Care Coordination

Chronic Care Management Program

Centers for Medicare & Medicaid Services (CMS) acknowledged that less than 10% of Medicare fee-for-service beneficiaries presently receive ambulatory care management services. Therefore several important changes to expand access to these services were made. CMS released 2020 Medicare Physician Fee Schedule Final Rule (Final Rule) November 1, 2019. … More at Affinity Expert – Chronic …

Meeting Patient Needs: Hidden Causes of Hospital Readmission

Brief Description of the situation: Mrs. C was readmitted back into the hospital six days after her recent discharge.  She left the hospital in stable condition, resolved symptoms, having all of her prescriptions and instructions in hand.  It was documented that she verbalized understanding of her discharge instructions including her follow up appointments and medications. …

Care Coordination

Historically, there has been little coordination across the multiple settings, providers and treatments of care. In addition, the treatments are often complicated, making it difficult for patients to comply with treatment protocols. Effective medical care usually requires longer visits to the doctor’s office than is common in acute care. Moreover, in treating illnesses, the same …

What? Why? Where? And Who Cares about Care Coordination?

What? According to the Agency for HealthCare Research and Quality “Care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient’s care to achieve safer and more effective care. This means that the patient’s needs and preferences are known ahead of time and communicated at the right time …