Page 30 - Samaritas Quality Report 2016
P. 30
Care Management Continued …
The targets for the Care Management program are based on co-morbidities. We have continued our work and significantly
CMS data provided from claims in 2009. In 2016, we served only decreased the days of care from 2015 to 2016 from 28 days to
26 patients in this program. We had some positive outcomes, but 13.7 days (51%). Care Management
some data may be skewed as there were not many patients in Overall, Care Management reduced the average days of care
each category. For example, there was only one patient in Revi- from 22 in 2015 to 17.7 in 2016 (20%). In addition, they reduced
sion for Cadillac and one for Saginaw.
the 90 day hospital readmission rate from 27.9% to 26.9%.
In 2015, we quickly learned that the target for Major Joint Re- Due to the limited number of patients served in the program,
placement (MJR) was not realistic, as patients are spending less satisfaction surveys did not provide adequate data for general-
days in the hospital, but being discharged with more complex
ization.
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