Delta Health Technologies® Success Stories
Read examples of how our customers use our solutions to improve care and efficiency.
Eddy Visiting Nurses Association
On any given day, the Eddy Visiting Nurses Association (Eddy VNA) may have between 300 and 400 caregivers in the field making calls on patients in the five-county region around Troy, New York. Over the course of a year, these care providers—ranging from nurses and physical therapists to IV therapists and nationally-certified wound specialists—will make more than 260,000 home health visits. Matching this number of caregivers to patients on a daily basis and managing patient care across multiple specialties for the duration of their convalescence could pose daunting challenges for any agency. Which caregiver is working with which patient? How do you keep caregivers informed of whom they are to visit and where they are to travel today? How do you enable each caregiver to see the history of their patient’s current (and previous) interactions with the Eddy VNA and its care providers? Nor is that all. The Eddy VNA needs to know which practitioner has done what in order to bill for these services. The agency’s management needs timely and accurate financial information from each of its operating units. Factor in these demands, and the technical challenges could be nightmarish.
But not for the Eddy VNA. The Eddy VNA has a single integrated solution from Delta Health Technologies® that helps manage every aspect of client care—in the field and in the back office. “From the moment we receive a patient referral,” explains Michelle Mazzacco, Vice President / Director of the Eddy Community Services Division, “we’re populating the Delta system with information to kick off an episode. It goes out for insurance verification, and once we have that then that client is in the system.” Ms. Mazzacco goes on to explain that workflow systems within the Delta solution set up authorizations for required services and then route the referral to the scheduling team, which assigns the right team of resources to meet the needs of the patient. The Delta solution then schedules home visits, ensuring that the right personnel are sent at the right time and in the right order. One of the Eddy VNA care transition coaches, for example, may visit a new patient that has just come home from the hospital. The coach collects background information about the patient and reconciles the lists of medicines the patient is taking. All that information becomes part of the patient electronic medical record captured in the Delta solution. And each Eddy VNA caregiver can view that information, along with their schedules, and notes left for them by other providers that are working with that patient, at any time using a mobile device—such as a Blackberry or a laptop. Whenever the information about the patient is changed or updated, Eddy VNA personnel have access to it—so everyone interacting with that patient is always working with the most up-to-date information.
Immediate access to up-to-date information is integral to excellent care delivery, and there’s no question that Eddy VNA is breaking new ground in that space. The rate of rehospitalization within 30 days of discharge for patients working with Eddy VNA care transition coaches is only 9% — and the average rehospitalization rate in the country is 20%. Immediate access to information from all the Eddy VNA care delivery business units is also critical. This enables Eddy VNA managers to make well- informed, data-based business decisions that can lead to better service delivery at lower costs. Again, Eddy VNA has already demonstrated excellence in this area: its highly acclaimed Medicare waiver program, known as the Long Term Home Health Care program, has enabled hundreds of seniors who would otherwise qualify for nursing home benefits under Medicare to stay in their homes and receive high quality home care—for less than 75% of the cost of a Medicare sponsored nursing facility.
“The Delta solution is at the very foundation of our organization,” says Ms. Mazzacco. “It’s what we use to coordinate, document, and bill for the care we deliver. It’s so much a part of our operations that, without it, we would not have an operation.”
Conway Regional HomeCare
To understand the challenges facing Conway Regional HomeCare (CRHC) it’s useful to start with three numbers: 15, 6, and 3,800. The 15 represents the number of CRHC care providers on the road each day; the 6 represents the average number of patients they each see. And the 3,800? That’s the size of the catchment area, in square miles, that the agency serves. The physical challenge of meeting the needs of patients in this environment are just for starters, too. CRHC caregivers need to share information and coordinate care, track and document visits for Medicare compliance, and capture and track care visit details for internal record-keeping and billing purposes. “Everything we do is time-sensitive, too,” says Alicia Taylor, Director of Nursing for CRHC. “We must be in the home performing an initial assessment within 48 hours of referral. We need to evaluate the client and perform a complete medication reconciliation. Then we have to communicate all the relevant information about the client’s care to other caregivers on our team as well as to Medicare. That’s a lot of communication.”
Since 2008, though, CRHC has been overcoming all these challenges using an integrated care management solution from Delta Health Technologies®. Interaction with the software starts in the morning, when the care providers from CRHC view information on their point-of-care devices informing them of the clients they need to visit that day. The caregivers – ranging from skilled nurses and physicians to speech and occupational therapists – then coordinate with their patients to schedule the day’s travels. “They can hover the cursor over the patient’s name,” says Ruth Ann Fisher, RN, Director of Home Care Services at CRH, “and the Delta software tells them where the patient lives. That way, they can plan their day’s route and use their time most efficiently.” The software also provides powerful tools for point of care documentation, including medication reconciliation. A visiting nurse can capture a list of a patient’s medications and immediately see if one is counterindicated in the presence of another. If the software flags a conflict, it alerts the quality manager at CRHC, who contacts the patient’s physician to determine how best to resolve the conflict. With mobile communications capabilities on their point-of-care devices, the agency’s caregivers can share critical information from the field rather than having to drive 30 or more miles back to the agency’s offices.
For CRHC, the integrated, comprehensive nature of the Delta solution delivers many benefits. The software makes it easy to capture and communicate patient information. The travel time and mileage management tools export caregiver activities for use in the payroll system. The software even reminds therapy staff to perform reassessments at specific visits – so no matter which CRHC therapy staff member is visiting, if it’s the 13th or 19th visit with a Medicare patient, they know they need to reassess the patient’s need for services. If the patient is covered under private insurance and only five visits have been pre-authorized, the software flags the care provider to remind the patient to contact their insurance company during the fifth visit.
“The software makes us very efficient,” says Ms. Fisher. “A nurse may be called in to perform an initial evaluation one afternoon and inform us that we need to have another visit first thing in the morning. With the Delta solution, the nurse can get in there quickly, capture the relevant patient information, and get it into the hands of the next staff member who needs it just a few hours later. Our caregivers may not cross paths at all, but we can deliver a continuum of care because the information is shared so effectively.”
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