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class="card:am::heading">a Broker<i class="fas fa-arrow-right"></i></h3> <div class="card:am::content"><p>What you want: healthier patients and happier employers at lower costs.</p> </div> </a> </div> </div> </div> </div> </div> <a href="https://www.vhan.com/contact-us/" class="bit:button">Contact Us<i class="fas fa-chevron-right"></i></a> <a href="https://vhanhub.com/" target="_blank" class="bit:button">VHAN Hub<i class="fas fa-chevron-right"></i></a> </nav> </div> <button class="bit:button@menu" menu> <div class="bit:button@menu::line"></div> <div class="bit:button@menu::line"></div> <div class="bit:button@menu::line"></div> </button> </div> </header> <main class="view:page"> <div class="block:blocks"> <div class="block:content@one »type-e »filled"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <figure class="block:content@one::icon"> </figure> <header class="block:content@one::header"> <h2 class="block:content@one::heading">Impact Report</h2> <h3 class="block:content@one::subheading">2023 Release</h3> </header> <div class="block:content@one::actions"> <a href="https://www.vhan.com/impact2023/" target="" class="bit:button »small »outlined">Main Page</a> <a href="https://www.vhan.com/impact2023/utilization/" target="" class="bit:button »small »normal">Utilization</a> <a href="https://www.vhan.com/impact2023/programdevelopment/" target="" class="bit:button »small »outlined">Program Development</a> <a href="https://www.vhan.com/impact2023/pedsandbehavioralhealth/" target="" class="bit:button »small »outlined">Peds & Behavioral Health</a> </div> </div> </div> </div> <div class="block:content@one »type-a »filled"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <header class="block:content@one::header"> <h2 class="block:content@one::heading">Utilization</h2> <h3 class="block:content@one::subheading">Impact Focus Area</h3> </header> <div class="block:content@one::content"><p>By focusing on decreasing the unnecessary utilization of health care services, we’re improving patient outcomes and driving down the total cost of care. In the past year, we’ve made great strides in lowering readmissions and ensuring patients receive quality, appropriate post-acute care.</p> <p> </p> <p><em><strong>Continue scrolling to learn more.</strong></em></p> </div> </div> </div> <figure class="block:content@one::bgmedia"> <img width="2206" height="1046" src="https://www.vhan.com/wp-content/uploads/2022/09/VHANProviders_72ppi.jpg" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2022/09/VHANProviders_72ppi.jpg 2206w, https://www.vhan.com/wp-content/uploads/2022/09/VHANProviders_72ppi-1536x728.jpg 1536w, https://www.vhan.com/wp-content/uploads/2022/09/VHANProviders_72ppi-2048x971.jpg 2048w, https://www.vhan.com/wp-content/uploads/2022/09/VHANProviders_72ppi-300x142.jpg 300w, https://www.vhan.com/wp-content/uploads/2022/09/VHANProviders_72ppi-1024x486.jpg 1024w" sizes="(max-width: 2206px) 100vw, 2206px" /> </figure> </div> <div class="block:content@one »type-e »filled"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <figure class="block:content@one::icon"> </figure> <header class="block:content@one::header"> <h2 class="block:content@one::heading">Key Initiatives</h2> <h3 class="block:content@one::subheading">Focusing on Utilization</h3> </header> <div class="block:content@one::content"><p>VHAN’s focus on utilization includes two key areas: ED utilization and readmissions, and post-acute care. Use the buttons or continue scrolling to find more information on each topic below.</p> <p> </p> <p> </p> </div> <div class="block:content@one::actions"> <a href="#EDUtilization" target="" class="bit:button »small »normal">ED Utilization and Readmissions</a> <a href="#Post-Acute" target="" class="bit:button »small »normal">Post-Acute Care</a> </div> </div> </div> </div> <div id="EDUtilization" class="block:content@one »type-b"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <header class="block:content@one::header"> <h4 class="block:content@one::preheading">Focus Area: Utilization</h4> <h2 class="block:content@one::heading">ED Utilization and Readmissions</h2> <h3 class="block:content@one::subheading">Why It Matters</h3> </header> <div class="block:content@one::content"><p>Too often, emergency departments serve as a safety net or alternative when physicians are unavailable to patients, including those who are insured and uninsured. These non-emergency visits typically result in lower quality, more expensive and wasteful care. And EDs typically can’t offer preventive and education services that can reduce the need for care in the future. VHAN members are committed to developing new strategies and processes to reduce ED overutilization and improve care transitions to lower readmissions. Plus, our <a href="#UtilizationResources">VHAN ER Toolkit</a>, written for VHAN medical practice members, offers resources to help patients avoid ED use.