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Advance from prevention efforts to elimination of infections
Programs need to not only prevent infections but also eliminate them.
Key Points
THERE'S NO DOUBT healthcare-acquired infections (HAIs) have significant impact in terms of healthcare spending and human suffering. Quantifying the impact and ensuring a reduction in incidents is a bit more difficult.
"We wanted a program that was rigorous, relevant and responsive to national norms," Weiland says.
When the program was started in 2001, Weiland recalls skepticism on the part of hospital administrators-which is common when a payer introduces an outcomes-based program.
"The quality team generally met with the CFO, the sensitivity being that [providers might view the program] as a 'gotcha' of some sort," Weiland says.
With infection metrics, Highmark estimates that 351 cases of Methicillin-Resistant Staphylococcus Aureus (MRSA) were avoided during the past four years, resulting in up to $12.2 million in savings. In addition, up to 384 lives and $45 million were saved by avoiding an estimated 1,535 central-line-associated bloodstream infection cases.
Weiland says that Highmark isn't resting on its laurels. The program is updated with new conditions and benchmarks yearly. The current focus is on developing sustainability so that there is no erosion of quality as programs mature.
Doing More and Saving More with Primary in Home Care
September 1st 2021In this week’s episode of Tuning In to the C-Suite podcast, MHE Associate Editor Briana Contreras interviewed VillageMD’s Senior Medical Director of Village Medical at Home, Dr. Tom Cornwell. Dr. Cornwell discussed the main benefits of primary care at home, which includes the benefit of cost savings for patients, maintaining control of hospital readmissions and others. Dr. Cornwell also noted what has changed in the industry of at-home care and if there has been interest from payers like insurance companies and medicare in the service.
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