By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    senior care training
    4 Things Senior Healthcare Providers Need Training for
    July 2, 2024
    benefits of using protein powder to build muscles
    Protein Powder for Muscle Mass: Everything You Need to Know
    December 12, 2021
    changes brought on by blockchain in healthcare
    Technology In The Healthcare Industry
    March 28, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Safe Injection Practices: How to Do it Right! [video]
    June 30, 2013
    How Doctors and Patients Do Harm!?
    April 26, 2012
    water poverty
    End Water Poverty
    October 8, 2013
    Latest News
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
    Do Abuse Reporting Systems in Assisted Living Protect Residents’ Health?
    April 15, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Promising New Patient Recovery Science
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > Promising New Patient Recovery Science
eHealthFinanceHospital AdministrationMobile HealthPublic HealthRemote DiagnosticsTechnology

Promising New Patient Recovery Science

tkilpatrick
Last updated: December 20, 2013 9:00 am
tkilpatrick
Share
6 Min Read
SHARE

Once a patient reaches the hospital curb and gets in a vehicle, their world changes. They are outside “the service.”  There are no longer nurses educating them on their conditions or how to treat them.  The interruptions to check vital signs are over as well the monitoring.  There is no one to discuss concerns, new conditions or difficulties.  Medication prescriptions must be filled and taken without reminders.  Seeing a physician now requires an appointment days or weeks in advance and arranging transportation.  That is, unless they dial 911.

Once a patient reaches the hospital curb and gets in a vehicle, their world changes. They are outside “the service.”  There are no longer nurses educating them on their conditions or how to treat them.  The interruptions to check vital signs are over as well the monitoring.  There is no one to discuss concerns, new conditions or difficulties.  Medication prescriptions must be filled and taken without reminders.  Seeing a physician now requires an appointment days or weeks in advance and arranging transportation.  That is, unless they dial 911.

For the patients without care givers, it is even more difficult.  They may not have a ride to the physician office, supermarket, pharmacy or outpatient therapy.  They may have to eat non nutritional processed food or attempt activities that risk opening wounds or acerbating conditions.

80% of the factors attributed to health outcomes are from factors outside clinical care, according to a Robert Woods Johnson Foundation study.  It is where most patient recovery occurs.  Patients being discharged from hospitals are not necessarily recovered.  It is often because they no longer have conditions that warrant reimbursement from insurers.  Some recovering patients qualify for a Skilled Nursing Facility, Home Health or Rehabilitation, yet their recovery will likely continue long after receiving these services.  Services typically end when medical justification for reimbursement ends, rather than when the patient is recovered.

More Read

practice fusion logo
Practice Fusion’s Partnership with Merck, and Its Data Implications
Cut Medicaid?
More Engaged Patient Care Means Expanding the Definition of “Healthcare”
The ENGAGE Conference: Top Insights for Patient-Centric Digital Health Innovators
Most Patients Want to Self-Manage Healthcare Online

The good news is that the science of patient recovery outside the hospital, post-acute care facilities and physician offices is promising.  We know how to do it.  While big data, emerging technology and innovative recovery protocols have yet to tap the potential of patient recovery science, we already have compelling examples of what is possible:

Transitional Care Programs – These programs ensure coordination and continuity of health care once the patient leaves the hospital or Skilled Nursing Facility.  The program follows up with the patient over a period of time to ensure they have their prescriptions filled, physician appointments scheduled and questions answered.  Here are proven examples:

– VA Hospital uses low-cost Transitional Care to save $1,225 per patient by having nurse contact patients after leaving the hospital. 

– Parkland Hospital reduced 30-day re-admissions of Heart Failure patients by 31% by using predictive modeling to focus support resources.  The estimated savings to the hospital was $500,000 with no increase in staffing

– Mount Sinai Hospital reduced readmissions by 43% and emergency room visits by 54%, saving $1.6M in 6 months by using social workers to contact patients after they leave the hospital

Patient Recovery Programs – These are programs that focus on getting the patient recovered after they leave the hospital. They typically employ remote monitoring, patient navigators, care coordinators and recovery nurses.  Here are proven examples:

– Geisinger Health System was able to reduce readmissions by 19.5% within the first 30 days with a remote care monitoring program

– Centura Health was able to reduce readmissions by 62% for 3 conditions saving $1,000-$1,500 per patient with remote patient monitoring

–  Partners Healthcare found a 50% reduction in Heart Failure readmissions and 44% reduction in non-heart failure readmissions by using a home telehealth program. It cost $1,500 per patient, reduced readmission costs by $9,655 for a total net savings of $8,155 per patient.

“Super Utilizers” Programs – The average healthcare cost for the top 1% of the United States population is $87,570 per year.  A 25% reduction in the cost of treating these patients would result in savings of $65B per year.  These programs sit down with the patient and learn how to help them get their chronic conditions stable, improve their quality of life and dramatically reduce their healthcare spending.

–  Medicare was able $1,248 to $2,168 per patient in annual savings using the Health Buddy program of telehealth & care management.

– Dr. Jeffrey Brenner was able to reduce the total healthcare costs of 36 “super-utilizers” from $1.2M per month to $500K per month with a team of social workers, nurses, community health workers and health “coaches”.

– St. Charles Medical Center in Bend, OR was able to reduce ER visits within the cohort of 144 patients by 49% generating $1.6M in savings in just 6 months.  They provided the necessary non-clinical services to patients that visited the hospital more than 10 times per year.

The new reimbursement models being piloted will require providers to understand the patient recovery science that is outside their walls. The new reimbursement models include a single episode payment that includes the hospital stay and all services within 90 days and population models that pay for all of a person’s care over 365 days. Clinical care will begin to evolve from “the service” to “patient recovery.”

(patient recovery / shutterstock)

Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025
Learn how to Renew your Medical Card in West Virginia
Learn how to Renew your Medical Card in West Virginia
Health
May 15, 2025
Dr. Klaus Rentrop Shares Acute Myocardial Infarction heart treatment
Dr. Klaus Rentrop Shares Acute Myocardial Infarction
Cardiology
May 13, 2025
The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
Health care
May 13, 2025

You Might also Like

generic pharmaceuticals
Medical EthicsPolicy & LawPublic Health

Are Biosimilars Ethical?

May 16, 2013

GW develops a comprehensive guide to preventable harm

September 2, 2015
wound management care
BusinessFinanceMedical InnovationsTechnology

Shifts in Product Usage in Wound Management, 2012 to 2021

May 4, 2014
improve-efficiency-for-your-hospital
Hospital Administration

3 Ways To Save Money And Improve Efficiency For Your Hospital

November 9, 2020
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?