Innovations in Advanced Illness Management Care Delivery: A Population Health Approach

Friday, April 22, 2016: 3:30 PM-4:30 PM
Chesapeake 4-6 (Gaylord National Resort and Convention Center) - 2nd Level
Lori Yosick, LISW-S, CHPCA, Mount Carmel Hospice, Columbus, OH and Terri Maxwell, PhD, APRN, Turn-Key Health, Philadelphia, PA
As hospice and palliative care programs build their continuums across all points of care, positioning within population health programming and working with payers for new reimbursement structures is vital. This session presents an in-depth overview of an innovative community-based population health program providing advanced illness management to a Medicare Advantage (MA) population. Faculty will share their approach to patient identification through predictive analytics, risk stratification and patient engagement strategies. Learn about the program’s method of staffing, training, documentation, phone and home case management and outcomes reporting.

Learning Objectives:
1. Describe key considerations that hospice and palliative care programs should consider when developing and positioning new advanced illness management programs
2. Discuss data-driven approaches and predictive analytics to proactively identify high need patients
3. Demonstrate ways to standardize care, drive best practice, facilitate communication with patients and providers and monitor data to improve care coordination and outcomes

CE/CME: Nurse, Physician and Social Worker