Amid crisis, hospitals provide communities with mental and emotional support


As clinicians and caregivers fight against the challenges of the COVID-19 pandemic, their focus is on the urgent needs of the patients they are currently treating. But healthcare organizations have another role to fill: supporting the mental and emotional well-being of their patient population during a global pandemic, even if they aren’t among those being treated for the virus.

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Topics: Population Health, Patient Engagement, Patients, Coronavirus

Why bulk data will make or break population health

Posted by Larry O'Toole, Associate Vice President, MEDITECH on February 27, 2020

Predictions in a field as rife with change as healthcare can be risky, but I’m going to venture out on a limb and say that 2020 will be our industry’s most pivotal year in at least a generation. A year from now I predict we’ll look back at 2020 as the year of interoperability.

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Topics: CIO, Population Health, Interoperability, C-level, Transformative Technology

How Annual Wellness Visits improve patient outcomes and organizational revenue


Even with recent increases in the percentage of Medicare recipients who have Annual Wellness Visits (AWVs), less than 20 percent of eligible patients availed themselves of this new benefit provided under the Affordable Care Act, according to a JAMA study

At Frisbie Memorial Hospital, we saw this as an opportunity to enhance population health efforts and increase revenue through a relatively easy appointment.

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Topics: Government Regulations, Population Health, Patient Engagement

How nursing roles are expanding to support population health efforts


In order to build healthier communities and improve population health management, providers need information about a patients’ health that goes beyond clinical factors. 

How can we achieve this? 

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Topics: EHR, Population Health, Health IT, nurses

How to improve discharge procedures for homeless patients


When people think of life in California, they often think of movie stars, mansions, and pristine beaches. The reality can sometimes be less glamorous. Since 2016, the homeless population in California has risen by 13 percent. There are now an estimated 130,000 homeless individuals living across California, including 50,000 in Los Angeles alone. Walking the streets in San Bernardino County, the sight of people sleeping in cars, under bridges, and in parks is all too common. 

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Topics: Population Health, Patient Engagement, Social Determinants

Can chronic disease patients really change poor lifestyle habits? Here’s one way to engage them


Lisa, a 45-year old single mother, visits her primary care physician complaining of fatigue and excessive thirst; blood tests reveal she has high blood glucose. She walks out of the clinic with a prescription and a pamphlet about type 2 diabetes. Now what?

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Topics: Population Health, Patient Engagement

Thought leader podcast series: Addressing the opioid crisis


In our latest Thought Leader podcast, I speak with Phil Campbell, CIO and VP of Information Services at CalvertHealth (Prince Frederick, MD), about how his organization has been addressing the opioid crisis through its award-winning Opioid Stewardship Program

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Topics: CIO, Podcast, Population Health, Patient Engagement, Patient Safety

6 resources for National Recovery Month



September is
National Recovery Month — a time to recognize the more than 11 million Americans who are struggling with opioid addiction. This massive problem has grown exponentially over the years and, unfortunately, seems to be the new norm.

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Topics: Nursing, Physician, Population Health

Improving care coordination with a transition care center

Posted by Linda van Loon, RN, BSN on September 6, 2018

In 2014, Parkview Medical Center realized that it needed to reduce its readmission rate significantly while also fixing a communication gap between home health care agencies and other post-acute facilities. To address these issues, my director and a team of other leaders joined together to pilot a new transition care center that went live in 2016.

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Topics: Population Health, Patient Engagement, Patients, Care Coordination

Thought Leader Podcast Series: Social Determinants of Health and Transitional Care


In the latest installment of our thought leader podcast series, I chat with Billie Lynn Allard, MS, RN, and Jennifer Fels, RN, MSN, co-founders of Southwestern Vermont Medical Center's transitional care program. Allard and Fels explain how they designed a program that addresses recurring gaps in care caused by social determinants of health in their rural community. 

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Topics: Population Health, Patients, Social Determinants

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