Post-Acute Bundled Payments Opportunity to Identify Gaps in Care, Staff Training

Care Improvements from Post-Acute Bundled Payments

Post-Acute Bundled Payments Opportunity
to Identify Gaps in Care, Staff Training

Beyond reducing per-episode costs and readmissions, Brooks Rehabilitation's experience in CMS's Bundled Payments for Care Improvement (BPCI) initiative helped the post-acute care provider to identify gaps in care and staff training, notes Debbie Reber, vice president of clinical services for Brooks Rehabilitation.

In this interview, Ms. Reber identifies how Brooks Complete Care program achieved its biggest savings as well as the care and training enhancements resulting from the rehabilitation system's participation in BPCI's Model 3.

Length: 3:26 minutes

Brooks has achieved an overall savings of about 19 percent over its historic spend and has decreased its readmission rate to about 15 percent across the 60-day time frame within this program. And, has also seen increases in patient functional improvement and patient satisfaction rates, according to Ms. Reber.

During the recent webinar, Bundled Payments for Post-Acute Care: Four Critical Paths To Success, now available for replay, Reber walked participants through the four domains that have been critical to its success in the BPCI program, including: using standardized assessments across care settings; patient and caregiver engagement; the in-house developed Care Compass Tool, which includes a longitudinal care plan; and enhancing the role of the care navigator.

You can "attend" this program right in your office and learn how Brooks operationalized its four BPCI domains across its continuum of care; developed its in-house, electronic tracking tool, the Brooks Care Compass, a data repository that pulls from electronic medical records to provide clinicians and care navigators the data they need to manage episodes of care; addressed challenges in the implementation process, including the need for continuous training, developing a mechanism for staff feedback and defining the roles of nurse navigators and non-nurse navigators in the program; and is leveraging its experience with BPCI for additional revenue opportunities.

It's so convenient! Invite your staff members to watch the conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and view the program right from your computer—any time of the day or night, whenever convenient for you and your colleagues—and benefit from the archived recording of the conference, including the Q&A period.

You'll get to listen to the question and answer session to hear: where the greatest risk of readmission occurs for Brooks' patients; more details on the longitudinal care plan tool; which patient engagement tools Brooks' utilizes; how Brooks addressed the challenge of role delineation between care navigators and case managers; insight on identifying patients eligible for the bundled payment; how to communicate and coordinate with the patient's PCP, post-discharge, for a safe transition to home; and how Brooks manages patients that transition to/from a non-Brooks' facility.

Register for the on-demand rebroadcast today or order your training DVD or CD online today at:

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