Page 34 - Samaritas Quality Report 2018
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Care Management Continued …
The targets for the Care Management program are based on an 11.8% decrease from 2017–18, it did not reach the nine day
CMS data provided from claims in 2009. In 2018, we served 26 benchmark.
patients in this program. We had some positive outcomes, but Overall, Care Management reduced the average days of care Care Management
some data may be skewed as there were not many patients in from 20.8 in 2015 to 16.8 in 2018, for a 19% overall reduction.
each category. For example, most of the diagnoses categories had
less than four participants.
In 2015, we quickly learned that the target for Major Joint Re-
placement (MJR) was not realistic, as patients are spending less
days in the hospital, but being discharged with more complex
co-morbidities. We have continued our work and while it shows
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