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Yale New Haven Health System has a three-pronged approach to embedded care coordination for three distinct populations for which it has assumed financial accountability in an evolving value-based healthcare system.

From its self-insured employee covered lives to a patient-centered medical home within its employed physicians and a geriatric home-based care model, YNHHS' embedded care coordinators make face-to-face contact in its employee work sites, at primary care practices and with home-bound seniors, as well as conduct telephonic outreach via centralized locations.

During Embedded Care Coordination for At-Risk Populations: A Case Study from Yale New Haven Health System, a 45-minute webinar on June 18th at 1:30 p.m. Eastern, Amanda Skinner, executive director, clinical integration and population health, Yale New Haven Health System, and Vivian Argento, executive director, geriatric and palliative care services, Bridgeport Hospital, shared the critical role that these various embedded care coordinators play as the organization takes on more financial risk for its employees and other covered lives.

You will learn:

• How YNHHS uses health coaches and case managers embedded in its work sites to coordinate care, promote lifestyle changes and the dual wellness role of the health coaches;
• The hybrid embedded care coordinator approach—at the practice site or via centralized location—that YNHHS has adopted in its PCMH primary care practices, with factors ranging from practice and panel size to population mix;
• The key features of YNHHS' home-based care model for homebound seniors that pairs a geriatrician with a care coordinator in a team-based model of care;
• How YNHHS is addressing the key challenges of embedded care coordination in a value-based reimbursement system, including "coordinating" the care coordinators, building trusting relationships between care coordinators and the patients they serve, demonstrating the value of the program and getting accurate, up-to-date patient information to provide true patient-centered care;
• The impact embedded care coordinators are having on compliance with evidence-based standards of care, utilization patterns including emergency room visits, admissions, readmissions and length of stay and total cost of care and how YNHHS uses patient financial incentives to encourage appropriate utilization of healthcare services; and
• How the embedded care coordinator program will benefit from planned enhancements at YNHHS, including the deployment of a clinically integrated network for its large base of community practices and the use of an automated outreach platform to help close gaps in care.

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You can attend this program right in your office and enjoy significant savings — no travel time or hassle; no hotel expenses. It's so convenient! Invite your staff members to gather around a conference table to listen to the conference.

WHO WILL BENEFIT FROM THIS CONFERENCE?

Presidents/CEOs/CFOs, medical directors, quality improvement executives, physician executives, reimbursement executives, health plan executives, case managers, care managers, care coordinators and strategic planning directors and consultants.