5/2/2017 1 Randi Roy, Chief Strategy Officer Shaun Ruskin, VP, Business Development and Post Acute Services 1 Bundles of Joy: VillageCare as a Model 3 BPCI Episode Initiator - Journey toward Full Risk LeadingAgeNY Annual Meeting May 24, 2017 The Future of Value-based Care 2
10
Embed
Model 3 BPCI Episode Initiator - Journey toward Full Risk of Joy_Roy... · Model 3 BPCI Episode Initiator - Journey toward Full Risk ... Experience with NYU’s Model 2 bundle ...
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
5/2/2017
1
Randi Roy, Chief Strategy Officer
Shaun Ruskin, VP, Business Development and Post Acute Services
1
Bundles of Joy: VillageCare as a
Model 3 BPCI Episode Initiator -
Journey toward Full Risk
LeadingAgeNYAnnual MeetingMay 24, 2017
The Future of Value-based Care 2
5/2/2017
2
VillageCare, with 40 years of service to New York, served approximately 25,000 individuals in 2016
3
Post-Acute Nursing Facility
(1,600 patients
discharged home annually)
Health Home, Housing and other
community programs (13,000 +members)
ManagedCare Plans (8,000+ members)
4
VillageCare offers three discrete service lines
Post‐Acute
Care
Community Supports
Managed care
Village Center for Rehab & Nursing
Rango – Technology for Treatment Adherence
Managed Long Term Care PlanVillageCare Health Home
5/2/2017
3
Overview of Post-Acute Facility: VCRN5
New modern facility; built 2010
1,600+ admissions per year
Rehab offered 7 days per week
Full medical staff including onsite NPs 16hrs per day
Advanced Care Unit, clustering highest acuity patients
Nursing to patient ratio is 1:13
Ability to admit 7 days per week
Only BPCI Model 3 post‐acute facility in NYC
16.9%
24.7%
21.2%
18.8%
24.9%
17.0%
21.1%
23.7%
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0%
VCRN
MARY MANNING WALSH
AMSTERDAM
THE RIVERSIDE
THE NEW JEWISH HOME
ISABELLA
GOUVERNEUR
UPPER EAST SIDE
Lowest Rehospitalization Rate of Peer Facilities – 30 days
Source: Rehospitalization rate from CMS Nursing Home Compare
Visibility Requires Quality Impact on a Large Scale
Healthcare Cost and Utilization Project, “Statistical Brief #172: Conditions with the Largest Number of Adult Hospital Readmissions by Payer,” Agency for Healthcare Research and Quality, 2014, http://www.hcup-us.ahrq.gov/reports/statbriefs/sb172-Conditions-Readmissions-Payer.pdf; Florida Office of Program Policy Analysis and Government Accountability, “Profile of Florida’s Medicaid Home and Community-Based Services Waivers,” 2012, http://elderaffairs.state.fl.us/doea/Evaluation/Profile%20of%20Florida's%20Medicaid%20Home%20and%20Community-Based%20Services%20Waiver%20OPPAGA%2012-03.pdf; Vaidya A, “8 Statistics on the Average Cost Per ED Visit,” Becker’s Hospital CFO, May 31, 2013, http://www.beckershospitalreview.com/finance/8-statistics-on-the-average-cost-per-ed-visit.html; Post-Acute Care Collaborative interviews and analysis.