</p> </div> </div> <figure class="block:content@one::media"> <img width="1798" height="1280" src="https://www.vhan.com/wp-content/uploads/2023/04/Utilization_CaseStudy_UpperCumberland.png" class="attachment-full size-full" alt="ED utilization decreased from 38% to 31% and potentially impactable ED costs dropped 33% in 2021." decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/Utilization_CaseStudy_UpperCumberland.png 1798w, https://www.vhan.com/wp-content/uploads/2023/04/Utilization_CaseStudy_UpperCumberland-400x285.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/Utilization_CaseStudy_UpperCumberland-1536x1093.png 1536w, https://www.vhan.com/wp-content/uploads/2023/04/Utilization_CaseStudy_UpperCumberland-300x214.png 300w, https://www.vhan.com/wp-content/uploads/2023/04/Utilization_CaseStudy_UpperCumberland-1024x729.png 1024w" sizes="(max-width: 1798px) 100vw, 1798px" /> </figure> </div> </div> <aside class="block:content@four"> <div class="block:content@four::boxed »filled"> <header class="block:content@four::header"> <h2 class="block:content@four::heading">Case Study</h2> <div class="block:content@four::content"><p><strong>Upper Cumberland Family Physicians | Cookeville, TN</strong><br /> <strong>Ernie Buchanan, MD | VHAN Regional Medical Director</strong></p> <p> </p> <p>Through patient education, data sharing on ED visits and updated processes (including having a live person answer the phone), unnecessary ED utilization decreased from 38% in 2019 to 31% in 2021. The percentage of potentially impactable ED costs also dropped from 40% to 26% of the total ED cost for this provider.</p> <p> </p> <p style="color: dodgerblue"><a class="bit:button »small »normal" href="https://www.vhan.com/utilization-review-directs-patients-right-level-of-care/" target="_blank" rel="noopener"><strong>Read Case Study</strong></a></p> <p> </p> <p><strong>Using methods from <a href="#UtilizationResources" target="_blank" rel="noopener"><strong>VHAN’s ER Toolkit</strong></a>, Upper Cumberland Family Physicians was was able to…</strong></p> </div> </header> <div class="block:content@four::items"> <article class="card:content@four"> <figure class="card:content@four::stat"> <img width="150" height="150" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB-150x150.png" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB-300x300.png 300w, https://www.vhan.com/wp-content/uploads/2023/04/noun-care-1564623-0682BB.png 512w" sizes="(max-width: 150px) 100vw, 150px" /> </figure> <h3 class="card:content@four::heading">Reduce</h3> <div class="card:content@four::content"><p>Total ED Visits</p> </div> </article> <article class="card:content@four"> <figure class="card:content@four::stat"> <img width="150" height="150" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-150x150.png" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-700x700.png 700w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-300x300.png 300w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB-1024x1024.png 1024w, https://www.vhan.com/wp-content/uploads/2023/04/noun-saving-1650369-0682BB.png 1200w" sizes="(max-width: 150px) 100vw, 150px" /> </figure> <h3 class="card:content@four::heading">Reduce</h3> <div class="card:content@four::content"><p>Percent Impactable Visits</p> </div> </article> <article class="card:content@four"> <figure class="card:content@four::stat"> <img width="128" height="128" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-conversation-1956334-0682BB-2.png" class="attachment-thumbnail size-thumbnail" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-conversation-1956334-0682BB-2.png 128w, https://www.vhan.com/wp-content/uploads/2023/04/noun-conversation-1956334-0682BB-2-80x80.png 80w" sizes="(max-width: 128px) 100vw, 128px" /> </figure> <h3 class="card:content@four::heading">Reduce</h3> <div class="card:content@four::content"><p>ED and PI Paid</p> </div> </article> </div> </div> </aside> <section class="block:patientstory"> <div class="block:patientstory::boxed"> <h2 class="block:patientstory::heading">The Goal of ED Utilization and Readmissions</h2> <div class="block:patientstory::content"><p>Helping practices increase access for patients while offering options for emergent care needs.