In the News: November 10-16

Sg2 is dedicated to helping our clients interpret the latest news and trends in health care. Below you’ll find our analysis of this week’s key industry headlines, along with links to related Sg2 resources.

NEJM Care Redesign Survey: More Resources Needed to Strengthen Connection to Post-Acute Care

The NEJM Catalyst Insights Council completed a care redesign survey to assess the post-acute care (PAC) landscape and how the market has shifted due to recent forces (eg, CMS incentives through ties to reimbursement). Overall, the study suggests the need for more resources to be allocated to the PAC setting to strengthen the hospital-to-PAC connection and improve the quality of patient care.

PAC will continue to gain importance as value-based care becomes the norm and arbitrary categories based on admission criteria give way to continuing care. Read this Sg2 report for strategies for success in continuing care, including new care models, technologies, partnerships and organizational structures, as well as case examples from progressive organizations that have embraced the concept of continuing care.

ACEP Study: Limited Association Between Retail Clinics and Reduction in ED Visits

While retail clinics have become a popular alternative site to receive primary care, a recent American College of Emergency Physicians (ACEP) study of data for 23 states from 2007 to 2012 found that these clinics may not be associated with a meaningful reduction in ED visits. The study found that a 10% increase in retail clinic penetration per quarter was associated with a 0.3% reduction in low-acuity ED visits among privately insured patients.

Despite difficulties in realizing their full potential for savings, retail clinics continue to be an integral part of some health systems’ consumerism and access strategies. Meanwhile, it may be time to dust off more tried-and-true efforts to improve ED efficiency. Read our tips to do so in Sg2’s Emergency Department Performance Guide.

Health Affairs Study: Mortality Rates Fell in Communities With Multisector Support of Population Health

Using 16 years of data from US communities, a recent Health Affairs study found significant decreases in deaths due to cardiovascular disease, diabetes and influenza among communities with comprehensive multisector network support of population health activities. The authors also noted decreased support for population health activities in rural communities, those with fewer than 100,000 residents, and those with lower household incomes and higher proportions of racial and ethnic minorities.

If your organization is considering a robust approach to population health, start with Sg2’s Population Health Management self-assessment tool.

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