Value-Based Care
Explore how value-based care models improve outcomes and lower costs for aging adults.
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Forging Aligned Partnerships Between Value Based Care Organizations & Geriatric Emergency Departments: A Toolkit for Geriatric Emergency Departments
Value-Based Care Organizations (VBCOs) can often provide additional disposition options or outpatient resources that GED clinicians are not aware of or do not know how to easily access, such as acute care at home. At West Health, we believe that VBCOs and Geriatric Emergency Departments (GEDs) can forge aligned partnerships to improve the cost and care trajectory for older adults by reducing unnec...
Revolutionizing Care for Older Adults: Addressing the Challenges of Hospitalization Through Value-Based Care
As we consider the development of comprehensive portrayal of the “Lived Experience” for older adults, a particularly compelling part of that narrative is acute care, and in particular, the revolving door of Emergency Department visits, hospitalizations and post-acute stays in nursing homes. Of course, hospital-based care may be needed in many cases, but it is not necessarily the best option for th...
Leading the Way in Geriatric Emergency Care: The VA’s Patient-Centered Innovation
The Department of Veterans Affairs (VA) is on a transformative journey leading the nation in geriatric emergency care, dedicated to providing patient-centered care initiated in VA Emergency Departments (ED). The catalyst for this journey was a compelling demographic trend, marked by a notably older adult patient population. Within the Veterans Health Administration (VHA), 50% of patients seen in t...
A Scarce Resource: Cleveland Clinic’s Innovative Geriatric ED Reduces Avoidable Admissions
Cleveland Clinic has implemented Geriatric Emergency Departments (GEDs) systemwide. GEDs address the unique and complex needs of older adult patients in emergency settings. Older adults often experience higher rates of admission and longer hospital stays due to vulnerabilities the current system is not designed to accommodate. Recognizing the challenges posed by high census and bed shortages, the ...
PACE Start-Up and Expansion Guide
BackgroundPrograms for the All-inclusive Care for the Elderly (PACE) provide health and social services to frail, older adults. PACE provides care to ~60,000 Americans, the vast majority of whom are dual Medicaid/Medicare eligible. With nearly 7.6 million Medicare-eligible and 2.2 million dual-eligible Americans living with complex needs, a significant opportunity exists to expand the number of PA...
PACE Telehealth Playbook
The Program of All-Inclusive Care for the Elderly (PACE) is a comprehensive health care delivery system integrated with Medicare and Medicaid financing. PACE organizations provide comprehensive services, including medical care, personal care, supportive services, transportation, adult day health care, inpatient hospital and nursing facility care coordination, caregiver education, assistive devices...
Northwell Health GED Case Study: Goals of Care, Throughput, Clinical Outcomes
Northwell Health, New York’s largest healthcare provider, has made it a strategic system goal to provide age-friendly care. Northwell Health has 18 emergency departments (EDs), one pediatric and 17 that treat more than 850,000 patients of all ages, 33% of them 65 and older. Northwell Health’s commitment to improving care for older adults led them on a journey toward system-wide geriatric emergency...
Forging Aligned Partnerships Between Value Based Care Organization & Geriatric Emergency Departments
Executive SummaryHospital emergency departments hold the key to preventing avoidable hospital admissions for older adults, addressing a costly and widespread problem with serious ramifications for Medicare and health systems at large. Potentially avoidable readmissions cost Medicare $17 billion a year, in large part because they’re so common. Seventy-three percent of hospital readmissions from ski...
Creating High-value Care for Seniors Through Geriatric Emergency Department Partnerships
Value-based Care Activities:The West Health Institute recognizes the role of value- based care in lowering costs and improving healthcare quality for seniors and has previously conducted research on how ACOs have used telehealth and home- based care to better serve aging patients.BackgroundIn their mission to improve healthcare for seniors, West Health Institute has recognized the importance of pr...
States’ Deployment of Short-Term Funding in Home- and Community-Based Services Exposes Need for Longer-Term Investments
Medicaid home and community-based services (HCBS) is a critical system for serving low-income seniors and allowing them to age at home rather than in congregate care facilities like nursing homes. Despite the vital role that Medicaid HCBS plays in ensuring that some of the most vulnerable populations are able to receive quality care in their preferred setting, HCBS has been historically underfunde...