Clinical Innovation

THE CHALLENGE
A safety net hospital in the Midwest that serves a culturally diverse patient population sought to increase its presence as a leader to its underserved community. In order to inspire consumer confidence and enhance connection to the community following the pandemic, the hospital needed to refresh its name, branding and image.
 

OUR SOLUTION
Working alongside the ACO, we evaluated their delivery of care with a focus on the following:

• Keeping patient populations healthy & emphasizing outcomes
• Assuming responsibility for the needs of all people within a community
• Customizing care for each patient
• Decreasing costs by not denying care and providing enhanced care to the sickest patients
• Applying appropriate levels of care at the right place
• Offering care at sites convenient to patients
• Creating venues to provide special chronic care services

THE RESULT
Following our evaluation, we were able to help the ACO adjust its care delivery model to achieve the following:

• Lowered hospital admissions and guided patients to appropriate care providers
• Improved member satisfaction results & reduced lengths of stay by one full day
• Reduced 30-day readmission rates from 22% to 9.8%
• Eliminated excessive and wasteful spending
• Realized 12.8% in savings compared to unmanaged care for a Medicare population of similar size
• Gained $8.5 million in savings per year via disease management outcomes
• Decreased admissions from 383/1000 per annum to 170/1000 per annum

THE CHALLENGE
An accountable care organization (ACO) was looking for assistance in evaluating their current care delivery models and how well they met the needs of their existing and future community and patient populations. The ACO needed to define its role within the community and develop strategic plans to guide all its member healthcare organizations toward future success.
 

OUR SOLUTION

Working alongside the ACO, we evaluated their delivery of care with a focus on the following:

• Keeping patient populations healthy & emphasizing outcomes
• Assuming responsibility for the needs of all people within a community
• Customizing care for each patient
• Decreasing costs by not denying care and providing enhanced care to the sickest patients
• Applying appropriate levels of care at the right place
• Offering care at sites convenient to patients
• Creating venues to provide special chronic care services

THE RESULT

Following our evaluation, we were able to help the ACO adjust its care delivery model to achieve the following:

• Lowered hospital admissions and guided patients to appropriate care providers
• Improved member satisfaction results & reduced lengths of stay by one full day
• Reduced 30-day readmission rates from 22% to 9.8%
• Eliminated excessive and wasteful spending
• Realized 12.8% in savings compared to unmanaged care for a Medicare population of similar size
• Gained $8.5 million in savings per year via disease management outcomes
• Decreased admissions from 383/1000 per annum to 170/1000 per annum

THE CHALLENGE
An academic medical center (AMC) sought to replace a patchwork of overcrowded and outdated campus facilities with a safe, welcoming and accessible environment for patients and their families. Their goal was to emphasize patient- and family-centered care at the foundation of every decision. To that end, the AMC sought to reimagine the patient experience and care delivery, built upon consumer-centric experiences and innovations from retailers like Apple and Starbucks.
 

OUR SOLUTION
Members of our team engaged more than 200 physicians, advanced practice providers, clinical and operational leaders and staff members in authoring the program objectives and strategic planning for the new AMC.

Some of the initiatives we drove included:

• Workflow redesign
• Technology integration
• Access strategy
• Facility standardization

THE RESULT
As a result of our work, the AMC was able to deliver a new patient-focused care experience that led to:

• Savings of $70 million in capital investment
• 40% more annual visits
• 3x more compliments than complaints
• Significant increases in commercial insurance