As the homecare regulatory environment heated up in the late 2000s, many agencies took steps to transition from fee-for-service to value-based models of care. VNA Home Health Hospice (South Portland, Maine, U.S.A.) used Allscripts Homecare to prepare for the future of health care, and shared its story with us:
Automated Communication Engine:
Several factors spurred the VNA toward change, including regulatory pressure, acquisition by a larger health system and program growth. The former electronic medical record system was not able to keep pace with these changes.
The team at VNA was not satisfied with its organizational structure, either. Admitting a patient required paperwork to travel from clinical staff, to the performance improvement department (known as the “fix-it” shop), then finally to the medical records department. It was especially cumbersome to conduct much of this work using paper forms.
Clinical managers were supervising 25-30 direct care staff and were responsible for quality outcomes. But they didn’t have visibility to information they needed to improve outcomes. And the fix-it shop began running further and further behind schedule, delaying quality compliance.
For its new system, VNA established guiding principles to improve its workflows. For example, it wanted to place more emphasis on the employee-manager relationship and evidence-based clinical guidelines, so clinical staff could deliver services more effectively.
Operational efficiencies improve clinical and financial results
In 2012 VNA started using Allscripts HomecareTM, Automated Communication Engine and AllDocs. Interdisciplinary team members re-organized workflows and really changed the culture of VNA. They designed workflows that kept quality review and the full knowledge about the patient’s care as close to the clinicians as possible. They also reallocated staff to more effectively balance quality review with daily tasks.
Improved documentation and communication capabilities have given clinical managers greater visibility. With these new operational efficiencies, VNA has significantly reduced its hospitalization rate and achieved a number of clinical improvements. It has also improved financial results, just by shortening the billing cycle saved $150,000 annually.
To read more about VNA’s success, you can download this free case study.