</p> </div> </div> </section> <div id="Post-Acute" class="block:content@one »type-b"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <header class="block:content@one::header"> <h4 class="block:content@one::preheading">FOCUS AREA: UTILIZATION</h4> <h2 class="block:content@one::heading">Post-Acute Care</h2> <h3 class="block:content@one::subheading">Why It Matters</h3> </header> <div class="block:content@one::content"><p>Post-acute care is a growing and essential health and social service, accounting for more than $2.7 trillion spent on personal health care, according to the American Hospital Association. Ensuring appropriate utilization of post-acute services such as home health, long-term care, skilled nursing facilities and inpatient rehabilitation can lead to improved quality and an overall reduction in the total cost of care.</p> <p> </p> <p><strong>See a few Post-Acute Care successes below. </strong></p> </div> </div> <figure class="block:content@one::media"> <img width="1436" height="1090" src="https://www.vhan.com/wp-content/uploads/2023/04/Screenshot-2023-04-19-at-3.46.39-PM.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/Screenshot-2023-04-19-at-3.46.39-PM.png 1436w, https://www.vhan.com/wp-content/uploads/2023/04/Screenshot-2023-04-19-at-3.46.39-PM-400x304.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/Screenshot-2023-04-19-at-3.46.39-PM-300x228.png 300w, https://www.vhan.com/wp-content/uploads/2023/04/Screenshot-2023-04-19-at-3.46.39-PM-1024x777.png 1024w" sizes="(max-width: 1436px) 100vw, 1436px" /> </figure> </div> </div> <section class="block:content@three"> <div class="block:content@three::boxed"> <h3 class="block:content@three::heading"></h3> <div class="block:content@three::items"> <div class="card:content@three"> <figure class="card:content@three::icon"> <img width="512" height="512" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png 512w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-300x300.png 300w" sizes="(max-width: 512px) 100vw, 512px" /> </figure> <div class="card:content@three::box"> <h4 class="card:content@three::heading">New SNF Affiliates</h4> <div class="card:content@three::content"><p>Added new SNFs as ACO and VHAN affiliates to support shared quality and utilization goals</p> </div> </div> </div> <div class="card:content@three"> <figure class="card:content@three::icon"> <img width="512" height="512" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png 512w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-300x300.png 300w" sizes="(max-width: 512px) 100vw, 512px" /> </figure> <div class="card:content@three::box"> <h4 class="card:content@three::heading">Approved for Medicare</h4> <div class="card:content@three::content"><p>Received approval for a Medicare 3-day SNF for Connected Care of Middle Tennessee and West Tennessee</p> </div> </div> </div> <div class="card:content@three"> <figure class="card:content@three::icon"> <img width="512" height="512" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png 512w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-300x300.png 300w" sizes="(max-width: 512px) 100vw, 512px" /> </figure> <div class="card:content@three::box"> <h4 class="card:content@three::heading">Improved Portals</h4> <div class="card:content@three::content"><p>Increased access to skilled nursing facility EMR and HIPAA-compliant messaging portals</p> </div> </div> </div> <div class="card:content@three"> <figure class="card:content@three::icon"> <img width="512" height="512" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png 512w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-300x300.png 300w" sizes="(max-width: 512px) 100vw, 512px" /> </figure> <div class="card:content@three::box"> <h4 class="card:content@three::heading">New Care Program</h4> <div class="card:content@three::content"><p>Standardized our approach for outreach to patients and SNF staff throughout the Transitions of Care program</p> </div> </div> </div> <div class="card:content@three"> <figure class="card:content@three::icon"> <img width="512" height="512" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png 512w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-300x300.png 300w" sizes="(max-width: 512px) 100vw, 512px" /> </figure> <div class="card:content@three::box"> <h4 class="card:content@three::heading">Discharge Planning</h4> <div class="card:content@three::content"><p>Participated in collaborative discharge planning with inpatient rehab facility and SNF partners</p> </div> </div> </div> <div class="card:content@three"> <figure class="card:content@three::icon"> <img width="512" height="512" src="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png" class="attachment-full size-full" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB.png 512w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-400x400.png 400w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-80x80.png 80w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-500x500.png 