New integrated model of care for seniors lowers hospitalizations, readmissions, emergency care visits


http://www.fiercehealthcare.com/healthcare/new-integrated-model-care-for-seniors-lowers-hospitalizations-readmissions-emergency

Nurse with patient

The clinical outcomes of a new integrated model of care for frail seniors that bridges housing and healthcare are so significant that researchers believe the program has the potential for substantial Medicare cost savings.

The model provides residents with onsite, comprehensive therapy, medical care, pharmacy, and lab services. Key components to the program include a care navigator who coordinates the residents’ total care and high-tech/high-touch communications that transfer the resident’s information to ancillary and acute care services through an electronic health record.

Although Juniper Communities’ residents were older and more cognitively impaired than the overall Medicare population with similar conditions, independent researchers from Anne Tumlinson Innovations looked at 2012 Medicare Beneficiaries Survey, as well as those living in senior housing that didn’t provide an integrated healthcare program, and found Juniper’s Connect4Life program had:

  • 50% lower inpatient hospitalization rates
  • 80% lower readmission rates
  • 15% lower rate of emergency department use

“I thought the results might be good but you never know until you get the data. But I didn’t expect the significance of the results,” Lynne Katzmann, Ph.D., founder and president of the Bloomfield, New Jersey-based operator of senior communities in New Jersey, Pennsylvania, Florida and Colorado, told FierceHealthcare this morning in an exclusive interview.

“The results show when you provide supportive housing and services and integrate with clinical care services you can avoid high utilization of the highest cost services,” said Katzmann, noting that it has the potential to address population health among the 5% who use 50% of healthcare resources.

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