• Kindred Participating in Bundled Payment Initiative

    By Ryan Squire

    On Monday the Centers for Medicare and Medicaid Services (CMS) reported that 14 organizations – including Kindred Healthcare – have been selected to participate in Model 3 of their Bundled Payments for Care Improvements (BPCI) initiative.  The BPCI initiative seeks to evaluate the total cost of care for 60 days following an acute care hospitalization, and to have the quality of care improve while bringing down the overall cost.  That includes care delivered in multiple settings: home health, skilled nursing facilities, LTACH’s, and any time spent back in the acute care hospital if needed.

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  •  1925-feb-science-and-invention-sm-cover

    On Tuesday I had the privilege of listening to a presentation by Dr. Bill Crounse, Microsoft’s Senior Director of Worldwide Health.A former family medicine doc with a background in broadcasting, Dr. Crounse started his talk by showing a cartoon depicting what people in 1925 predicted telemedicine would look like fifty years into the future. He then shared his own experience with his “Dr. Goodwell” program, which he used in the late 1990s to connect patients to their doctor via computer in order to discuss symptoms and begin the process of diagnosis and treatment. In sharing these blasts from the past, Dr. Crounse pointed out that while consumers and physicians were not ready in 1975 or even in the late ‘90s for new technology to play a real role in health care delivery, we are now living in a time that is ripe with opportunities for technology to greatly improve the way we do our work.

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  • “Do you have an advance directive?” This is one of the first questions a patient is asked when admitted to a Kindred facility. “The goal of an advance directive is to make sure that patients are making informed decisions and that we’re following their wishes,” says Kathee Paradowski, Clinical Informaticist Consultant in Kindred’s Hospital Division. All patients who do not have an advance directive are educated/counseled on the importance of creating one. They are also encouraged to designate a power of attorney for health care who can speak for them if they become so sick they are unable to speak for themselves.

    Advance directives discussions, are vital to providing the proper care while keeping the patient's wishes a priority

    Advance directives discussions, like the one pictured above, are vital to providing the proper care while keeping the patient's wishes a priority.


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  • On November 29, TEDMED, a multidisciplinary community of innovators and leaders dedicated to creating a better future in health and medicine, held a panel discussion via webcast titled The Caregiver Crisis. Members of the panel included upper-level management from the Center for Long Term Care Research & Policy, the National Family Caregivers Association, the Case Management Society of America, the Families and Health Care Project, and CarePlanners. This thought-provoking discussion raised many points

    Kindred’s leadership has been discussing these and related issues in other forums as well. Said Sean Muldoon, MD, MPH, FCCP, Senior Vice President and Chief Medical Officer for the Kindred Healthcare Hospital Division: “We have talked about caregivers taking increasingly greater roles in care in the last few days prior to discharge from post-acute care.”

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  • Invited speaker Seth Kahan, author of the book “Getting Change Right: How Leaders Transform Organizations from the Inside Out,” challenged Clinical Impact Symposium participants to take the experience of the last two days back to their own facilities and use it to effect positive change.

    Mr. Kahan described four stages of transformation, beginning with what he labeled “the call.” This could be something like a sudden promotion, a new opportunity, the illness of oneself or a family member, or, in this case, the decision to attend the symposium. The threshold stage, said Mr. Kahan, is the point when a person crosses from the normal reality to the reality of the ritual – arriving at the hotel, checking in, the adjustment of the mind to the process. “Time out of time.” The transition to a place where we have permission to have long conversations about topics we care about, and think deeply about things we normally might not have time to think about, Mr. Kahan said.

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