500w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-150x150.png 150w, https://www.vhan.com/wp-content/uploads/2023/04/noun-circle-1166285-0682BB-300x300.png 300w" sizes="(max-width: 512px) 100vw, 512px" /> </figure> <div class="card:content@three::box"> <h4 class="card:content@three::heading">Post-Acute Services</h4> <div class="card:content@three::content"><p>Facilitated referrals, SNF waivers and other post-acute care needs for patients at home or receiving PAC services</p> </div> </div> </div> </div> </div> </section> <div class="block:content@one »type-c"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <header class="block:content@one::header"> <h4 class="block:content@one::preheading">Post-Acute Key Initiative </h4> <h2 class="block:content@one::heading"></h2> <h3 class="block:content@one::subheading">Acute Care Outreach Team</h3> </header> <div class="block:content@one::content"><p>In May 2022, VHAN established a new acute care outreach team for Connected Care of Middle Tennessee Medicare ACO patients. The outreach team helps increase communication between acute care teams and ambulatory care providers and care management teams. The focus is on readmission reduction and leveraging post-acute care services to help meet patient goals.</p> </div> </div> <figure class="block:content@one::media"> <img width="1000" height="557" src="https://www.vhan.com/wp-content/uploads/2023/04/iStock-1356562169_small-e1681934588923.jpg" class="attachment-1780x1060 size-1780x1060" alt="" decoding="async" srcset="https://www.vhan.com/wp-content/uploads/2023/04/iStock-1356562169_small-e1681934588923.jpg 1000w, https://www.vhan.com/wp-content/uploads/2023/04/iStock-1356562169_small-e1681934588923-400x223.jpg 400w, https://www.vhan.com/wp-content/uploads/2023/04/iStock-1356562169_small-e1681934588923-300x167.jpg 300w, https://www.vhan.com/wp-content/uploads/2023/04/iStock-1356562169_small-e1681934588923-768x428.jpg 768w" sizes="(max-width: 1000px) 100vw, 1000px" /> </figure> </div> </div> <section class="block:patientstory"> <div class="block:patientstory::boxed"> <h2 class="block:patientstory::heading">The Goal of Post-Acute Care </h2> <div class="block:patientstory::content"><p class="p1">Ensuring appropriate utilization of post-acute services can lead to improved quality and an overall reduction in the total cost of care.</p> </div> </div> </section> <div class="block:content@one »type-d"> <div class="block:content@one::boxed"> <figure class="block:content@one::oembed"> <a href="https://vumc-1.wistia.com/medias/iuyil4lcci">https://vumc-1.wistia.com/medias/iuyil4lcci</a> </figure> <div class="block:content@one::box"> <header class="block:content@one::header"> <h2 class="block:content@one::heading"></h2> <h3 class="block:content@one::subheading">Social Work Team</h3> </header> <div class="block:content@one::content"><p>Patients in need of care often face social and emotional barriers to health improvement. And sometimes these barriers don’t come up during doctor visits. VHAN’s Social Work Team partners with patients, families and care teams to identify all the factors that come into play when patients are making decisions. The goal is for patients to feel seen, heard and safe to bring up their concerns.</p> </div> </div> </div> </div> <div id="UtilizationResources" class="block:content@one »type-c »filled"> <div class="block:content@one::boxed"> <div class="block:content@one::box"> <header class="block:content@one::header"> <h2 class="block:content@one::heading">VHAN Member Resources</h2> <h3 class="block:content@one::subheading">Related to Stories of Utilization</h3> </header> <div class="block:content@one::content"><p>VHAN Hub is available exclusively to network members. You must be a VHAN member and <a href="https://vhanhub.com/member-registration/">register for the Hub</a> to gain access.</p> </div> <div class="block:content@one::list"> <div class="card:list"> <i class="card:list::icon far fa-check-circle"></i> <div class="card:list::box"> <h4 class="card:list::heading">ER Toolkit</h4> <div class="card:list::content"><p>Members can view on <a href="https://vhanhub.com/er-toolkit/" target="_blank" rel="noopener">VHAN Hub</a></p> </div> </div> </div> <div class="card:list"> <i class="card:list::icon far fa-check-circle"></i> <div class="card:list::box"> <h4 class="card:list::heading">VHAN Social Work</h4> <div class="card:list::content"><p>Members can learn more on <a href="https://vhanhub.com/services/care-management/social-work/" target="_blank" rel="noopener">VHAN Hub Social Work</a> page.</p> </div> </div> </div> <div class="card:list"> <i class="card:list::icon far fa-check-circle"></i> <div class="card:list::box"> <h4 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