Category Archives: Uncategorized

The Evolution of Discharge Phone Call Programs

Since the introduction of the Hospital Readmissions Prevention Program (HRPP) much effort has been mustered by both acute and post-acute providers to decrease the number of patients that return to the hospital within the first 30 days after discharge. One of the more effective interventions for reducing readmissions have been discharge phone calls. Many popular…
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Results from our survey on the effectiveness of clinical teach-backs

Nexus Health Resources recently conducted an online survey with care coordinators on the impact of clinical teach-backs and changing patient behavior. The care coordinators that participated in the survey included clinical professionals coordinating the care for patients with cardiac, diabetes, and pulmonary conditions. Some of the takeaways from this survey are the high proportion of…
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Accountable Health Communities Model Opens Care Coordination Partner Opportunities

The January announcement of the Accountable Health Communities (AHC) Model by CMS gathered a lot of attention with its grant awards ranging from $1 million to $4.51 million. However, some of the steep requirements, such as screening 75,000 individuals annually or demonstrating established relationships with clinical delivery sites that have served 51% of the total…
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