Content by Keyword: Population

Participants believed that the quality of life for residents referred to Ms. Cote for behavioral consultation was definitely improved because staff are able to provide better care to this difficult population. Although no formal evaluation has been conducted, anecdotal feedback from survey staff, ombudsman and providers indicated that the consulta

The technical assistance component of Maine's quality improvement programs began in 1994, prompted by the closure of a nursing facility whose population was made up primarily of residents with major psychiatric diagnoses and problem behaviors. The 50-bed facility had accepted residents that other facilities would not admit and experienced signific

In order to put Maine in context with other study states, we have included some descriptive characteristics of the state's nursing home environment. Comparative data presented are from the American Health Care Association (AHCA) website (AHCA, 2002). There are 126 facilities in Maine, with 7,309 residents reported as of Spring 2001. The average nu

Much of the feedback aimed at the Federal Government concerned the issue of reimbursement. One provider representative summed it up by saying that "You cannot separate money from care," and that Medicare and Medicaid programs have to pay reasonably for reasonable care. There has to be more emphasis on alternative care (home care, assisted living)

Currently, funding for Florida's quality improvement programs comes from general revenue and licensure fees with some federal funding. AHCA staff noted that there is general support for quality initiatives among members of the legislature. Other state agency officials offered that there has been a focus on seniors, primarily because of the large e

SB1202 required that nursing homes provide Department of Elder Affairs (DOEA) approved Alzheimer's disease training to specified employees. The Alzheimer's Association was at the table at the LTC task force and advocated strongly for this initiative. The goal is to provide a very basic understanding, information and working knowledge of how to wor

Accountable Care Organization (ACO)

TABLE L-1. Standards Available to Support HIE of LTPAC Data

Description of ACO Measures: Excerpts and Table from CMS "Accountable Care Organization 2013 Program Analysis--Quality Performance Standards Narrative Measure Specifications" Report

EMHS is an innovative organization providing industry leadership on how LTPAC providers and technology can be integrated into new care delivery and payment models. Their patient-centered approach to care coordination embraces the spectrum of providers and integration of community services. Technology plays an important role in coordination of care

Barriers to Expansion of Telehealth . The use of telehealth has shown promise for improving patient care management, outcomes and cost, but EMHC identified challenges with the reimbursement structure coupled with high cost of the equipment create challenges for expanding the technologies use across a broader population with a large, rural geog

HIN is moving toward population health management including support for the Northern New England ACO Collaborative (multi-state and multi-provider) and their need for analytics at a broader community/population level. HIN is focusing on data analytics to drive changes in care. For examples, HIN is analyzing data in such areas as: Services uti

EMHS utilizes a number of data analytics approaches to leverage their information in support of decision-making. Interviews with various staff and stakeholders illustrated how data analytics tools and query/report processes were used to pinpoint patients that required additional attention, identify risk, or measure improvement.

In 2009, Maine established 22 PCMH projects state including the EMHS Primary Care Medical Home Demonstration Project. One year later in 2010 CMS issued a demonstration project -- Multi-Payer Advanced Primary Care (MAPCP) -- in which Maine was selected as one of eight states to have Medicare participate as a payer.

EMHS was selected as one of 32 ACOs under the Center for Medicare and Medicaid Innovation Pioneer ACO initiative, 14  which started in January 2012. Under this five-year arrangement with CMS the EMHS ACO bills Medicare under existing fee-for-service (FFS) rules for their attributed patients during the first two years of the project and then tra

The Bangor Beacon Community was one of 17 Beacon Communities building and strengthening local HIT infrastructure and testing innovative approaches to make measurable improvements in health care and cost. The Beacon Community received a three year (April 2010 - March 2013), $12.75 million grant from the ONC. Using HIT as a foundation, Bangor Beacon

The EMHS is a non-profit organization comprised of: Acute care inpatient hospitals including a psychiatric hospital and tertiary trauma center. Physician practices. LTPAC providers including home care agencies and hospice providers, nursing facilities, a continued care retirement center, and assisted living facilities. Ancil

Snapshot of Eastern Maine HomeCare Organization Type: Home care and hospice division of the EMHS. LTPAC Services: Home Health Care and Hospice with Telehealth.

As noted above, Beechwood participates in HEALTHeLINK, 3  which is a Regional Health Information Organization (RHIO) in Western New York. The operating costs for the HIE are currently covered by three major health plans and four hospital systems. HEALTHeLINK is also one of 13 communities selected to collaborate with the U.S. Department of Ve