New York, NY (PRWEB) August 06, 2012
People often long to return to the good old days, when the concept of a family doctor was commonplace. As a quick reminder: This doctor would take care of you, your parents, and your children. In fact, after a visit to the hospital, they might even call you to see how you were feeling. This may sound like fiction to the Facebook generation. It’s not. It’s called “Personalized Care”, and it is happening at Bronx Lebanon Hospital Center every single day.
Bronx-Lebanon is the largest voluntary, not-for-profit health care system serving the South and Central Bronx, with 972 beds at two hospital divisions, a comprehensive psychiatric program, two specialized long-term care facilities, and an extensive BronxCare network that is providing close to one million visits annually. Many of its patients are either uninsured or significantly underinsured. It is this type of community where the connection between hospital physicians and patients needs to be the strongest. These communities are at the epicenter of dramatically increasing healthcare costs, as patients without strong ties to primary care physicians often fail to follow their prevention and treatment plans. This leads to increased hospitalizations and ER treatments, which increases costs.
Dr. Chilimuri, Chairman of Medicine at Bronx-Lebanon, puzzled over the challenge of empowering his physicians to reinforce and expand their connections with their patients.“Doctors must recognize that conditions change after a patient leaves the hospital. After a few days at home a discharged patient might slip back into old habits and, as a result, my physicians can intervene, thereby saving lives,” stated Dr. Chilimuri.
CipherHealth was brought in by Dr. Chilimuri to design a follow up program that would identify problems patients experienced after discharge. Multi-lingual call scripts were implemented to target critical transition areas, such as the patients understanding of discharge instructions and their ability to make and attend a follow up appointment, as well as their general understanding of medication usage and side effects. When the system identified that a patient was experiencing an issue, the physician responsible for caring for that patient was alerted to resolve the problem.
Bronx-Lebanon’s physician team has embraced the “Personalized Care Approach”, strengthening the ties between physician and patients. The initial CipherHealth system, which focused on the inpatient population, has been further expanded with Bronx-Lebanon now performing follow-up across CHF, AMI, Pneumonia, COPD and asthma cohorts, using multiple calls, with a script that encompasses more targeted, disease specific questions.
“Our program has successfully identified those patients that are struggling with some aspect of their care. The system offers a clear communication path between patient and physician, enabling those in need of additional help to receive it in a timely and efficient manner,” stated Alex Hejnosz of CipherHealth. “The CipherHealth platform enables our staff to reach out to patients and quickly identify which patients are having a serious issue. We can then more effectively follow up with those patients identified, resolve their issues and ensure that they stay on the road to recovery,” added Dr. Chilimuri.
About CipherHealth, LLC
Founded in New York in 2009, CipherHealth™ LLC provides improved care coordination and patient engagement through post discharge follow-up programs helping healthcare organizations reduce 30-day readmissions and increase patient satisfaction.