicaid Services (CMS) certified that MyMichigan's Hospital at Home program met its stringent requirement for treating a specific subset of patients for an acute illness in their homes.
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Physician leaders can learn from the ethical challenges and opportunities highlighted by the COVID-19 pandemic. BECAUSE TRAUMA TAKES TIME to process, America's healthcare experience during the COVID-19 pandemic will not be fully understood for many years. WORKPLACE SAFETY It is well-documented that patient safety is imperiled by healthcare's hierarchical culture, a lack of trust among so-called "team members," and widespread fear of pointing out problems. The crisis-standard-ofcare protocols require physicians and staff to shift their usual clinical ethic of providing the best care to the patient at hand to a public health ethic of triage care providing resources to the patients most likely to benefit. HEALTH DISPARITIES An analysis of COVID-19 death rates in the early months of the pandemic revealed vast disparities: 5.6 per 10,000 population for Black and Hispanic patients;4.3 for Asian patients, and 2.3 for White patients, according to a January 2021 article in JAMA1.
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Using its experience with the MSSP and its Medicare Advantage (MA) capitation contract, Ochsner is engaging community physicians and physician networks to expand its reach. Two patient groups are prioritized: those who are new to Ochsner and those with multiple chronic conditions that put them at high risk for health problems. In addition to a clinical assessment and medical reconciliation, the nurse practitioner can verify whether the patient has appropriate food, social support, and the durable medical equipment that will help him or her recover safely at home. A third at-home strategy is the use of a vendor, Ready, to reduce avoidable ED utility through on-demand at-home urgent care visits and short-term case management for ED frequent fliers.