Continuing Care Program will support patient recovery after hospital
discharge, and ensure patients maintain their health and reduce risk of
Presbyterian Medical Center (CHA-HPMC), a subsidiary of CHA Medical
Group (a global leader in bio-technology and healthcare), Titanium
Healthcare, LLC, and Charter
Health Group have partnered together to improve quality of care as
part of Medicare’s Bundled Payments for Care Improvement Advanced (BPCI
Advanced) initiative. The team will launch the innovative “Continuing
Care Program” at CHA-HPMC on October 1, 2018. The Continuing Care
Program will provide intensive support to Medicare beneficiaries for a
period of 90 days after discharge.
“It has never been more important to create patient-centric programs to
optimize patient outcomes, and we are offering our new Continuing Care
Program to improve the quality of care we provide for our patients —
both while the patient is at CHA-HPMC, and after returning home,” said
Robert Allen, CHA-HPMC president and chief executive officer. “We’re on
a continual mission to create better health programs for our patients —
and part of it is driven by our ability to deliver innovative solutions.
Hollywood Presbyterian is making huge investments in the facility,
technology, and people to better serve our patients and be the
provider-of-choice in the Los Angeles community.”
The CHA-HPMC Continuing Care Program is designed to ensure that patients
maintain their health and reduce the risk of complications. The
Continuing Care Program will support patients with a diagnosis of
sepsis, with the potential to expand the service to other diagnosis
groups in the near future. Goals of the program include stringent
quality measures, patient satisfaction, and avoiding hospital
readmissions. The Continuing Care Team includes patient navigators, case
managers, and a 24/7 nurse triage line to jointly provide
well-coordinated, high-quality, and patient-centered health care.
Eligible patients will be assigned to a clinical pathway associated with
a customized care protocol.
This voluntary BPCI-A program is a vast improvement compared to
traditional Medicare payment models because it creates incentives for
providers to work together to coordinate care both during and after the
hospital stay. The Continuing Care Program will significantly improve
care coordination and improve the patient experience.
Central to this program are the collaborative partnerships that CHA-HPMC
formed with Avant-garde Health, Collective Medical Technologies,
Titanium Healthcare, and Charter Health Group — where post-acute care
will be coordinated across these multidisciplinary teams using
innovative processes and technology.
“Titanium’s 30-day readmissions rate, a key measure for health plans,
has been less than 2% in downtown Los Angeles, where the national
average is over 20%,” said Gray Miller, Titanium founder and chief
executive officer. “We know that with our people, processes, and
technology, we can make substantial improvements in the transition from
the hospital setting to primary care. That is our key focus area.”
Formed in 2015, Titanium Healthcare was started with the simple goal of
creating healthcare the way a patient would want it and has delivered
exceptional results ever since.
“Charter Health is thrilled to partner with CHA-Hollywood Presbyterian
Medical Center and its affiliates on the BPCI-A initiative, and we look
forward to coming together to improve the health and well-being of the
community,” said Fred Frank, Charter chief executive officer. “We are
committed to developing a meaningful and successful partnership,
ensuring our patients experience a smooth transition from the hospital
to home and receive continued access to our 24/7 clinical support team.
Our care models are aimed at enhancing patient care, through
accessibility, immediate patient engagement, and a high-touch approach.
These home-based complex care programs have been highly successful at
improving patient experience and optimizing resources for hospitals and
About CHA-Hollywood Presbyterian Medical Center
CHA-HPMC has been an indispensable partner and resource within the
Hollywood community since its founding in 1924. It is a community-based,
safety-net, general acute care hospital with 434-licensed beds and
operates an intensive care unit, a telemetry unit, an acute
rehabilitation unit, a labor and delivery/obstetrics unit, a 24-hour
emergency department, surgical operating rooms, and an 89-bed skilled
nursing facility. Its diverse medical staff, which pledges quality care
with compassion and respect, includes more than 500 physicians in 69
specialties — representing over 75 countries. With a workforce of more
than 1,300 employees, CHA-HPMC is one of Hollywood’s Top-10 employers.
CHA-HPMC is nationally recognized with the following quality awards from
Healthgrades: Patient Safety, Labor and Delivery, Obstetrics and
Gynecology, Back Surgery, Hip Fracture Treatment, and Treatment of Heart
Failure. For more information, visit www.hollywoodpresbyterian.com/.
About CHA Medical Group
CHA Medical Group (www.en.chamc.co.kr),
headquartered in Pan-gyo, Korea, is a global leader in the biotechnology
industry, consisting of 25 hospitals & clinics, 27 research & 7
education institutions, and 28 bio/pharmaceutical/healthcare companies.
Its healthcare subsidiary, CHA Health Systems, delivers world-class care
in all facets of medicine — famous particularly for its research and
clinical work in the fields of fertility and cutting-edge therapies
using cord blood stem cells and immune cells.
About Titanium Healthcare
Titanium Healthcare, LLC is a medical management organization that
operates high-risk and post-discharge clinics for risk-bearing entities
and hospital systems. The practice focuses on patients with multiple
chronic conditions and that are at a higher risk of hospitalizations.
Titanium’s results are significant, including readmissions rates less
than 2% and patient satisfaction over 99%. Titanium Healthcare creates
partnerships to improve throughput, lower cost, and to improve the
patient experience. For more information, please visit www.tihealthcare.com.
About Charter Health Group
Charter Health is a provider of comprehensive and integrated post-acute
care services for the Southern California region. From its inception in
2006, Charter Health has managed to evolve into a preferred and leading
post-acute care provider offering a variety of programs including
hospice, home health, transitional care, and palliative services. This
expansion has allowed the company to service more than 68,000 patients,
establish eleven locations, and form several partnerships with major
managed care organizations, developing an extensive advanced care
platform. Charter has succeeded in providing innovative delivery models
in pursuit of the triple aim framework outlined by the Institute of
Healthcare Improvement’s (IHI): (1) managing the overall health of our
population, (2) raising experience of care, and (3) reducing the per
capita cost. Charter Health aims to continue expanding its collaborative
efforts to various communities and healthcare providers. This broad care
offering achieves a post-acute care continuum that provides intensive,
patient-focused care designed to effectively transition patients to the
most appropriate level of care. For more information, visit http://www.charterhcg.com/.
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