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Learn MoreAs a result of its Readmission Reduction Program, which made use of EchoAccess, St. John Providence Health System gained the following benefits:
St. John Providence Health System is a leading healthcare provider in southeast Michigan and is part of Ascension Health—the largest Catholic Health System in the United States. Ascension Health Michigan includes six hospitals, more than 125 medical facilities, over 3,000 physicians and 31,000 employees who touch the lives of over 150,000 inpatients and nearly 4.5 million outpatients each year.
In 2010 the readmission rate for the health system was 25 percent, for which the Centers for Medicare & Medicaid Services (CMS) fined the health system $2.5 million. Reducing preventable readmissions became an immediate priority. In response, nursing units in the hospitals began trying to coordinate discharge follow-up calls using Excel spreadsheets to manage the information. Unfortunately, this effort quickly unraveled. Legitimate, immediate patient care demands trumped data updates, and outbound calls to patients were made inconsistently.
Call Center Director Mary Alice Worrell suggested a solution—that the call center pilot a Readmission Reduction program serving all member hospitals in the System. The call center was IT-centric and data-driven, and already had a database with information on all affiliated physicians; it could serve all network hospitals as a single source of truth for readmissions data. The call center would have the ability to document and track outcomes in EchoAccess, and the system would enable them to call, email, and text providers and patients to schedule and confirm follow-up visits.
The call center’s Readmission Reduction Pilot launched in January of 2011, with an initial goal to reduce readmissions from to 20 percent by the end of 2012. The pilot process included four steps:
Step 1: Receive discharge reports for Congestive Heart Failure (CHF) and Chronic Obstructive Pulmonary Disease (COPD) patients every morning from each member hospital.
Step 2: Contact (call, email or text) the patient, and/or the caregiver to coordinate a day and time for the follow-up appointment with their physician.
Step 3: Make appointments with appropriate physician offices for CHF/COPD patients who were discharged the previous day.
Step 4: Call the physician office after the appointment to see if the patient kept the appointment. If the appointment was not kept, call the patient or the caregiver to reschedule.
EchoAccess functionality was a critical success factor for the Readmission Reduction Pilot, enabling both patient and physician records to be kept current, with all key data in one database, such as:
A monthly referral letter is now generated from EchoAccess that states patient names, addresses, phone numbers, and their follow-up appointment dates and times. These letters are mailed or emailed to participating physicians. The call center also collaborated with marketing to prepare and distribute a care coordination brochure, which was provided to all participating physician practices.
During 2013, 15 FTEs in the SJPHS Contact Center managed 90,000 contacts. The result of the pilot was that the contact center successfully moved the needle on reducing avoidable readmissions.
Outcomes included:
As the program matured, senior leadership began to communicate a policy that “patients must be seen for a follow-up appointment within a week after discharge.” This enabled the contact center to accelerate the number of follow-up appointments confirmed with physician’s offices—which resulted in higher quality patient care and fewer readmissions. It also meant that physicians who agreed to schedule follow-up visits within 7 days began to benefit from additional payments from CMS, (which began in 2013 to encourage prompt follow-up visits). With this solution, the patient wins, the physician wins, and the hospital wins! Patient satisfaction scores improved as patients began to appreciate their partnership with care coordinators in the contact center who made their life easier at a critical time. One patient’s feedback describes it well: “I love your Care Coordination Program. You took a personal interest in me and made certain I saw my doctor the week after my surgery. Thank you! I wouldn’t want to go anywhere else.”
Utilizing the Contact Center for Readmission Reduction freed up hospital nurses to concentrate on their mission-critical role: direct patient care. It also enabled Contact Center Care Coordinators to apply their training, ability and time to schedule and coordinate the appointments, while strengthening patient relationships. EchoAccess provides a single source of truth for physician information, and ensures the ability to capture data needed to monitor and improve quality. Finally, utilizing the Contact Center to manage follow-up appointments was more cost-effective than using professional nurses for that function.
HealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All Learning & PerformanceHealthStream offers performance learning management solutions to help develop your healthcare staff into leaders and reduce turnover.
View All ProductsHealthStream works with healthcare organizations to create engaging and high-quality training videos for your staff and management.
View All ProductsImprove care quality and save money by making informed decisions about your healthcare facility and staff with HealthStream's reporting analytics solution.
View All ProductsHealthStream's proven methods for the improvement and overall engagement of your healthcare staff foster a positive workplace and increase retention rates.
View All ProductsThe leadership development program from HealthStream helps mold your high-potential healthcare employees into proven leaders.
View All ProductsWhen you enact HealthStream's quality compliance solutions, you can do so with the confidence your healthcare organization will meet all standards of care.
View All Quality & ComplianceFulfill compliance requirements with a variety of programs and courseware designed to address critical regulatory requirements as well as educate staff to recognize and mitigate risks.
View All ProductsBy increasing your healthcare staff's focus on quality and safety with HealthStream, they can help to reduce medical errors and readmission rates.
View All ProductsLearn about what HealthStream's healthcare policy management software and how it can help aid your organization efforts.
View All ProductsHealthStream's education helps address diversity, equity, and inclusion within your organization, as well as promoting health equity in the communities you serve.
View All ProductsHealthStream offers professional training and education on how to best optimize your reimbursement process within your healthcare organization.
View All ReimbursementTeach your healthcare staff about the revenue cycle and claim management through targeted training and video tools from HealthStream.
View All ProductsImprove the preparedness of your staff, increase survival rates, and cut costs with the advanced resuscitation training services from HealthStream.
View All ResuscitationNurture the skills of your nurses and medical staff to help mold them into effective leaders with development training from HealthStream.
View All ProductsIn all areas of resuscitation, from neonatal to elderly care, clinical deterioration is a risk that can be avoided with the help of HealthStream's training programs.
View All ProductsHealthStream's EMS Program offers a comprehensive, CAPCE accredited EMS course library that meets National Registry annual recertification.
View All ProductsExpand the decision-making skills and effectiveness of your healthcare workforce with HealthStream's clinical development programs and services.
View All Clinical DevelopmentMake sure your clinicians have the support they need to provide competent care with clinical competency training and development from HealthStream.
View All ProductsThe suite of healthcare onboarding solutions available from HealthStream aids in nurse retention and improved patient outcomes.
View All ProductsGive your healthcare staff the decision support and skills training they need with the online products available from HealthStream.
View All ProductsHealthStream's solutions allow your healthcare workforce to be confident and competent with the knowledge they are upholding the highest of standards.
View All ProductsHealthStream’s learning management system and comprehensive suite of competency management tools empower your healthcare workforce to deliver the best patient care.
View All ProductsDelivers everything you need to request, gather, and validate information about a provider to create a single source of truth for downstream processes.
View All CredentialingMake sure your healthcare staff can schedule out appointments and work schedules with ease using HealthStream's line of software solutions.
View All Scheduling & Capacity ManagementHealthcare scheduling software designed to optimize staffing requirements & elevate patient care
View All ProductsPrecisely align staffing and needed resources to enable efficient patient flow and high-quality, cost-effective patient care.
View All ProductsHealthStream’s free nurse schedule app, NurseGrid™, is built to help you care for your staff and engage with their specific needs.
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