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PASS - Post Acute Support System

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Independent Living Systems, LLC, All Rights Reserved.
Agenda ,[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
About ILS Group ,[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
ILS Group Principal Clients ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
The Problem… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
Costly Readmission Rates Independent Living Systems, LLC, All Rights Reserved.
Correlation to Unbalanced use of HCBS Resources Independent Living Systems, LLC, All Rights Reserved.
The Solution – Care Transition ,[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
Post-Acute Support System PASS ™ ,[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
PASS ™ Value Proposition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Benefits / Outcomes Objectives Independent Living Systems, LLC, All Rights Reserved.
Post-Acute Support System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Post-Acute Support System Independent Living Systems, LLC, All Rights Reserved.
PASS ™ “Five Points” ,[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
Medication Self-Management ,[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
Nutrition Management ,[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
Physician Follow-up Visits ,[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
Red Flags / Signs & Symptoms ,[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
PASS ™ Fully Integrated Care Transition Independent Living Systems, LLC, All Rights Reserved. Nutrition Management Medication Management Personal Health Record PCP & Specialist Physician Follow Up Red Flags / Signs & Symptoms Inpatient (Acute/Sub-Acute) Admissions: Nutrition Management Medication Management Personal Health Record PCP & Specialist Physician Follow Up Red Flags / Signs & Symptoms Post Discharge - Home (48-72 hrs): Nutrition Management Medication Management Personal Health Record PCP & Specialist Physician Follow Up Red Flags / Signs & Symptoms Follow-up Calls 2, 7, 14, 30 days Post Discharge: PASS ™ Coach & Care Support Representatives Referrals to Community Resources
PASS ™ Information System ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
PASS ™ MCO Implementation: Factors to Consider ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved. PASS ™ MCO Implementation: Factors to Consider
PASS ™ MCO Implementation Independent Living Systems, LLC, All Rights Reserved. Challenges & Barriers Solutions That Work Data Analysis ,[object Object],[object Object],[object Object],[object Object],Hospital Relationships ,[object Object],[object Object],Hospital Process ,[object Object],[object Object],[object Object]
PASS ™ MCO Implementation Independent Living Systems, LLC, All Rights Reserved. Challenges & Barriers Solutions That Work Process Clarification & Coordination ,[object Object],[object Object],[object Object],Member Acceptance ,[object Object],[object Object],[object Object],Physician Acceptance ,[object Object],[object Object],[object Object]
Hospital Perspectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.
PASS ™ “Best Case” Implementation Client 1: 500 Bed Private Hospital & Physician Practices Client 2: 1000 MA MSO & Medical Center (At Risk) Client 3: 2000 MA Member Health Plan (County Coverage) Admits to Hospital Pilot to manage specific MC admits based on Dx, & previous case management Manage admits for designated Dx to designated hospitals Manage admits for designated Dx to all hospitals in the County Independent Living Systems, LLC, All Rights Reserved.
Questions? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Independent Living Systems, LLC, All Rights Reserved.

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PASS - Post Acute Support System

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  • 18. PASS ™ Fully Integrated Care Transition Independent Living Systems, LLC, All Rights Reserved. Nutrition Management Medication Management Personal Health Record PCP & Specialist Physician Follow Up Red Flags / Signs & Symptoms Inpatient (Acute/Sub-Acute) Admissions: Nutrition Management Medication Management Personal Health Record PCP & Specialist Physician Follow Up Red Flags / Signs & Symptoms Post Discharge - Home (48-72 hrs): Nutrition Management Medication Management Personal Health Record PCP & Specialist Physician Follow Up Red Flags / Signs & Symptoms Follow-up Calls 2, 7, 14, 30 days Post Discharge: PASS ™ Coach & Care Support Representatives Referrals to Community Resources
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  • 25. PASS ™ “Best Case” Implementation Client 1: 500 Bed Private Hospital & Physician Practices Client 2: 1000 MA MSO & Medical Center (At Risk) Client 3: 2000 MA Member Health Plan (County Coverage) Admits to Hospital Pilot to manage specific MC admits based on Dx, & previous case management Manage admits for designated Dx to designated hospitals Manage admits for designated Dx to all hospitals in the County Independent Living Systems, LLC, All Rights Reserved.
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