Monday, January 8, 2018
Care plans are either the bane of a care manager’s day or an invaluable tool to help focus efforts. Whatever end of the spectrum you fall on, love them or despise them, individualized care plans are a required component of many regulatory agencies. Knowing care plans are required doesn’t help move the needle towards the “love” side of the equation. What would be helpful is an explanation, in simple terms, of why personalizing a care plan makes a difference, peppered with some practical advice on how to make it easier to personalize a standardized care plan.
Wednesday, December 20, 2017
A few months ago I wrote an article entitled Unplanned Readmissions: Are They Quality Measures or Utilization Measures? It explained the Hospital Readmissions Reduction Program (HRRP) that began in October 2012 as part of the Affordable Care Act (ACA). That article explained the program and its results over the past 5 years.
Sunday, December 17, 2017
There have always been substantial gaps in healthcare services for the higher-risk populations. Despite the best intentions of structure managed care programs introduced as early as the 1970’s, these gaps persist. This isn’t breaking news—over the past two decades, the term “vulnerable populations” has gained prominence in the healthcare industry. Messaging in the late 1990s to early 2000s was consistent: Certain populations are at greater risk because of who they are and where they live, regardless of their actual health condition.
Wednesday, November 15, 2017
Being a nurse, educator, and content developer for years, the news of the 2017 update to the Blood Pressure (BP) Guidelines made me immediately think about the number of revisions that will need to be made to written documents, audio/video media, and computerized programs that contain hypertension (HTN) information.
Thursday, November 9, 2017
You work for a health plan and your organization wants to develop a Health Risk Assessment (HRA). Where do you start? What questions do you want to ask? What questions should you ask? What do you intend to accomplish by completing the HRA with your members?

Pages