By Keith Loria, Managed Healthcare Executive
…Saeed Aminzadeh, CEO of Boston-based Decision Point Healthcare Solutions, believes the secret to reducing readmissions is to identify and engage the patient as early as possible (ideally before they even have their index admission).
“Multiple, clustered admissions are a function of both clinical and engagement risk,” he says. “Members who are at high risk for multiple, clustered admissions typically have an undesirable disease trajectory as well as a history of engagement challenges, such as poor preventive behavior, sporadic visits to their doctor, excessive use to the ER, challenges with medication adherence, PCP switching, etc.”
Decision Point has discovered that when probed (or when data on social determinants of health is available), these members often have other socioeconomic barriers, such as limited home care support, undesirable nutrition, and poor health literacy, which further compound and elevate their risk….