TAVHealth’s software and service solutions manage bundled services and value-based reimbursement initiatives easily and quickly.
The Bundled Payments for Care Improvement (BPCI) initiative, from CMS, requires financial and performance accountability for episodes of care. These four models encourage high-quality, coordinated care at a lower cost to Medicare.
A three-surgeon orthopedic joint bundle team managed its BPCI initiatives with TAVHealth and realized better-coordinated care at lower cost.
Patient-Reported Outcome (PRO) requirements are streamlined and data submissions are made simple for physician/hospital teams with TAVHealth.
Physician care plans for the entire episode of care are tracked, When patients experience a gap in care and require intervention, alerts are sent to their care team.
Negative outcomes are reduced and at-risk patients are identified when a real-time view of episode progression is immediate and available.
The Comprehensive Care for Joint Replacement (CJR) model places financial accountability for the quality and cost of a CJR episode and incentivizes coordination of care among hospitals, physicians and post-acute care providers. With hospital reimbursements dependent on the success of the entire episode of care, which extends beyond the hospital’s walls, coordinating care from beginning to end is essential.
Our TAVConnect platform ensures patients can be successfully managed through all phase of their experience – before, during and after surgery.
Reduced Length of Stay to 1.2 days
Care Continuity. 98 percent of patients were called and 83.4 percent were reached within 48 hours of discharge
Risk Mitigation. Readmission rates all-cause fell by 33 percent
Collaboration for Cost Savings. Cost of care during the 30-day bundle period fell by 40 percent
Decisions Based on Real-Time Reporting. Cost of care after the 30-day bundle period fell
Financial Success – Meeting ROI. First-year net payment reconciliation
The CMS Oncology Care Model partners, oncologists and other care providers establish payment arrangements that encourage financial and performance accountability for episodes of care surrounding chemotherapy administration.
TAVHealth’s proprietary patient engagement tool, TAVConnect, was used by a team of oncology nurse navigators, with notable results.
Increased Navigator Capacity. A three-fold increase in the number of patients managed by nurse navigators. Improved efficiency and better patient care.
Increased Physician Referral. Targeted communication and education ensured that physicians referred patients to oncology navigators. Before TAVHealth, nearly 60 percent of physicians declined to do this.
Decreased Emergency Department Visits. Before TAVHealth, 25 percent of oncology patients visited emergency departments for pain management. Education and process changes reduced that number to less than 5 percent.
Accountable Care Organizations (ACOs) work together to ensure that patients, especially the chronically ill, get the right care at the right time while avoiding unnecessary duplication of service and preventing medical errors.
A Midwest-based Accountable Care Organization is using TAVConnect as its collaboration platform to connect a variety of health care providers, including unaffiliated hospitals, clinically integrated networks (CIN), two dozen critical care facilities, and over a hundred clinics.
Connecting Key Resources. CMS innovation grants allow for state and county public health offices, community action associations and other rural-based community resources to work together.
Access Drives Better Patient Health. With permission-based access to TAVConnect, all participants can access relevant patient information in a single, shared space, regardless of the EMR that individual providers have.
Statewide Collaboration Drives Triple Aim. Improved clinical outcomes at lower cost, delivering a better patient experience, and a CMS bonus.
The Medicare Shared Savings Program (MSSP) is a key component of Medicare reform initiatives in the Affordable Care Act. It facilitates coordination and cooperation among providers to improve the quality of care for Medicare Fee-for-Service (FFS) beneficiaries and reduces unnecessary costs.
Our customers include some of the largest health systems and ACOs in America. Just as important are the state and county public health offices, philanthropic foundations and local community-based resources that are using TAVConnect as their preferred platform for collaboration.
TAVConnect is designed to serve a diverse range of organizations and their specific needs and to evolve as quickly as program goals, performance metrics, and reporting requirements and rules change.
Maximum First-Year Bonus. An orthopedic team achieved a bonus for the Hospital Readmissions Reduction Program (HRRP).
Reduced Readmission Rates. A Southern Heart Clinic ACO drove readmission rates down to 8 percent by working with TAVHealth.
Turnaround: From Losses to Bonus. A bonus was paid to a Midwest ACO after earlier losses.
24 populations nationwide using TAVConnect to support their BPCI and CJR needs.
The Hospital Readmissions Reduction Program’s (HRRP) goal is to improve health care for Americans by linking payment to the quality of hospital care. Excess Readmission Ratios (ERRs) are tracked and reported by CMS and hospital reimbursements are adjusted accordingly. In the program’s first two years, patients with acute myocardial infarction (AMI), heart failure (HF), pneumonia and coronary artery bypass grafts (CABG) were included.
TAVHealth’s proprietary patient engagement tool, TAVConnect, was used by a Southeastern regional hospital’s cardiology group to ensure that all patients consistently received the same high level of care and achieved outstanding results.
Post-Discharge Patient Follow-Up. 98.3 percent of patients received attempted follow-up calls within 48 hours of discharge.
Successful Post-Discharge Patient Contact. 83.4 percent of patients were successfully contacted with follow-up calls within 48 hours of discharge.
Timely Physician Notifications. 86 percent of physicians were promptly notified of their patients’ hospital stays, driving better patient care.
Reduced 30-Day Readmissions. Over four years, the cardiology group was recognized by CMS for reducing 30-day readmissions more than 50 percent, from 17.8 percent to 8.2 percent.
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