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Patient-centered tools built to help reduce preventable readmissions

As patients are increasingly being discharged to their homes rather than to traditional post-acute care settings, home health care is becoming essential to the successful transition of patients out of the hospital. This indicates a need for better communication and coordination between visits and across settings to enable safer, more effective care. That need has only grown since the pandemic.

Reducing preventable readmissions is a necessity

The Home Health Value-Based Purchasing (HHVBP) model was designed by the Centers for Medicare and Medicaid Services (CMS) to give Medicare-certified home health organizations incentives to deliver high-quality and efficient care. It reinforces that the patient experience is central to the success of home health organizations.

With the value-based purchasing model, organizations must demonstrate continuous performance improvements relative to the cost of care to avoid penalties and maintain a threshold of excellence. Preventable readmissions can negatively impact this threshold, which is why reducing them is necessary for organizations to achieve success and a healthy bottom line.

Preventable readmissions are costly

Engagement is vital to business success and smart engagement strategies can impact patient satisfaction scores — and your bottom line. Without engagement, organizations can experience increased readmissions, which are costly. The good news is that many readmissions are preventable with the right technology.

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The shift to connected and collaborative care

Connected and collaborative care is becoming more important with the shift to value-based care and patient engagement is considered a key indicator of quality care. With MatrixCare Link, organizations can gain a comprehensive communication solution that aligns with agency processes to help enhance patient outcomes, boost agency efficiency and exceed value-based purchasing benchmarks.

The more efficiently care teams, patients, and provider partners can connect with each other, the more satisfying and effective the care experience will be for all. Increasing collaboration opportunities between key stakeholders can extend your team’s reach and allow them to assess patients more quickly to develop plans of care.

Advanced Health Care (AHC) faced the challenges of value-based purchasing and high rehospitalization rates caused by the lack of streamlined communication and patient care coordination. MatrixCare Link helped them experience some of the lowest rehospitalization metrics known in the industry — typically 5% lower than other entities.

“It’s difficult to reach providers and to communicate effectively what is needed. Being able to get these partners to sign and return forms in a timely manner means patients will struggle less and care efforts will be more efficient.”

– Steve Peterson, Regional Director of Therapy Services at Advanced Health Care Corporation

Patient and caregiver engagement is critical to the success of every home health and hospice organization. See how MatrixCare Link can help you achieve your engagement goals.

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Lon Stuckey

Lon is a Senior Product Manager of Interoperability at MatrixCare with Home Health and Hospice organization. He has been with MatrixCare since 2022 and has 20 plus years of experience in the industry working with a variety of products. Most of his time has been in the Post-Acute space working in many different capacities including leadership roles in Implementation, Project Management, Engineering as well as Product Management.

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