Page 32 - Samaritas Quality Report 2017

Care Management Continued …

The targets for the Care Management program are based on 24% increase from 2016–17, it has decreased by 40% since 2015.
CMS data provided from claims in 2009. In 2017, we served 29 Cadillac’s urinary tract infection shows a 45% decrease from
patients in this program. We had some positive outcomes, but 2016–17; however, there was a 48% increase from 2015–2016. Care Management
some data may be skewed as there were not many patients in Overall, the days of care decreased by 19% since 2015.
each category. For example, most of the diagnoses categories had Overall, Care Management reduced the average days of care
three participants.
from 20.6 in 2016 to 17.4 in 2017.
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.
co-morbidities. We have continued our work and while it shows a

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