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How Care Collaboration Can Help Colorado Hospitals Reduce Costs

Colorado is the state I am proud to call home. As a state, we are leaders in developing innovative solutions to address healthcare for all Coloradans. 

In 2015, Governor John Hickenlooper established the Office of eHealth Innovation (OeHI) to help Colorado achieve its ambitious healthcare reform goals. One of the first big projects OeHI took on was developing Colorado’s Health IT Roadmap. This roadmap has provided a framework to ensure the state has the infrastructure necessary to support the health and well-being of its citizens. OeHI continues to grow and thrive under the Polis Administration.

The Colorado Healthcare Affordability and Sustainability Enterprise (CHASE) introduced the Hospital Transformation Program (HTP)—a five-year reform initiative to improve patient outcomes, lower Health First Colorado costs, and increase collaboration.

Hospitals, a key part of the state’s delivery system, are often the entry to our nation’s complicated healthcare system. In fact, one in eight visits to US emergency departments (EDs) involve mental and substance use disorders. Additionally, social determinants of health (which include income, education, access to transportation or housing, and food insecurity) influence an individual’s health. These factors may affect up to 90 percent of a person’s long-term health. 

Minorities and those residing in areas of high poverty are at the highest risk of making preventable ED visits. ED visits can then turn into admissions and readmissions, making hospitals a critical place to focus when improving care, especially for vulnerable or at-risk populations.

Through the HTP, hospitals will be able to engage within communities, prevent avoidable hospital utilization, improve outcomes, and reduce costs for both hospitals and patients. The HTP focuses on three main populations: patients with patterns of high utilization, patients who are vulnerable or are affected by social determinants of health, and patients with behavioral health conditions or substance use disorders.

In states including Oregon, Washington, Virginia, New Mexico and Massachusetts, Collective Medical has helped hospitals make significant improvements in similar measure domains.

 

Prevent and reduce avoidable hospital utilization

  • Legacy Salmon Creek in Tacoma, Washington, has seen an 81 percent reduction in ED visit rate by high utilizers.
  • In Pendleton, Oregon, CHI St. Anthony Hospital was able to reduce all-cause 30-day readmissions by 78 percent in less than three years.

Enable providers to meet follow-up requirements

  • The Portland Clinic in Oregon uses Collective to better manage transitions of care and more effectively participate in CMS’ TCM program. With Collective, The Portland Clinic is notified of patient discharge in real time and has increased its transitional care management coding rates 33 percent from 2017 to 2018—resulting in a 30 percent increase in revenue.
  • Mid-Valley Behavioral Care Network in Salem, Oregon, was able to increase behavioral health patients receiving follow-up care within seven days of hospital discharge by 11 percent.
  • Aspire Health Alliance in Massachusetts has been able to raise patient engagement by 150 percent by ensuring patients get follow-up care within three days of an ED visit or seven days from an inpatient discharge.

Additionally, Collective supports consent management by using a first-to-market consent feature that allows allows providers to properly share health information and comply with 42 CFR Part 2.

 

Decrease use of opioids and strengthen Medication Assisted Treatment (MAT) programs

  • Bartlett Hospital in Juneau, Alaska, uses Collective to coordinate MAT treatment with community providers, resulting in a 63.6 percent retention rate for Bartlett patients enrolled in a buprenorphine—MAT program over the past year.
  • Mat-Su Regional Medical Center in Palmer, Alaska achieved a nearly 80 percent reduction in opioid scripts written within three years of implementation while keeping patient satisfaction rates high.

About Collective Medical

Collective Medical provides the nation’s largest and most effective network for care collaboration. Our risk-adjusted event notification and care collaboration platform spans across all points of care—including hospitals, payers, behavioral and physical ambulatory, and post-acute settings. We’ve partnered with the Colorado Hospital Association to help hospitals across the state identify at-risk, complex patients and share actionable, real-time information with diverse care teams, leading to better care decisions.

Vatsala Pathy
VP of Policy
vatsala.pathy@collectivemedical.com