new collaboration between Blue
Cross and Blue Shield of North Carolina (BCBSNC) and Wake Forest Baptist Medical Center is
focusing on improving the quality of health care and the health of North
Carolinians. Through the Center for Healthcare Innovation, these organizations
are piloting new health care models designed to improve the quality of health
services and overall consumer experience while reining in medical expenses.
collaboration allows us to think creatively about transforming the way patients
receive care, doctors and hospitals provide care and insurance companies pay
for care,” said Susan Weaver, M.D., BCBSNC vice president of health delivery
redesign. “Technology and data are rapidly changing the way we live and work
but heath care has been slow to harness these tools.”
combining BCBSNC’s robust analytic capability to identify gaps in care and
target high-risk populations, with Wake Forest Baptist’s ability to pilot
alternative sites of care and potential to impact a large patient population,
the Center for Healthcare Innovation has begun to test programs that deliver
cost-efficient care, improve patient health and are scalable across North
Carolina and potentially beyond.
collaboration with Blue Cross is a perfect example of the type of investment in
innovation needed to respond to the economic challenges faced by patients,
health care providers and insurers,” said Terry G. Williams, executive vice
president, strategy and network development, Wake Forest Baptist
Medical Center. “More financial
investments in new business models that are value-based and patient-centered
are required to bring the result that we seek: improved health for our
patients and lower medical expenses.”
Center creates an open collaboration between BCBSNC and Wake Forest Baptist,
which allows the organizations to work hand-in-hand to test new models for providing
care by focusing on three primary areas which include:
- Testing new ways of delivering and
coordinating health care at home to reduce the length of time patients have to
stay in the hospital and the likelihood that they will be readmitted to the hospital
or return to the emergency department.
- Exploring opportunities to rein in health
care costs and improve access and ease use of health care services for patients
through more efficient administrative processes.
- Piloting programs that will promote efficient
use of health care services by BCBSNC customers and encourage use of
preventative services for better long term health.
readmissions cost the U.S. health care system approximately $25 billion each
year. Wake Forest Baptist, BCBSNC and Paired Health, Inc. are
working together to address gaps in care following a patient’s hospital stay
through the Center’s first pilot program. The program is evaluating new ways to
prevent hospital readmissions and emergency department visits, to reduce length
of stay and improve patient satisfaction.
Health will work by collaborating with BCBSNC and Wake Forest Baptist to help
providers get care to the right patients, in the right place, at the right
time. Paired Health technologies help Wake Forest Baptist providers with
personalized patient care plans, proactively engage patients in their homes,
and route those same providers across the region as efficiently as
possible. The Paired Health platform
also orchestrates care across supporting team members, such as behavioral
health and pastoral care.
“Wake Forest Baptist Medical
Center is pioneering new models of care to ensure that patients receive the
appropriate care and support they need when they leave the hospital,” said
Thomas E. Sibert, M.D., interim chair of psychiatry and special advisor to the
CEO at Wake Forest Baptist
Medical Center. “Collaboration is the key. With deployment of this
innovation, a team that includes a physician and a case worker in conjunction
with community service organizations, our goal is to improve patient-centered
care, while reducing readmissions and the cost of that care.”
think the Center for Healthcare Innovation is a wonderful idea and smart
investment. Now more than ever, we all need to identify better ways to deliver
more cost-effective care, so we’re both thrilled and honored to be a part of
the Center’s first program,” said Sean Harrison, founder and president of
Paired Health, Inc.
The Paired Health initiative
builds on work led by Wake Forest Baptist faculty members Jeff
D. Williamson, M.D., section director of geriatric medicine and Pamela
W. Duncan, Ph.D., director of innovations and transitional
outcomes. The initiative includes a
variety of programs that help patients receive the medical and environmental
resources needed to improve their health.
patients ages 18 and older who have multiple complex conditions, such as heart
failure and chronic obstructive pulmonary disease, that prevent them from
performing usual activities of daily living and who have experienced two or
more inpatient discharges in a 12 month period are eligible for participation
in the pilot program.
Additional criteria may also apply.
Price Waterhouse Coopers’ Health Research Institute, “The Price of Excess:
Identifying waste in healthcare spending,” 2010.