Identification of risk is a critical factor in realizing improvement in health and reduction in healthcare expense. SHS utilizes multiple tools to identify the risk of an individual and a workforce.
The online Health Risk Assessment coupled with biometric screening options captures health and lifestyle data and is the basis for a personalized health profile that provides a holistic view of the individual's health status and risks. The SHS HRA has unique predictive modeling and aggregate group reporting capabilities that provide employers insight to their workforce's health risk from a medical and lifestyle perspective, producing cost as well as potential claim savings reports.
Health Risk Assessment
The confidential health risk assessment (HRA) consists of a carefully crafted set of questions that provides a complete view of the individual's health status and risk score. This questionnaire also serves as a baseline against which participants' progress and future health risks may be measured. The HRA identifies:
• Existing medical conditions
• Perceived health risks
• Lifestyle risks, such as smoking, risky behaviors, and poor nutritional habits
• Risks for chronic diseases that have not yet been identified
Biometric Data
SHS can help coordinate biometric on-site or individually scheduled lab screenings to obtain clinical lab values that electronically update the HRA. These values are also used for monitoring and supporting appropriate preventive care strategies.
Predictive Modeling
Working with SHS, employers have access to multiple predictive modeling reports and tools that look at lifestyle, biometrics, claims and gaps in care to provide baseline and forecasted claim costs. This data also allows the employer to design strategies for effective, measureable health management programs and supporting benefit plans.
Claim Analysis & Health Compliance Tracking
SHS can also provide additional claim analytics as a part of an employer's health management program. Utilizing claim feeds and partnering with MEDai, an industry leader in claim data management, SHS can identify critical areas of risk, cost as well as analyze and manage health compliance issues for an employee group. This information is provided in aggregate for the employer to measure program effectiveness and overall health compliance for its workforce.
Patient Transitions
Managing patient transitions from the hospital's inpatient unit to other care settings is not only an important clinical service function, but a critical business responsibility for hospitals today under Healthcare Reform. New pressures for clinical accountability, care continuity and the management of patient care episodes are dramatically altering incentives and driving significant hospital changes.
Hospital Discharges
Patient discharges from the acute care inpatient setting are no longer just about managing utilization and length-of-stay. Discharges frequently involve clinical, social and financial complexities that affect the patient's aftercare plan and continued treatment, as well as a multitude of financial and clinical quality outcome indicators for the hospital.
Hospital Readmission Rates
Hospital readmission rates are now being publically reported, compared, and scrutinized. Moreover, with the advent of accountable care organizations, episodes of care, reimbursement penalties for excessive readmissions, and medical homes, hospitals are assuming financial responsibility for patients after discharge. Under Healthcare Reform, Medicare will penalize hospitals with a 2% reimbursement penalty for patient readmissions within 30-days of discharge that exceed a predetermined threshold.
Strategic Health Services - Patient Transition Program
With over 15 years of disease management experience, Strategic Health Services is providing hospitals with a comprehensive solution to this challenging patient transition problem. Featuring remote patient monitoring of biometric health data, as well as clinical education and coaching by a Registered Nurse-staffed 24/7 call center, Strategic Health Services provides hospitals with a cost-effective solution to manage patient transitions.
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