How Central Maine Health Care Reduced 30-day Readmissions and ED Follow-Ups with Data-Driven Transitional Care Management Protocols

It’s well known that hospital readmissions pose a major healthcare concern both in terms of quality of care and healthcare costs. Therefore, to deliver a seamless care transition experience to patients, it is necessary for the hospital and post-acute care provider to work together and have an accurate understanding of the next steps involved in the care journey to reduce readmissions. Here’s how CMHC charted the roadmap to deliver high-quality care by integrating TCM protocols with an integrated data model and automated workflows.

Results

With the Innovaccer Health Cloud, CMHC was able to:

• Reduce net readmission rates for the MSSP population by 9.8%, for the Medicare Advantage population by 8.3%, and for the commercial population by 10.2%
• Improve operational efficiency and care gap closure with efficient data management and advanced analytics
• Reduce the administrative burden of care teams by automating the processes for outreach programs
• Increase patient satisfaction by enabling effective communication between physicians and patients