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The	
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Integration with
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Overview
1 AHN Healthcare@Home provides the services and expertise to quickly
assess and direct patients to the right care setting or services before,
during and/or after they receive cardiac care
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AHN	
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ALLEGHENY GENERAL
•  CHF Clinic
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WEST PENN
•  Inpatient Rehab
FORBES
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JEFFERSON
•  Inpatient Rehab
•  Cardiac Rehab
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SAINT VINCENT
•  Inpatient Rehab
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prac;;oners	
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Breaking the Mold: Fresh Approaches for Treating High-Cost and Chronically Ill Patients (Brian Holzer)

  • 1. The  complexity  and  size  of  Highmark  Health  can  drive   a  unique  approach  to  research  &  innova<on  
  • 2. 2   Higher  quality  outcomes   through  coordinated   care  transi<ons   throughout  the  post-­‐ acute  con<nuum   Be?er  pa<ent   experience  through   personal  rela<onships   with  our  Transi<onal   Care  Coordinators   Decreased  re-­‐admissions   by  puDng  pa<ents  in  the   right  seDng,  for  the   right  treatment,  at  the   right  <me   Healthcare@Home  Benefits  
  • 3. 3   …  provides  a  coordinated  model  for   accountable  post-­‐acute  care   Payer  Product   Integra;on  
  • 4. 4   Transi;onal  Care  Coordinators  &   Account  Execu;ves  
  • 5. 5   This  is  important  for  our  pa;ents,   and  for  us…     With  one  call,  healthcare  is  coming  home   1.800.381.8080   www.healthcareathome.com  
  • 6. C  O  N  F  I  D  E  N  T  I  A  L   Heart  Program  Overview   [date]  
  • 7. 7   Value  Healthcare@Home  Heart  Care  Program   7   2 Services Coverage Area Differentiators 3 4 5 Discharge Planning Southwest PA Integration with Healthcare@Home Reduce Heart Failure Readmission Reduced LOS Overview 1 AHN Healthcare@Home provides the services and expertise to quickly assess and direct patients to the right care setting or services before, during and/or after they receive cardiac care Improve Patient Satisfaction Key Optimize quality of care SNF/LTAC/Therapy Partner AlignmentNorthwest PA Central PA End-to-End Care Coordination Care Coordination Physician Rounding At Home Cardiac Services Physician Driven
  • 8. C  O  N  F  I  D  E  N  T  I  A  L  8   AHN  has  industry  physicians  and  ins;tu;ons  in  heart  &  breathing  care   Key  Data  Points   CHF  &  Surgery   Over  100  Cardiac  Physicians   •  Physicians  =  58   •  Partners  /  Aligned  =  50   Over  7,500  Cardiac  Pa;ents  Seen  Annually   •  CHF  =  6,636   •  Surgery  =  971   Over  13  Heart  Clinics  /  Rehab  Loca;ons   •  See  next  slide   Na;onally  Recognized  Ins;tu;ons   •  Joint  Commission  Advanced   Cer;fica;on  for  Heart  Failure   •  Society  of  Thoracic  Surgeons  Highest   Three-­‐Star  Ra;ng   Sources:  AHN  2014  Census  
  • 9. C  O  N  F  I  D  E  N  T  I  A  L  9   AHN  Cardiac  &  Rehab  Loca;ons  –  CURRENT  STATE   ALLEGHENY GENERAL •  CHF Clinic •  Cardiac Rehab WEST PENN •  Inpatient Rehab FORBES •  Inpatient Rehab •  Cardiac Rehab JEFFERSON •  Inpatient Rehab •  Cardiac Rehab •  CHF Clinic SAINT VINCENT •  Inpatient Rehab •  Cardiac Rehab ALLEGHENY VALLEY •  Inpatient Rehab •  Cardiac Rehab CANONSBURG •  Inpatient Rehab
  • 10. C  O  N  F  I  D  E  N  T  I  A  L  10   H@H  Heart  Care  Program  aligns  acute,  post-­‐acute,  payers  and  individual   prac;;oners  in  one  accountable  model