Collaboration Learnings From the PatientPing Chicago Community Summit

On October 24th, PatientPing hosted a Chicago Community Summit at the Doubletree Suites by Hilton Hotel in Downers Grove, Illinois. The event gathered nearly 100 PatientPing customers from across hospitals, health systems, health plans, post-acutes and more, traveling from the Chicagoland area, Illinois, Iowa and Wisconsin. The summit allowed attendees to collaborate with one another to receive fresh perspectives on some of the latest and most pressing healthcare initiatives. See below for key takeaways from the event!

Summit Keynote: Making the Case for Value-Based Care in a Fee For Service World

PatientPing’s summit keynote featured Dr. Raj Krishnamurthy, Chief Clinical Transformation Officer, University of Chicago. Dr. Krishnamurthy discussed prescriptive strategies organizations can implement to help support the approach to taking on risk and make a case for value-based care:

  1. Develop care management programs
  2. Use employee health plans
  3. Focus on  revenue loss and gain
  4. Craft a message for the why that resonates and repeat it often
  5. Think of your PCPs/front desk/nurses, as your customers
  6. Utilize process metrics
  7. Tailor programs to the environment
  8. Share data that is actionable
  9. Create community partnerships to support SDoH
  10. Find clinician champions who are engaged with new technologies

Dr. Raj Krishnamurthy, Chief Clinical Transformation Officer at University of Chicago delivers Keynote Address at the PatientPing Chicago Community Summit

Summit Panel: Managing High-Risk Patient Populations

The panel discussion was moderated by PatientPing’s Head of Growth, Brian Manning and included the following panelists:

  1. Dianna Grant, MD, CMO, NextLevel Health
  2. Henish Bhansali, MD, Senior Medical Director of Care Navigation, Oak Street Health
  3. Rani Morrison, MSW, LCSW, Senior Director of Care Continuum, UI Health
  4. Geetha Govindarajan, MD, PhD, MPH, Director of Clinical Innovation, Friend Health

Of the various themes discussed by the group, the most dominant were that the most successful care coordination models allow for the flexibility to address issues on a case by case basis and that partnerships within the community are key. Examples of these partnerships included: 

  • Dental services
  • Nutritional services
  • Behavioral health coordination
  • Community resources
  • University partnerships
  • Gym memberships

A common challenge discussed among the group was how to deliver successful care coordination to patient populations who are most resistant to receive care, yet most in need.  One tactic suggested was to deliver interdisciplinary rounds within clinics at least once a month – so all sides of the care team can develop cohesive care plans for patients encompassing behavioral health, or community resources from earlier on in the patients’ care journeys to ensure improved outcomes and reduce costs. 

“You need to have a heart-to-heart between the provider and the patient. Have a discussion, ‘hey, this is your team, these are the faces, and their contacts. If you need a, b, c this is who you call’ and interacting with them during their encounter is incredibly important.” — Dr. Geetha Govinadarajan, Director of Innovation, Friend Health

Panel on Managing High-Risk Patient Populations at the PatientPing Chicago Community Summit moderated by Brian Manning, PatientPing Head of Growth and featuring speakers from NextLevel Health, Oak Street Health, Friend Health, and UI Health

Summit  Breakout Discussions

Patient Engagement at the Point of Care and in the Community:

The patient engagement breakout session focused on factors that are key in successfully engaging patients. 

One major theme discussed was the attributes needed from the staff at the point of care: “It is important to hire those with clinical expertise in high-risk care areas, empathy, and those who can engage with patients on a personal level to build relationships quickly. As you look to engage particularly sensitive patient populations, it is vital to have someone with both social and cultural sensitivity. Clinical and people skills are crucial.” Dr. Earl Fredrick, Senior Medical Director, NextLevel Health.

Another topic discussed was utilizing technology to identify which patients are most important to engage. Dr. Fredrick shared how NextLevel Health has embedded care managers in several of their busiest hospitals with access to the ER, EMR, and PatientPing platform. With the assistance of PatientPing, care managers are able to identify high utilizing patients that have been out of contact for several months and target those patients for outreach on connecting them to the appropriate resources. “We started showing improvements around length of stay, ED use, and readmissions.”

Adjusting to Post-Acute Payment Models:Patient Driven Payment Model (PDPM) and Payment Driven Groupings Model (PDGM)

During the post-acute payment model session, Gina Szwed, Vice President of Business Development at Symphony Post-Acute Network and Matthew Boblick, Director of Operations at Provider Preferred Home Health discussed Patient Driven Payment Model (PDPM), a new payment model recently rolled out by CMS, and Payment Driven Groupings Model (PDGM) which will be effective in 2020. Gina and Matthew focused their discussions on approaches their organizations are taking amidst the new payment models.

The Patient Driven Payment Model (PDPM) is a new payment model for skilled nursing facility patients in a Medicare Part A covered stay. One way Symphony Post-Acute Network has adjusted to the new rule is by searching for Multiple Co-Morbidities and non-ancillary therapy. To do this, the skilled nursing facility organization is requiring a new pre-screening documentation process for PDPM patients to be shared with team physicians on the following:

  1. Antibiotics list
  2. Wounds
  3. Feeding schedules
  4. Respiratory problems

The Payment Driven Groupings Model, PDGM, is an updated payment model for determining home health agency (HHA) payments. The change from sixty-day episodes to thirty-day periods means that HHAs must act quickly to deliver, document, and bill for care twice as often. Provider Preferred Home Health, has been preparing for these changes by: 

  1. Conducting agency risk assessment  develop preparedness plan
  2. Developing industry partners (coding, telehealth, professional Services)
  3. Educating staff
  4. Enforcing referral source education 

PatientPing Best Practices:

The third breakout session enabled attendees to engage with one another and PatientPing product experts on best practices for using PatientPing. With a variety of customer types participating, the lively discussion highlighted tactical tips and workflows across the continuum of care. Some best practices discussed included:

    1. Build and customize saved filters: Highlight specific patient care events, including ED encounters, Inpatient discharges, and/or SNF admissions to coordinate transitions. Enhance these by applying PatientPing flags (high utilizers, re-admission risk, recent inpatient stay, etc.) to the filter criteria
    2. Activate notifications to ensure real-time care team activation and patient outreach: Set-up text and/or email alerts, specify preferred frequency based upon workflows, and receive updates on-the-go 
    3. Leverage PatientPing for up-to-date patient contact information: Enable successful patient outreach and engagement by leveraging patients’ demographic information surfaced right within the PatientPing platform (e.g. phone-number, zip code, PCP)
    4. Enhance transitions of care by collaborating with patients’ care team members : Expand care coordination efforts by leveraging patient care team members’ contact information, including care managers, admission/discharge care coordinators, health plan navigators, community providers, and more! 

Thank you to our Midwest community for coming out and making the day such a success.