What is Seremedi and CareScriptions and how can it benefit my practice and patient population? enjoy this week's blog and learn more about how our clinical team customer's are engaging with their patients via our mobile platform. #digitalhealth #mhealth #healthcare #patientengagement

04/05/2017

Healthcare has been in the news a lot lately. #Trumpcare #Obamacare #RepealAndReplace It doesn't matter which side you're on people get sick at some point in their lives and seek medical care, and as medical professionals, we want to help make people better. What keeps getting in the way is the cost of that care and who pays for it.

 

Whether or not you like ACA, one good component of it was the introduction of the Center for Medicare and Medicaid Innovation and the Bundled Payments for Care Initiative (BPCI). The BPCI introduced an alternative payment model that defines a total payment for a procedure and requires that all services and participants in the procedure be paid from that set payment. Bundled payments have been shown to reduce costs and improve patient outcomes and align with the move from fee-for-service to value-based care. And while bundled payment mandates, such as coronary artery bypass graft (CABG) and the extension to CJR, have been temporarily delayed, many hospitals participating in the BPCI program plan to continue this model because it is saving them money and improving quality of care.

 

Methods hospitals have used to reduce costs and improve patient outcomes include:

  • Standardizing procedures and care pathways
  • Utilizing value-based purchasing
  • Improving care team dynamics and collaboration
  • Including the patient and their care givers in the conversation
  • Having each member of the team function at the top of their license
  • Intervening in patient care earlier before problems escalate
  • Using technology to educate, monitor, and communicate with patients

 

Improving processes and using technology to implement them improves efficiencies, quality and patient outcomes, while lowering costs to improve bundled payment margins. Whether you are currently implementing bundled payment models or are preparing for the shift to value-based care, if you're interested in improving quality and patient outcomes, we can help. Contact us to learn more.

Super Bowl LI has arrived. The two best teams of the NFL, lead by their quarterbacks Tom Brady and Matt Ryan, are hoping to lead their teams to a Super Bowl LI championship.  In this spirit, Seremedi a Houston based digital software company and the makers of CareScriptions a mobile care management solution is delivering the “Quarterback of Care” enabling care teams to achieve winning outcomes for their patients! CareScriptions changes the game for preparation and recovery from surgical procedures.  Surgical "quarterbacks" and their “surgical team” offensive line, connect with their “patients,” the care receivers, through CareScriptions from their mobile devices ensuring everyone, including the patient, is working from the same playbook.  Patients know when they should take their medications, do their physical therapy exercises, and record their vital signs and symptoms.  Surgical teams receive this critical data in real-time, increasing their window of visibility into how their patient is preparing for or recovering from surgery.  Knowing the play-by-play of how the receiver is doing, such as vital signs, medication compliance, and patient reported outcomes, allows the entire team to monitor the patient and make adjustments to treatments to enhance recovery.  Early detection of potential adverse events leads to quicker intervention, better recovery outcomes, and a faster return to the "field."  CareScriptions helps your team work as a team to win the Super Bowl of healthy outcomes for your patients! ...

CMS recently announced the Comprehensive Care for Joint Replacement (or CJR) demonstration, which requires over 800 hospitals to accept bundled payments for lower extremity joint replacement patients (Federal Register).

