Do you know about - 15. Behavior Change & Policy - Dr. Jane Brock (Colorado Foundation for Medical Care) at MfC '11
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15. Behavior Change & Policy - Dr. Jane Brock (Colorado Foundation for Medical Care) at MfC '11 Tube. Duration : 18.02 Mins.We had a good read. For the benefit of yourself. Be sure to read to the end. I want you to get good knowledge from Ehealth Insurance . USING COMMUNITY-BASED HEALTH COACHING TO REDUCE READMISSIONS In addressing the notion of government policy as agent of behavior change, Dr. Jane Brock of Colorado Foundation for Medical Care discussed collaborative work with the Center for Medicaid and Medicare Services (CMS) to tackle the issue of high hospital readmissions for Medicare beneficiaries. According to Brock, 20% of Medicare patients are readmitted within 30 days of discharge. "The system is just so complicated, providers are unaffiliated, there is no consistent method for transferring clinical info, no standard transition process, and we don't activate patients and caretakers to engage in self-care," Brock outlined. However, initially through a regional pilot and then through a CMS-funded multi-state project, Brock and her Quality Improvement Organization (QIO) counterparts in 14 states were able to drive dramatic decline in readmissions through health coaching. In some cases, as much as 50% decline among coached vs. uncoached patients. "Patient activation trumps everything," articulated Brock, "and patients who feel confident that they know what they're supposed to manage, or they know where to get help, goes a long way to taking care of all of the other problems." The CMS project used the Patient Activation Measure (PAM), referenced above by presenter Rodney Hart, to create baselines, target the highest risk patients, and then measure progress. The transitions care framework incorporated medication ...
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