The goal is to improve the patient’s quality of life in their own setting.
Advanced practice clinicians’ expertise in navigating across systems and in physician communication make them ideal for this role. They implement solutions for critical gaps in care, engage community resources where appropriate, and “meet the patient where they are.” This improves case management and prevents hospital readmissions.
Southwestern Vermont Medical Center’s results have been impressive. Within two years, they have:
With an 86% penetration rate across the state, Vermont is saving significant healthcare dollars. Participating providers have not seen an increase in payments. This is despite improved patient outcomes and decreased costs.
As much as we know that reimbursements are declining, it is hard to see success as reduced volume and revenue. That is, however, success for our communities, states, and nation. Patient population management demands new measures of what defines success.
Our challenge is to embrace a future where success is not measured on growing revenues and volume, but on keeping patients out of hospitals. We must reduce our costs while not reducing quality, satisfaction, or care outcomes. Those are concepts we talk about frequently. Creating and implementing a model around it, as Southwestern Vermont Health Care has shown, is a bold step into the future.