Perspectives

Interprofessional Precision Care: Coming Together to Improve Outcomes

Authors: Fernando Mena-Carrasco, MSW, BSN, RN, Sophia Pemberton, MSN, CRNP, RN, Arjun Chanmugam, MD, MBA, Caitlin Dowd, PharmD, Jennifer Rice-Assenza, LCSW-C, Rosalyn W. Stewart, MD, MS, MBA

Abstract

With the implementation of the Patient Protection and Affordable Care Act (PL 111–148), historically inconspicuous components of healthcare systems have gained more salience as healthcare spending and reimbursement shifts from individual, fee-for-service to population-based, pay-for-performance. The paradigm is to improve the health of populations and positively enhance patients’ experience while controlling per capita costs.1 Efficient and high-quality transitions among levels of care have become key performance indicators for government and private sponsors of health care. Facilitating these transitions is of paramount importance as we consider manifestations of a fragmented system: health disparities, high costs, and poor outcomes.

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Department of Health and Human Services. 2011 report to Congress: national strategy for quality improvement in health care. http://www.ahrq.gov/workingforquality/nqs/nqs2011annlrpt.htm. Published March 2011. Accessed August 29, 2016.
 
2. Jencks SF, Williams MV, Coleman EA. Rehospitalizations among patients in the Medicare fee-for-service program. N Engl J Med 2009;360:1418-1428.
 
3. Wier LM, Barrett M, Steiner C, et al. All-cause readmissions by payer and age, 2008. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb115.pdf. Published June 2011. Accessed August 29, 2016.
 
4. Goldfield NI, McCullough EC, Hughes JS. Identifying potentially preventable readmissions. Health Care Financ Rev 2008;30:75-91.
 
5. Roy CL, Poon EG, Karson AS, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med 2005;143:121-128.
 
6. Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med 2007;167:1305-1311.
 
7. Agency for Healthcare Research and Quality. 2014 national healthcare quality & disparities report-chartbook on access to health care. http://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/access/2014nhqdr-access.pdf. Accessed August 29, 2016.
 
8. Groesbeck K, Whiteman LN, Stewart RW. Reducing readmission rates by improving transitional care. South Med J 2015;108:758-760.