NEW YORK – FirstHealth of the Carolinas achieved a 53% reduction in hospital readmissions using a Health Recovery Solution patient engagement tool and their own Complex Care Management Model.
“The results validate the importance of engaging patients in managing their care with technology,” said Patty Upham, director of care transitions, FirstHealth of the Carolinas.
The study of 220 high-risk heart failure, COPD and diabetes patients tracked utilization and cost of care across all payer groups for eight months. The hospital readmission rate was reduced from 1.7 at baseline to 0.8 after the intervention, reflecting a savings of $1.9 million in cost avoidance for the payers.
FirstHealth Complex Care Management distributes HRS PatientConnect software-loaded tablets and HRS Bluetooth engagement kits to patients that have been referred from FirstHealth Hospitals and Transitions clinics.
Within two days of being discharged from the inpatient facility, participants receive a home visit, which includes a comprehensive nursing evaluation and medication reconciliation. The patient and caregivers are instructed on how to use the equipment to obtain vital signs, access educational videos with teach-back tests and respond to survey questions about the patient’s current health status.
The captured real-time data flows to nurse care teams to intervene when necessary.
“Our partnership has demonstrated we can reduce hospital admissions and the associated costs,” said Jarrett Bauer, CEO of Health Recovery Solutions, in a statement. “Together, we are pushing beyond conventional thinking and delivering population health management solutions for at-risk patients with great success.”