WellMed Case Report 092116 Final - LTQA

Transcription

ber2016Long- risk- chestoLTSSintegration.Eachcasereportprovidesanin- rycare- ‐basedmedicalgroupandrisk- marycarephysicians(PCPs)andmid- ngcapabilitiesin- .

traditional(i.e.,fee- ‐for- owtheirpatientspersonally,andoffersahigh- ndhigh- Aplansforfull- servicebyprovidingunnecessaryorlow- ideoftheWellMedcontract,arepaidfee- ‐for- tacquisitiontargetsare2

WellMedhasanin- nicoracontractedprovider.EmployedClinic- ludesahealthcoach,mid- rapanelofbetween450and800patients,withmid- ‐levelpractitionersactingasextenders.3

- eavingtimetorespondtoemergencies,follow- - lMed- entfollowing4

anymarkets,WellMedalsoemploysphysiciansandmid- tsandSNF- pitalists.WellMedalsoconcentratesmostoftheirpost- ndhastwoSNF- entsinthesefacilities.InadditiontotheSNF- ‐ists,thereareWellMedNPson- pitalistorSNF- espondtoanyissuethatarises.HospitalistsandSNF- atpreferredmedications(likehigh- dications,pre- isk.Low- ‐riskpatientsreceivestandardcareinthe2An"SNF- ngforpatientsinpost- es(SNFs).5

ethehighest- ion(PCC)meetings—tomanagethecareofhigh- gthosewhoarehospitalizedorinpost- on,needmedicationreconciliation,orarenon- teamapproachtoproblem- rsprovidesomeshorter- lcaremanagementisonesuchshort- thisreviewwithaface- ‐to- tsaremadepermanentandexpanded.After- Inadditiontohaving24/7physicianson- eadoftheemergencyroom.WellMedfoundthatmany6

hours.Allhigh- weekendERvisits.Afewyearsago,WellMedpilotedahome- /7,andcanprovideemergenthome- heirmarkets.Non- ‐MedicalInterventionsWellMedfundsarangeofnon- relationshipswiththecommunity- ‐basedorganizationsthatmeetthenon- idges,WellMed’shome- seminar/2015/wellmed- ‐bridges- ‐complex- ‐care- ‐program- ‐comprehensive- ‐palliative- ‐care- ‐across- ‐continuum/7

isco- inafive- goodhealth.Nursesandmedicalassistantsareon- vices.Theseniorcentersalsoaddressnon- - hatdonothaveaco- inicsofferanair- searchteamvisitedtheAliciaTrevinoLopezSeniorOne- dation.org/senior- ‐centers/alicia- ‐trevino- ‐lopez- ‐senior- ‐one- ‐stop/8

,anhour- vidence- ion.5WellMedtrainsnon- alcare,butdoesnotincludeexplicitfundingfornon- ‐medicalservices,personalcare,home- ‐deliveredmeals,non- iblefornon- non- tientsneed.WellMedraisesmoneytomeetpatients’non- sters.org/9

vingsrealizedbysuccessfullymanaginghigh- icare- tofoperatingahome- findadequate,long- igh- tofinanceservicesthatsupportthemathomelong- ersallmedicalcareexceptforbehavioralhealth(carved- ‐outandretainedbytheMAplan)andhospice(carved- ceptstraditionalMedicare,thefee- ‐for- ce- treated,refertopage31289.10

aythereforebeatriskforahigh- ity- ment,incorporatenon- antialamountofnon- ‐medicalhomeandcommunity- comes—patientswhoreceiveallrecommendedpr

WellMed JenniferWindh' September'2016' ' Background/Information/ WellMed' is' a primary' care:based' medical' group' and' risk:bearing' entity .