We've all heard about the benefits of children playing on team sports and the importance of positioning yourself as a team player when being considered for a job.  These benefits apply to healthcare as well, however, not all members of the industry have fully embraced the importance of teamwork.  With the shift from fee-for-service to value-based, bundled care models, in large part driven by the Centers for Medicare and Medicaid Services (CMS), that view is beginning to change.  The notion of a team of healthcare professionals collaborating and working together across multiple disciplines, departments and stages of a patient’s treatment and recovery carries the promise of better health outcomes for the patient, increased efficiency and quality in care delivery and reduced costs for all involved. One result of this shift is the introduction of the perioperative surgical home (PSH), defined as patient-centric, multidisciplinary team-based care delivery for a surgical procedure from the time the procedure is scheduled until full recovery.  At the Annual Perioperative Surgical Home Summit in Chicago last month, the American Society of Anesthesiologists (ASA) led multiple sessions and discussions for assisting physicians in implementing the PSH at their hospitals. The Summit, chaired by Dr. Zeev Kain, included leading experts and practitioners of the PSH.  Through these conversations physicians learned who the key stakeholders in their hospital systems would be for successfully implementing PSH, how to communicate the value of PSH to those stakeholders and how to articulate the regulatory changes that affect how hospitals and physicians get paid.  In addition, they explored the advantages of preparing for post-discharge patient care prior to the procedure taking place, and learned about successful implementations of the PSH in academic university hospital and community hospital settings.  Most importantly, the attendees were exposed to how working as a team can enhance patient pain management strategies, decrease patient length of stay, lower readmission rates, improve patient recovery and outcomes – while making sure everyone who participated in enabling the best outcomes for the patient gets reimbursed. As the maker of CareScriptions®, the only mobile platform that offers a complete care coordination solution for perioperative care, Seremedi was an important contributor to that discussion.  We had the wonderful opportunity to talk with attendees and show them how CareScriptions® adds value to their existing PSH process by increasing efficiency and reducing cost.  CareScriptions® connects the entire care team reducing miscommunication and increasing patient safety. Planned or ad-hoc tele-video conference check-ins makes follow-up visits timely and convenient. Real-time information sharing for vitals, symptoms, and treatment adherence informs the clinical team of the patient’s status during critical periods of care.  CareScriptions® not only supports the PSH model, it makes the model more efficient through real time collaboration, making the care team's lives easier and helping patients have the best possible recovery outcomes. Now that's teamwork where everybody wins! ...

It can be disappointing when you are working through a project that extends over time; for example, an art project or even a television series, and you are unable to complete it or can’t complete it to your level of satisfaction.  Imagine that project is a surgical procedure and the patient and surgical team have been working together to prepare for the surgery - and then the patient doesn’t show up fully prepared, causing the procedure to be rescheduled.  Or there is no communication between the patient and the surgical team after the patient is discharged from the hospital - and the patient ends up in the emergency room for a complication that the surgical team would have noticed before it became an issue.  Or even worse, the patient doesn’t recover. Perioperative surgical care is focused on bringing together the patient and care team to work together during the pre-, intra-, and postoperative stages of surgery to improve quality outcomes and reduce costs.  The CareScriptions® mobile platform transforms perioperative surgical care by connecting surgical teams and patients throughout the entire continuum of care, from the moment a procedure is scheduled through full recovery, providing collaborative connected care for the best possible recovery outcomes. It enables the surgical team and patient to communicate and work together as a team from one consistent pathway, individualized for the patient, every step of the way.  CareScriptions® provides guidance to the patient from the moment the surgery is scheduled, so they show up for the procedure fully prepared.  It supports scheduled follow up visits between the patient and care team via tele-videoconferencing during the crucial time period immediately after the patient is released from the hospital as well as ad-hoc calls whenever the patient feels concerned, saving on costly emergency room visits and readmissions.  When a team is able to work together efficiently, outcomes improve, quality is increased, and patients are satisfied.  More importantly, the project makes it all the way to completion and the patient has the best possible recovery outcomes, something everyone can be happy about.  ...

Technology has empowered patients; they have greater access to information through the Internet and support through social media. Technology has also empowered the physician, both in terms of having greater access to information and being able to work with a better informed patient who is now an active participant in their healthcare and recovery. Technology is also helping to connect the patient to the physician, increasing the quality of communication, patient adherence, and satisfaction. This has not only led to better outcomes for the patient, but also a decrease in hospitalization and costs[1].  While technology may enable shorter hospital stays, there is a potential for readmission.  Readmissions are often the result of poor communication and execution during the patient’s preparation, discharge and recovery process. Not only are they costly, high-risk, and potentially life threatening, they are most often completely preventable. Seremedi empowers hospitals with solutions to help reduce unplanned re-admissions through the introduction of CareScriptions™ and the ability to deliver collaborative connected care, supporting the doctor-patient commitment to work together through patient recovery.  With CareScriptions™ not only are you able to maintain a high-touch quality of care for your patient, but you are also alerted to changes in your patient’s vitals and activities so you can identify potential complications before they lead to costly re-admissions, helping you, your patient, and your institution achieve the best possible outcomes. [1] Wildevuur SE, Simonse LW. Information and Communication Technology–Enabled Person-Centered Care for the “Big Five” Chronic Conditions: Scoping Review. Eysenbach G, ed. Journal of Medical Internet Research. 2015;17(3):e77. doi:10.2196/jmir.3687. ...