Volume VI, Issue 47

Nov. 25, 2019
Some of the nation's largest health systems want to care for patients in their homes   
Samantha Liss reports for Healthcare Dive on Nov. 21, 2019:

Some of the nation's largest hospital systems are turning to a startup to help them deliver at-home hospital care to patients who otherwise would have been admitted...It's a move that may seem at odds with the traditional business model of hospitals, but it's one way providers are trying to get ahead of the curve as pressure mounts to reduce the cost of care and as reimbursement is increasingly tied to quality. It also fits the trend of care moving out of the pricey hospital setting.
"This is the first instance I have seen where a hospital system is attempting to intentionally reduce patient census in favor of lower cost care being provided out of the hospital," states David Fater, CEO at ALDA and Associates International in Boca Raton "This may indicate that we are approaching the tipping point and <witnessing> a new breed of hospital CEO," he adds. "Such a strategy can only improve the healthcare system with lower costs and patient satisfaction at being allowed to remain in a familiar place-their home. It will be up to the home health company to ensure that the third of the triple aims is achieved and that being better quality outcomes."
On November 20 Medscape released its annual med mal report.
More than half of physicians will be named in a lawsuit at some point. With a hardening market in Florida, this is a must read for all healthcare professionals.
(log in/complimentary registration required.) 
Moving Through the Hype Cycle on Social Determinants of Health
David Raths reports for Healthcare Innovation on November 18:
Is the concept of social determinants of health in danger of being overhyped? Certainly, enthusiasm for SDOH work is growing in both public and private payment models.
"Integrating Social Determinants of Health (SDOH) is important to align the best treatment and is imperative to understand patient outcomes in a holistic manner," states Eneida O. Roldan, MD, MPH, MBA CEO, FIU Health Care Network . "It is not a hype but rather has taught us that as physicians we were missing an important aspect of patients' total well-being."

"There is a terminological problem here. Social determinants as the term is used in primary care is something quite different from the same term as used by sociologists and epidemiologists," asserts Santiago Leon, JD, Associate Director, Health & Benefits, Willis Towers Watson. "When we talk about addressing someone's heat rash with the purchase of an air conditioner, we are talking about something which is different in kind as well as in scale from addressing depression and alcoholism through the regeneration of communities," he adds. "Typically, social determinants at the epidemiological level have a longitudinal dimension: bad things happen socially now, medical problems appear later. Clinicians are not in a position to revise a patient's past."



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Florida Health Industry Week in Review is published every Monday by

Each Monday morning, we share the top healthcare headlines of the previous week and summarize
What Happened (WH) and
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